Document Detail

The effects, limitations, and long-term dentofacial adaptations to treatment with the Herbst appliance.
MedLine Citation:
PMID:  9573885     Owner:  NLM     Status:  MEDLINE    
The purpose of this article is to summarize the existing scientific data with respect to the short- and long-term effects of the Herbst appliance on the occlusion and on the maxillo/mandibular complex. The article also discusses the treatment indications and possible treatment limitations. The Herbst method is most effective in the treatment of Class II malocclusions. Long-term stability seems to be dependent on a stable cuspal interdigitation. Marked mandibular morphological changes occur during therapy and sagittal condylar growth is increased. Posttreatment, most of the mandibular morphological changes revert and no long-term influence of Herbst treatment on mandibular growth can be verified. The appliance effect on the maxillary complex can be compared with that of a high-pull headgear. Without proper retention, however, this effect is of a temporary nature. Herbst treatment is especially indicated in the permanent dentition at or just after the pubertal peak of growth. Mixed dentition treatment is not recommended, as a stable cuspal interdigitation after therapy is difficult to achieve and relapses are prone to occur. In the nongrowing patient, the appliance should be used with great caution.
H Pancherz
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in orthodontics     Volume:  3     ISSN:  1073-8746     ISO Abbreviation:  Semin Orthod     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-07-29     Completed Date:  1998-07-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9511978     Medline TA:  Semin Orthod     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  232-43     Citation Subset:  D    
Department of Orthodontics, University of Giessen, Germany.
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MeSH Terms
Adaptation, Physiological*
Malocclusion, Angle Class II / physiopathology,  therapy*
Maxillofacial Development*
Orthodontic Appliance Design
Orthodontic Appliances, Functional*
Prospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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