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[Optimal time for treatment with the Herbst appliance]
1Poliklinik für Kieferorthopädie, Zentrum für ZMK, Giessen, Allemagne. sabin.ruf@dentist.med.uni-giessen.de
L' Orthodontie Francaise
|May 20, 2006
Summary
The best time for Herbst therapy is during permanent dentition, around the peak of pubertal growth, for optimal dentofacial complex outcomes. This approach considers patient maturity and ensures long-term stability of treatment results.
Area of Science:
- Orthodontics and Dentofacial Orthopedics
- Craniofacial Growth and Development
Context:
- Herbst appliance therapy is a common orthodontic treatment for correcting Class II malocclusions.
- Determining the optimal timing for orthopedic intervention is crucial for treatment success.
Purpose:
- To evaluate the short- and long-term effects of Herbst appliance therapy on the dentofacial complex.
- To determine the ideal patient age and skeletal maturity for initiating Herbst therapy.
- To assess the long-term stability of treatment outcomes following Herbst appliance use.
Summary:
- The study reviews literature on Herbst therapy, focusing on dentofacial outcomes relative to patient somatic and skeletal maturity.
- Findings suggest that initiating Herbst treatment during permanent dentition, coinciding with or just after the pubertal growth spurt, yields the best results.
- Emphasis is placed on the relationship between treatment timing, growth stage, and the stability of achieved results.
Impact:
- Provides evidence-based guidance for orthodontists on optimizing Herbst therapy timing.
- Contributes to improved treatment planning for Class II malocclusions.
- Aims to enhance the predictability and long-term success of orthopedic interventions in growing patients.
