Rotational effects of Class II Division 1 treatment with the Herbst appliance and fixed appliances in growing subjects with different vertical patterns

2019 ◽  
Vol 8 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Emily Deen ◽  
Michael G. Woods
2008 ◽  
Vol 78 (2) ◽  
pp. 361-369 ◽  
Author(s):  
Gregory A. Barnett ◽  
Duncan W. Higgins ◽  
Paul W. Major ◽  
Carlos Flores-Mir

Abstract Objective: To evaluate the relative skeletal and dental changes produced by the crown- or banded-type Herbst appliance in growing Class II division 1 malocclusion cases. Materials and Methods: Several electronic databases were searched with the help of a health sciences librarian, without language limitation. Abstracts that appeared to fulfill the initial selection criteria (Herbst use and clinical trial) were selected by consensus, and their original articles were then retrieved. Clinical trials were selected that used lateral cephalograms to assess immediate skeletal and dental changes from the use of either crown or banded Herbst appliances. Clinical trials that employed other simultaneous potentially growth-modifying appliances or surgery were excluded. A comparable untreated Class II division 1 malocclusion control group was required to factor out normal growth changes. References from the selected articles were also hand searched. Results: Only three articles meet the selection criteria. Proclination and anterior movement of the lower incisors, overjet reduction, and improvement of first molar relationship thorough mesial movement of the first molars, reduction of ANB angle, and an increase in the mandibular plane angle were reported. There were mixed findings as to mandibular sagittal length and position and increases in lower face height, both anteriorly and posteriorly. No statistically significant changes were noted in the sagittal length or position of the skeletal maxilla. Conclusions: Dental changes have more impact than skeletal changes in the correction of Class II division 1 malocclusions with the crown or banded Herbst appliance.


2016 ◽  
Vol 21 (1) ◽  
pp. 101-109 ◽  
Author(s):  
Kátia Montanha

Protrusion of maxillary incisors is a common complaint among patients seeking orthodontic treatment. This report addresses the correction of Class II Angle malocclusion with excessively bucally proclined maxillary incisors, in an adolescent female patient, through the use of extraoral and fixed appliances. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as part of the requirements for obtaining the title of certified by the BBO.


1988 ◽  
Vol 15 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Nigel E. Carter

This cephalometric study investigates the changes in the facial skeleton and dento-alveolar structures which occur during orthodontic treatment of the Class II Division 1 malocclusion by extraction of four first premolars followed by fixed appliances. The Begg and edgewise appliances are compared, and both are contrasted with a group of untreated Class II Division 1 subjects. The main effects of treatment were in the dento-alveolar structures, the changes in the overall facial pattern being small and largely due to extrusion of the molars during overbite reduction. Molar extrusion tended to interrupt forward growth rotation of the mandible, temporarily making it more backwards in direction, and increasing the lower anterior face height. An increase in the posterior lower face height was also noted in the edgewise group. Whilst SNA, and therefore ANB, reduced significantly during treatment, this was probably the result of palatal root torque to the upper incisors. The Begg appliance was more successful than edgewise in this respect.


Author(s):  
Kohinur Akther ◽  
Md Zakir Hossain

We describe the treatment of a young girl age, 24 years, with class II division 1 malocclusion and spacing of upper anterior segment. Treatment consisted mainly of space closing, arch contraction, leveling and alignment with Edgewise fixed appliances by multiloop technique.  Due to patient good cooperation, treatment time reduced (10 months). The treatment resulted in proper alignment of upper & lower anterior segment, an ideal overjet, overbite and incisor angulations. Ban J Orthod & Dentofac Orthop, April 2016; Vol-6 (1-2), P.42-47


1970 ◽  
Vol 11 (1) ◽  
pp. 63-65
Author(s):  
MK Alam

A 17 year-old Bangladeshi female presented with a severe Class II division 1 incisor relationship on a mild Skeletal II base. Crowding was moderate in the upper arch. The lower arch was well aligned. Treatment was commenced using fixed appliances and followed by extractions of upper first premolars. This case illustrates the versatility of the fixed appliances in the treatment of those cases exhibiting Class II division 1 malocclusion with crowding. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9827 BJMS 2012; 11(1): 63-65


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