The Herbst Appliance is an excellent way to correct a severe Class II malocclusion (upper jaw considerably ahead of the lower jaw). It is frequently used in cases where the growth of the lower jaw hasn't kept pace with the upper jaw and the lower jaw appears small or retrognathic.

This functional appliance is used in growing patients. It repositions the lower jaw forward stimulating increased growth and places the jaw structures in balance with each other and with the rest of the face.

It can protect severely protrusive maxillary incisors by bringing the lower jaw and teeth in line with the upper teeth. It can also be used to correct midline asymmetries, severe deep bites, and to distalize maxillary posterior teeth. It is cemented in place acting continuously to give optimal skeletal change.

Facial Change After Herbst Appliance
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After
Herbst appliance used before braces to correct severe skeletal Class II relationship. Treatment time in braces will considerabley shortened.
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After
Severe Class II deep bite malocclusion treated with Herbst appliance and braces
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Class II open bite malocclusion treated with Herbst appliance; finished with braces.