My New Herbst Orthodontic Device

L

Louis03M

Silver Member
This is my new Herbst braces:

I recently received a new orthodontic Herbst device, and I'm thrilled to share my experiences with it. This unique appliance boasts several fascinating features:

1. Headgear tubes are present on both the top and bottom plates, adding a distinctive element to the design.
2. The upper plate completely covers the palate, offering extensive coverage that I find quite remarkable.
3. A notably thick top arch plate enhances the device's robustness.
4. The upper arch plate is designed without an expander, making it more streamlined.
5. A bite plane is included in the upper arch plate for added functionality.
6. The presence of a tongue crib in the upper bow plate is an innovative touch, although it does make speaking a bit challenging.
7. Telescopic arms connect the upper plate to the lower one, a feature I find particularly interesting as it links the two sections effectively.
8. The color scheme is striking, with the upper arch plate in green and the lower arch in light blue.
9. A delightful Pikachu Pokémon design on the top arch plate adds a playful, tender touch that I adore.
10. The lower arch plate is designed without an expander, maintaining simplicity in its structure.
11. Classic metal arches encircle the teeth on both the top and bottom plates, giving it a traditional orthodontic feel.
12. A soccer ball design on the lower plate is a fun and appealing addition.
13. The incorporation of high-pull and cervical headgears for the upper and lower plates, respectively, is a fascinating choice. These external components not only increase the appliance's functionality but also add to the feeling of being noticeable, which I find intriguing.

Wearing this appliance, with its lateral pistons, offers a complex yet satisfying experience. The thick plate provides a pleasant sensation on the palate. The tongue crib, while making speech difficult, adds an interesting dimension to the appliance. I've also added elastics to enhance the piston's resistance and traction.

The external headgears, especially the high-pull and cervical ones, contribute to a feeling of enclosure and noticeable presence in public, which I find quite exciting. The challenge of wearing such a bulky device as long as possible is intriguing to me, as it induces increased saliva production and adds to the overall experience.

Overall, I'm extremely pleased with my choice and would love to hear your thoughts on this orthodontic device. What do you think about my selection, the design, or anything else about it? I'm eager to read your opinions!

This are the photo of my new device.
https://shorturl.at/efMO6
 
Hallo Louis03M,
das sin ja tolle Klammern. kann mir vorstellen, dass es schwierig ist diese zu tragen; aber auch sehr interessant. Danke fürs zeigen.
Grüße der Quälgeist
 
The Herbst appliance is an orthodontic appliance used by orthodontists to correct class 2 retrognathic mandible in a growing patient, meaning that the lower jaw is too far back. This is also called bitejumping. Herbst appliance parts include stainless steel surgical frameworks that are secured onto the teeth by bands (steal rings that go around teeth) or acrylic bites. These are connected by sets of telescoping mechanisms that apply gentle upward and backward force on the upper jaw, and forward force on the lower jaw.
 
The Herbst appliance serves as an effective solution for correcting a class II malocclusion, where the lower jaw is positioned too far back in relation to the upper jaw. To address this misalignment, the Herbst appliance is typically affixed to the last molar on the upper teeth and the first premolar on the lower teeth. Attachment methods may include bands, acrylic bites, or stainless steel crowns. Central to its function is a telescoping rod that permits the patient to open their mouth, while maintaining a fixed distance when closed. This fixed retraction pushes the lower jaw forward and repositions the upper arch, thereby rectifying the bite issue. The appliance's gradual adjustment mechanism also facilitates tooth movement, with the rod exerting pressure to push the upper teeth backward and the lower teeth forward. Orthodontists may incorporate bushings to extend the fixed length of the rod, aiding in the progressive correction of the malocclusion.
 
Just a question by the way: Does the Herbst help as well in the other direction, when the lower jaw should be pushed back?
 
The Herbst appliance is primarily designed to correct overbites by moving the lower jaw forward, aligning it more appropriately with the upper jaw. It's not typically used for pushing the lower jaw back. In cases where the lower jaw is too far forward (underbite), different orthodontic treatments are usually recommended, such as braces combined with elastics or other functional appliances, or in some cases, orthognathic surgery. It's always best to consult with an orthodontist for a personalized treatment plan.
 
Headgear braces can be used. Orthodontic headgear is a type of appliance typically used to correct bite issues by applying pressure to the upper jaw and teeth, helping them to move into the correct position. When the goal is to move the upper jaw forward or to restrict its backward growth (which indirectly helps with a lower jaw that's too forward), headgear can be effective.

Headgear is often used in growing children and teenagers to take advantage of their still-developing bones and jaws. The specific type of headgear and the treatment plan depend on the individual's orthodontic needs. It's always important to consult with an orthodontist for a tailored treatment plan.
 
Thank you very much for your answers.

"It is not typically used to push the lower jaw back," you write. So it happens sometimes?
 
@Louis03M Congrats, it looks great! I have a twin block with herbst as well and it feels so good
 
The appliance you describe is almost exactly what I want to order! The twin block with Pelottes and Herbst seem like an amazing device. I'd also like it without expansion screws so it is more smooth. I was wondering if the screws are recommended to be able to adjust the fit? Or are they pure aesthetically? Do you also have pelottes?
 
The ones I have are twin blocks with Herbst, tongue crib and upper pelottes. They also do have an expansion screw in both the upper and lower parts.
Not sure what others’ experience is so I don’t know about ‘recommended’ but I definitely find it useful to be able to use the screws even just a tiny bit to adjust the tightness of the fit especially if you want to add headgear.
 
Yea that sounds like a good idea. Also with elastics it may be better to tighten it a bit.

I'm also thinking of asking for removable pelottes. Is that even an option? I have never seen or read that anywhere. It seems nice to be able to remove the Herbst and pelottes so it can be worn as a simple retainer, as well as to add everything for the full experience. What do you think?
 
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