Amanda Whitley

Period 1 HST ISM

The Herbst appliance is the most frequently used functional appliance for the

correction of Class II malocclusion.

The fixed appliance permanently moves the jaw to a more anterior position.
In this study I researched there were several different complications that were
observed even not related to lower incisor flaring: lesion in palate caused by
transpalatal arch, lesion in cheek caused by long rod, screw loosening, crown
debonding, rod distortion, crown fracture, mucosal injury caused by lingual arch,
lesion in cheek caused by cantilever screw, rod loosening, poor use of splint (lack

of use), pivot breakage, and transpalatal arch breakage

One problem that does pertain to my product is the acrylic splint breakage from

lack of use.
The advantages of the acrylic splint are: e its affordability, the ability to remove it
to brush teeth (facilitating hygiene), easier fit for patients, and a shorter learning

curve for professionals.

Disadvantages may include: the lower acrylic splint shows decreased resistance,
there is a tendency to open the bite in the posterior regions because of the relative
intrusion on the posterior teeth by the acrylic, and some patients tend not to
cooperate.
Fonseca Egidio Silva, Joelson, Camila Gerszewsk, Ricardo Cesar Moresca, Gisele
Maria Correr, Carlos Flores-Mir, and Alexandre Moro. "Retrospective Study of
Clinical Complications during Orthodontic Treatment with Either a Removable
Mandibular Acrylic Splint Herbst or with a Cantilever Herbst." The Angle
Orhtodontist 85.1 (2015): 64-71. Web. 4 Nov. 2015.