Condylar remodelling in a severe class II deep bite dento-skeletal malocclusion treated with an ortho-surgical approach: A five-year follow-up case report

Schiavoni, Raffaele; Pacella, Biagio; Grenga, Camilla; Contrafatto, Rossella; Grenga, Vittorio

doi:10.1016/j.ortho.2023.100749

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Evidence suggests that the Herbst appliance can cause TMDs in some patients. Some studies found that patients who had undergone Herbst treatment experienced TMD symptoms [ 38 , 39 ]. These symptoms included pain in the TMJ, muscle pain, and limited jaw movement.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of temporomandibular disorders diagnosis in patients treated with Herbst appliance: a systematic review and meta-analysis

Minervini,

Di Blasio,

Franco

et al. 2024

BMC Oral Health

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Background The Herbst appliance is an excellent therapy for treating class II malocclusions with increased overjet. Its mechanics involve propelling the mandibular bone using two pistons the patient cannot remove. The so-called bite-jumping keeps the mandible in a more anterior position for a variable period, usually at least 6 months. This appliance does not inhibit joint functions and movements, although there are scientific papers in the literature investigating whether this appliance can lead to temporomandibular disorders. This systematic review aims to evaluate whether Herbst’s device can cause temporomandibular diseases by assessing the presence of TMD in patients before and after treatment. Methods A literature search up to 3 May 2023 was carried out on three online databases: PubMed, Scopus and Web of Science. Only studies that evaluated patients with Helkimo scores and Manual functional analysis were considered, as studies that assessed the difference in TMD before and after Herbst therapy. Review Manager version 5.2.8 (Cochrane Collaboration) was used for the pooled analysis. We measured the odds ratio (OR) between the two groups (pre and post-Herbst). Results The included papers in this review were 60. Fifty-seven were excluded. In addition, a manual search was performed. After the search phase, four articles were considered in the study, one of which was found through a manual search. The overall effect showed that there was no difference in TMD prevalence between pre-Herbst and post-Herbst therapy (OR 0.74; 95% CI: 0.33–1.68). Conclusion Herbst appliance seems not to lead to an increase in the incidence of TMD in treated patients; on the contrary, it appears to decrease it. Further studies are needed to assess the possible influence of Herbst on TMDs.

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Section: Discussionmentioning

confidence: 99%

“…It is important to note that not all patients who undergo Herbst treatment will develop TMDs [ 29 , 39 ]. Factors such as pre-existing TMD symptoms, the severity of the mandibular deficiency, and the length of treatment can all influence the likelihood of developing TMDs.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of temporomandibular disorders diagnosis in patients treated with Herbst appliance: a systematic review and meta-analysis

Minervini,

Di Blasio,

Franco

et al. 2024

BMC Oral Health

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The dynamic progression of temporomandibular joint osteoarthritis-like lesions elicited by mandibular shift in a rat model

Zou,

Huang,

Lin

et al. 2024

Annals of Anatomy - Anatomischer Anzeiger

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The relationship between orthodontic and orthopaedic interventions in the influence of postural position on the bite

Kiosse

2024

Journal of Orthodontic Science

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OBJECTIVE: In orthodontic treatment, the influence of posture on the bite plays a significant role in achieving stable results. With modern lifestyles, posture problems are becoming more common. The aim of this study was to comprehensively analyze the relationship between orthodontics, orthopedics, and the influence of posture on bite. The study reviewed statistics on the growth and popularity of orthodontic treatment methods and identified the importance of a comprehensive medical approach, especially for concomitant spine, posture, and flat feet problems. METHODS: The following methods were used to achieve the objective: collection and analysis of statistical data on the popularity of orthodontic treatment; review of studies; clinical observations; and a comparative analysis of the effectiveness of different treatment methods. RESULTS: The study revealed a high degree of correlation between orthodontics, orthopedics, and the effect of posture on bite formation. A detailed analysis of the statistical data confirmed the increased interest in orthodontic treatment, including the use of modern technologies such as braces and eliners. This relevance is particularly noticeable in cases where there are concomitant problems with the spine, posture, and flat feet. CONCLUSION: One of the significant findings of the study was the confirmation of the urgent need for the convergence of orthodontic and orthopedic techniques to optimize the quality of care for patients suffering from combined posture and bite problems.

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Condylar remodelling in a severe class II deep bite dento-skeletal malocclusion treated with an ortho-surgical approach: A five-year follow-up case report

Cited by 3 publications

References 22 publications

Prevalence of temporomandibular disorders diagnosis in patients treated with Herbst appliance: a systematic review and meta-analysis

Prevalence of temporomandibular disorders diagnosis in patients treated with Herbst appliance: a systematic review and meta-analysis

The dynamic progression of temporomandibular joint osteoarthritis-like lesions elicited by mandibular shift in a rat model

The relationship between orthodontic and orthopaedic interventions in the influence of postural position on the bite

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