[Skeletal Class II treatment with the miniscrew-anchored Herbst]

No-compliance orthodontic treatment has recently become very popular. Unlike removable appliances requiring patient compliance, the Herbst appliance is a widely used fixed functional bite-jumping device generating predictable results in the treatment of skeletal class II malocclusions. The main problem associated with tooth-borne bite-jumping appliances is the generation of unavoidable dental movements, especially proclination of lower incisors, in addition to the skeletal effect. These dento-alveolar compensations can, when uncontrolled, compromise treatment results. This article describes two cases managed with a new treatment protocol based on the association of a modified Herbst appliance and temporary skeletal anchorage devices (TSADs) for efficient treatment of skeletal class II malocclusions.