Case report: comparison of the traditional herbst appliance and the herbst appliance fixed on miniscrews
DOI:
https://doi.org/10.55312/op.vi2.6142Abstract
Class II malocclusion is one of the most common orthodontic issues, often treated with the Herbst appliance. This report presents a clinical comparison between the traditional Herbst appliance and the Herbst appliance fixed on miniscrews (TAD - Temporary Anchorage Devices). The cases include a 12-year-old female patient treated with the traditional Herbst appliance and a 15-year-old male patient treated with the Herbst appliance fixed on miniscrews. The results showed that both techniques are effective in correcting Class II malocclusion, with significant improvement in overjet, facial profile, and dento-skeletal relationships. However, the Herbst appliance on miniscrews offered greater stability, minimal relapse, and improved hygienic management, while reducing initial discomfort. In conclusion, the Herbst appliance on miniscrews presents an advanced option for cases requiring more complex skeletal anchorage.Keywords:
Class II malocclusion, Herbst appliance, Traditional Herbst, Herbst on miniscrews,Skeletal anchorage, Overjet, Orthodontic stability, Facial profile, Orthodontic treatmentDownloads
References
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Pancherz, H. (1985). The Herbst appliance – its biologic effects and clinical use. American Journal of Orthodontics, 87(1), 1-20.
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Papadopoulos, M. A., & Tarawneh, F. (2007). The use of miniscrew implants for temporary skeletal anchorage in orthodontics: A comprehensive review. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 103(5), e6-e15.
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Aras, I., & Pasaoglu, A. (2010). Comparison of two different treatments for skeletal Class II malocclusion: Functional regulator and Herbst appliance. European Journal of Orthodontics, 32(2), 202-208.
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Antoszewska-Smith, J., Sarul, M., Lyczek, J., & Konopka, T. (2017). Skeletal anchorage with miniscrews and miniplates in orthodontic treatment – A systematic review. Advances in Clinical and Experimental Medicine, 26(3), 475-485.
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McNamara, J. A. Jr., & Franchi, L. (2018). The cervical vertebral maturation method: A user’s guide. The Angle Orthodontist, 88(2), 133-143.
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Cozza, P., Baccetti, T., Franchi, L., & McNamara, J. A. Jr. (Year not provided). Treatment effects of functional appliances on mandibular growth in the short and long term. (Missing Journal/Publisher Details — Please provide for accurate formatting).
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Baysal, A., & Uysal, T. (2014). Soft tissue effects of twin block and Herbst appliances in patients with Class II Division 1 mandibular retrognathia. European Journal of Orthodontics, 36(2), 133-141.
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Proffit, W. R., Fields, H. W., & Sarver, D. M. (2018). Contemporary Orthodontics (6th ed.). Elsevier.
References
Pancherz, H. (1985). The Herbst appliance – its biologic effects and clinical use. American Journal of Orthodontics, 87(1), 1-20.
Papadopoulos, M. A., & Tarawneh, F. (2007). The use of miniscrew implants for temporary skeletal anchorage in orthodontics: A comprehensive review. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 103(5), e6-e15.
Aras, I., & Pasaoglu, A. (2010). Comparison of two different treatments for skeletal Class II malocclusion: Functional regulator and Herbst appliance. European Journal of Orthodontics, 32(2), 202-208.
Antoszewska-Smith, J., Sarul, M., Lyczek, J., & Konopka, T. (2017). Skeletal anchorage with miniscrews and miniplates in orthodontic treatment – A systematic review. Advances in Clinical and Experimental Medicine, 26(3), 475-485.
McNamara, J. A. Jr., & Franchi, L. (2018). The cervical vertebral maturation method: A user’s guide. The Angle Orthodontist, 88(2), 133-143.
Cozza, P., Baccetti, T., Franchi, L., & McNamara, J. A. Jr. (Year not provided). Treatment effects of functional appliances on mandibular growth in the short and long term. (Missing Journal/Publisher Details — Please provide for accurate formatting).
Baysal, A., & Uysal, T. (2014). Soft tissue effects of twin block and Herbst appliances in patients with Class II Division 1 mandibular retrognathia. European Journal of Orthodontics, 36(2), 133-141.
Proffit, W. R., Fields, H. W., & Sarver, D. M. (2018). Contemporary Orthodontics (6th ed.). Elsevier.
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