The Herbst appliance—Its biologic effects and clinical use

Pancherz, Hans

doi:10.1016/0002-9416(85)90169-1

Cited by 268 publications

(260 citation statements)

References 11 publications

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“…15,[17][18][19][20][21][22] The present results indicate that an orthopedic effect on mandibular growth can be achieved even earlier, in the early mixed dentition. In an analysis of treatment effects of the FR-2 appliance of Frä nkel, McNamara et al 18 found that the growth response was greater in the older patients with a starting age of 11.5 years compared to the younger patients with a starting age of 8.5 years.…”

Section: Discussionsupporting

confidence: 61%

Dentofacial Changes after Orthodontic Intervention with Eruption Guidance Appliance in the Early Mixed Dentition

Keski-Nisula

Salo

et al. 2008

The Angle Orthodontist

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Objective: To evaluate skeletal and dentoalveolar changes induced by the eruption guidance appliance in the early mixed dentition. Materials and Methods: Pre-and posttreatment cephalometric radiographs of 115 consecutively treated children, 62 boys and 53 girls, were compared with those obtained from a control group of 104 children, 52 boys and 52 girls. Pretreatment radiographs were taken at the deciduousmixed dentition interphase (T1) and after full eruption of all permanent incisors and first molars (T2). The mean age of the children in both groups was 5.1 years at T1 and 8.4 years at T2. Results: A significant difference between the groups at T2 was found in the mandibular length, midfacial length, and maxillomandibular differential. The increase in mandibular length was 11.1 mm in the treatment group and 7.2 mm in the control group. No differences were found in measurements of maxillary position or size. There was a significant shift toward a Class I relationship in the treatment group. Labial tipping and linear protrusion of the mandibular incisors was evident in the treatment group at T2. There was no effect on the inclination or position of the maxillary incisors. Conclusions: Occlusal correction was achieved mainly through changes in the dentoalveolar region of the mandible. In addition, the appliance enhanced condylar growth resulting in a clinically significant increase in mandibular length. No effect was observed on maxillary position, maxillary size, inclination or protrusion of the maxillary incisors, or facial height.

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Section: Discussionsupporting

confidence: 61%

Dentofacial Changes after Orthodontic Intervention with Eruption Guidance Appliance in the Early Mixed Dentition

Keski-Nisula

Salo

et al. 2008

The Angle Orthodontist

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“…W aparacie Herbsta łączące szyny teleskopy umożliwiają doprzednie i boczne ruchy żuchwy, blokując ruch dotylny. 32 Bernhold i Bondemark oraz Gavish i wsp. wykorzystali siłę magnesów w szynach ustalających protruzyjne ustawienie żuchwy.…”

Section: T H I S C O P Y I S F O R P E R S O N a L U S E O N L Y -D Iunclassified

Obstructive sleep apnea: Aetiology, diagnosis, treatment

Wojda¹,

Kostrzewa-Janicka²

2015

Protet Stomatol

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“…Es un aparato fijo y rígido que requiere de un complejo proceso de laboratorio [31] (figura 8). Consta de un mecanismo telescópico que permite el reposicionamiento anterior de la mandíbula cuando el paciente está en oclusión, liberando aproximadamente una fuerza de 200-250 gr durante el cierre [45,46]. [47] Los estudios clínicos muestran efectos esqueléticos y dentoalveolares.…”

Section: Herbstunclassified

“…Cerca del 50% de los efectos del tratamiento se dan por movimiento dental, principalmente por el movimiento adelante y arriba de la dentición posterior. Esqueléticamente hay un incremento en el crecimiento mandibular (2,0 mm a 2,5 mm más de los valores normales y un avance del mentón de 2,5 mm), pero sólo a corto plazo [45][46][47][48], con una eficacia del 90% en la corrección de la clase II por disminución en el anb, en el overjet y en el overbite, además de una rotación posterior mandibular. La cantidad de aumento en la longitud mandibular depende del diseño del Herbst; en los casos de aparato con bandas se reporta un incremento de 2,0 a 2,2 mm a los 6 meses, y para el aparato con férula acrí-lica se reporta un incremento de 2,7 a 3,5 mm al año de tratamiento [49].…”

Section: Herbstunclassified

Aparatos de avance mandibular: ¿mito o realidad?

Quintero

Mariaca

2014

Rev. nac. odontol.

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Resumen. La mayoría de los pacientes con maloclusión clase II esquelética presentan posición retruida de la mandíbula. El término aparato funcional se refiere a aparatos fijos o removibles diseñados para alterar la posición mandibular sagital y verticalmente, resultando en cambios esqueléticos, ortodónticos y ortopédicos. A pesar de su larga historia, los aparatos funcionales continúan siendo controversiales en su uso, efectividad y modo de acción. Esta revisión permitirá conocer las diferentes alternativas de tratamiento para la maloclusión clase II esquelética causada por retrusión mandibular, entre los que están Bionator, Twin Block, Herbst, Jasper Jumper, Forsus, mara y Advansync, de los cuales se explicará su modo de acción, sus efectos a nivel dental y esquelético y el tiempo de tratamiento óptimo para conseguir estabilidad.Palabras clave: avance mandibular, maloclusión de Angle clase II, mandíbula, retrognatismo. Mandibular Advancement Apparatus: Myth or Reality?Abstract. Most patients with skeletal Class II malocclusion present a retruded position of the mandible. Functional appliances are fixed or removable appliances designed to alter the sagittal and vertical mandibular position, resulting in orthodontic and orthopedic skeletal changes. Despite their long history, functional appliances remain controversial in their use, effectiveness and mode of action. This review will reveal the different treatment options for skeletal Class II malocclusion caused by mandibular retrusion, such as: Bionator, Twin block, Herbst, Jasper jumper, Forsus, mara and Advansync; it will also explain the mode of action, skeletal and dental effects and optimum treatment time for stability.

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The Herbst appliance—Its biologic effects and clinical use

Cited by 268 publications

References 11 publications

Dentofacial Changes after Orthodontic Intervention with Eruption Guidance Appliance in the Early Mixed Dentition

Dentofacial Changes after Orthodontic Intervention with Eruption Guidance Appliance in the Early Mixed Dentition

Obstructive sleep apnea: Aetiology, diagnosis, treatment

Aparatos de avance mandibular: ¿mito o realidad?

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