The Herbst Appliance: Research-based Clinical Management

This book is based on more than 30 years of scientific and clinical work with the Herbst appliance in the therapy of Class II malocclusions.

Elaboration of the clinical use of this noncompliance fixed functional appliance include the following topics:

Appliance design and construction

Short- and long-term treatment effects in the management of Class II:1 and Class II:2 malocclusions

Mandibular growth stimulation in patients treated at different stages of somatic and skeletal maturation

Headgear effect of the Herbst appliance

Therapy influence on the frequency of extractions

Advantages and disadvantages of an early versus a late treatment approach

Successful application of the Herbst appliance in young adults (20 to 30 years of age)

Herbst therapy as an alternative to orthognathic surgery in nonsyndrome adult Class II malocclusions

Additionally, this book addresses the possible harmful effects of the Herbst appliance on the temporomandibular joint, the anchorage teeth, and the tooth-supporting hard and soft tissue structures.

Table of Contents

1. Historical Background

2. Dentoskeletal Characteristics of Class II Malocclusions

3. Design, Construction, and Clinical Management of the Herbst Appliance

4. Derivates of the Herbst Appliance

5. Experiemental Studies on Bite Jumping

6. Herbst Research Subjects and Methods

7. Short-term Effects on the Dentoskeletal Structures

8. Long-term Effects on the Dentoskeletal Structures

9. The Headgear Effect of the Herbst Appliance

10. Effects on TMJ Growth

11. Effects on Mandibular Growth and Morphology

12. Effective TMJ Growth

13. Effects on the Skeletofacial Growth Pattern

14. Effects on the Facial Profile

15. Effects on Muscular Activity

16. Effects on TMJ Function

17. Treatment of the Retrognathic and Prognathic Facial Type

18. Treatment of Hyper- and Hypodivergent Class II: 1 Malocclusions

19. Anchorage Problems

20. Effects on Anchorage Teeth and Tooth-Supporting Structures

21. Treatment Indications

22. Treatment Timing

23. Treatment of Adults An Alternative to Orthognathic Surgery

24. Complications

25. Relapse and Retention

26. Concluding Remarks