Reaction of facial soft tissues to treatment with a Herbst appliance

Meyer-Marcotty, Philipp; Kochel, Janka; Richter, U.; Richter, F.; Stellzig‐Eisenhauer, Angelika

doi:10.1007/s00056-011-0068-6

Cited by 10 publications

(5 citation statements)

References 28 publications

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“…[6][7][8] The appliance also generates advancement of the soft tissue of the chin and of the lower lip, contributing to improvements of the facial profile esthetic. 3,9,10 Despite its clinical efficiency, the Herbst appliance has some disadvantages, such as the need for complex laboratory preparation, operator experience, and frequent repairs as well as initial soft tissue discomfort experienced by the patient. 11 Currently, the Forsus device is an interesting alternative, since it has also been shown to be relatively efficient in Class II correction of mild-tomoderate cases.…”

Section: Introductionmentioning

confidence: 99%

Esthetic perception of facial profile changes in Class II patients treated with Herbst or Forsus appliances

Moresca¹,

Moraes²,

Topolski³

et al. 2020

The Angle Orthodontist

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Objective To evaluate the esthetic perceptions of orthodontists and laypersons for facial profile changes after orthodontic treatment using Herbst or Forsus appliances. Materials and Methods Pre- and posttreatment facial profile contour images of 20 Class II patients treated with Herbst (group H; n = 10) and Forsus (group F; n = 10) appliances were analyzed by 30 orthodontists and 30 laypersons, who graded them from 1 (unattractive) to 10 (very attractive) using a visual analog scale. Two assessments were carried out with a 15 day-interval. In the first evaluation, 40 images were presented in a random sequence. In the second evaluation, initial and final facial profile images of each patient were randomly presented side by side. To compare groups in relation to treatment method, Mann-Whitney tests were used. To evaluate differences between time points, Wilcoxon tests were used. Results In the first evaluation, there was a significant difference between initial and final images only for group H, for both laypersons (P = .017) and orthodontists (P = .037). There was also a significant difference between laypersons and orthodontists in their ratings of posttreatment Herbst appliance profiles (P = .028). There was no significant difference between initial and final facial profile images for group F and no significant differences between or within evaluator groups in their ratings of initial or final Forsus appliance profiles. In the second evaluation, there was a significant difference between appliance groups only for laypersons, who considered cases treated with the Herbst appliance more attractive than those treated with the Forsus (P = .031). Laypersons also considered Herbst profiles more attractive than did orthodontists (P = .047). Conclusions Class II malocclusion treatment using the Herbst appliance may produce a more esthetically improved facial profile silhouette compared with Forsus appliances. The magnitude of perceived changes may not be considered clinically relevant.

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Section: Introductionmentioning

confidence: 99%

Esthetic perception of facial profile changes in Class II patients treated with Herbst or Forsus appliances

Moresca¹,

Moraes²,

Topolski³

et al. 2020

The Angle Orthodontist

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“…5,7,10,11 Most of the studies using 3-D facial imaging technologies in orthodontics have dealt with the changes achieved by orthognathic surgery 6,8,9 and various types of orthodontic treatment. 12,13 However, there have been only a few 3-D photographic studies on soft tissue changes around the lips by orthodontic appliances 5 after debonding. Therefore, the purpose of this study was to evaluate the changes in soft tissues around the lips after removing brackets using 3-D light stereophotogrammetry.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of soft tissue changes around the lips after bracket debonding using three-dimensional stereophotogrammetry

Kim

Lee

Moon

et al. 2015

The Angle Orthodontist

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“…Dies liegt daran, dass die HA im Erwachsenenalter zu 80 % dental und nur zu 20 % skelettal wirkt [8]. Eine Verbesserung des Gesichtsprofils, zum Beispiel im Bereich einer ausgeprägten Supramentalfalte, ist bei einer Therapie mit der HA/dem HS möglich, im Einzelfall jedoch nicht vorhersagbar [12]. Nach einer Retentionsphase sind die skelettalen Effekte kaum noch nachweisbar, während die dentalen Effekte und somit die Okklusion relativ stabil bleiben [11].…”

Section: Indikationenunclassified

“…Die von Emil Herbst 1909 beschriebene HA zählt zu den fixed functional appliances und hat seit Ende der 1970er Jahre durch zahlreiche Publikationen von Pancherz [5] sowie Ruf [6] ein Revival erfahren. Sie ist eine der am häufigsten verwendeten Apparaturen im Rahmen der Angle Klasse II Therapie [7] und wissenschaftlich über mehrere Dekaden sehr gut sowohl in prospektiven Studien als auch in Nachuntersuchungen sowie im Vergleich mit anderen Therapiemethoden untersucht [8][9][10][11][12][13]. Die HA existiert in zahlreichen Varianten, z.…”

Section: Introductionunclassified

Mitarbeitsunabhängige Klasse II Therapie mit der Herbstapparatur – Ein Überblick

Schmid,

Hohoff

2024

Informationen aus Orthodontie & Kieferorthopädie

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ZusammenfassungDie Therapie der Angle Klasse II gehört zu den häufigsten kieferorthopädischen Behandlungsaufgaben. Befundabhängig stehen verschiedene Therapieoptionen zur Verfügung, unter anderem eine Behandlung mittels Herbstapparatur, die im permanenten Gebiss - auf oder nach dem Wachstumsgipfel - besonders effektiv ist. Die Kombination mit vollständig individuellen lingualen Multibracketapparaturen kann mögliche Nebenwirkungen des Herbstscharniers reduzieren. Ziel dieses Artikels ist ein Literaturüberblick zum Thema Therapie mittels Herbstapparatur und die Veranschaulichung der Methode anhand von Fallbeispielen.

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Reaction of facial soft tissues to treatment with a Herbst appliance

Cited by 10 publications

References 28 publications

Esthetic perception of facial profile changes in Class II patients treated with Herbst or Forsus appliances

Esthetic perception of facial profile changes in Class II patients treated with Herbst or Forsus appliances

Evaluation of soft tissue changes around the lips after bracket debonding using three-dimensional stereophotogrammetry

Mitarbeitsunabhängige Klasse II Therapie mit der Herbstapparatur – Ein Überblick

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