ISM Final Presentation By: Amunda Whitley Introduction ‘Name: Amanda Whitley Mentor name: Dr. Meredith Seott ‘Teacher: Kristi Click: HST ISM 1* Semester 2015 Some information on this presentation may come from outside sourcesWhat s ISM? * ISM isa course provided at Clear Springs High School that enables students to meet with a mentor in a career of their choice to explore Future earcer options. * Ibis administered by Mes. Kristi Click and the students are expected to ean mentorship observation hours, complete assignments and keep a log of activities. My Mentors Background * Dr. Scott first began her education at Texas of A&M University, earned a BS in Biomedical Sciences, graduating in 1996. She then earned her DDS at University of Texas Dental Branch at Houston in 2001and went on if to hee Orthodontic Resideney and earning 2 Masters of Science in Dentistry (MDS) at Saint Amands Whitley and Dr Seott Louis University in Saint Louis, 2004,Why I Chose This Project * Thave been going to Radney and Scott Orthodontics since I was 12 years ‘old, and being around orthodontics is what influenced my decision 10 mentor in orthodontics and see if that is what I want to do asa future career. My project is based on the theory that if a lower removable splint is used in rather than a fixed lower Herbst there will be little if and lower incisor flaring, Dr Scott helped me develop this project because when I first talked to het about mentoring me she mentioned ir as a good project idea so I stuck with it so 1 could develop it earlier Pictures in Action! ese, one of De Scott assistants showed me how to make ray ownMy Portfolio * Here Ihave a link to my portfolio where I have all of my assignments saved. Herbst Project Introduction What is a Herbst? ‘The Herbert appliance is an This semester I have studied the Herbst ihedonc eevee that emis appliance with a removable splint effects on wel mullochsions to improve the the lower incisors. Iam going to conclude tite br inducing wandivuar growth whether or not the removable spline w cffective in preventing lower incisor flaring,Background see cli ai tn feces ge went mbed tes a ap cheats SScRou i a ee See eee Pa ae ara ee i etm ap soretrte Hypothesis * The lower removable Herbst appliance will prevent lower incisor flaring, thereby maximizing the Class II correction uriizing skeletal growth of the jaw to improve the patients biteHerbst Design Herbst Design Con’t * The device consist of 2 tube, plunges, two pivots and two locking serews that prevent the telescoping clerrents from slipping past one another 1+ The pivot for the tooth is soldesed to the maxillary fet molas and the pivot for the plioger is attached at the mandibular frst premolar area of the lower removable splat. * The teleseopie mbe that holds the jaw forward to direct the growth of the mandible foresed (Gates A, ad Rober Vacs. rnc ConPi oc Tobin eo St Lowi Moss, 200, eat,Materials and Methods isolated che Herbst treatment cases from the patient data hase at Radney and Scott Orthodonties for the past 5 years ‘This yielded 63 Herbst treatment cases to evaluate “After recording those cases, I saved the images of each subject patieats, before ‘teatment and after Herbst removal, cephalometric tracings and before teatment and after treatment photos far cafaceaces. Ttheroby analyzed the tracings to record the IMPA (incisor mandibular plane angle ‘umber} that show's the inclination of the lower incisor for start and post Herbst Project Details * Here Ihave shown a few case examples to illustrate the results achieved with a removable splint, Herbst appliance, I have circled the lower incisor angle to identify whether there has been any change to the Jower incisors.Case I Evaluation * In this case, we see that the highlighted incisor angle did not change therefore there was no effect on this patients lower incisors from use of the Herbst appliance. In this case, the lower splint was effective.Case II Evaluation * In this Case there was no Incisor change as well, therefore no effect from Herbst on the lower incisors making the lower spline effective.Case IIT * In this case, the highlighted numbers show a decrease in lower incisor angle, therefore there was a rcelining effect on the teeth from the splint.Case IV Evaluation * In this case there was an increase in the lower incisor angle, therefore the Herbst appliance did cause lower incisor flaring, though it was minimal due to the removable splint.Case V Evaluation * In this case there was a decrease in the lower incisor angle as well. Another redining effect from the Herbst applianceResult Variable: Conclusion * Data shows, the removable splint does control the amount of incisor flaring, minimizing its change. Results varied from patient to patient, some experienced no flaring at all and some expetienced more during the Herbst weutment. * There are many variables that contributed to the amount of lower incisor flaring such as genetic growth variasion that was not evaluated in this study * ‘The average change is not likely statistically significant.Thank You! Twould like to thenk my mentor, Dr. Meredith Scott for helping me on this educational journey. would like to also thank may mentor and teacher Mrs. Click for helping me achieve ‘my goals throughout the year. would like to thenk my graders for taking tine our of there schedlule to give me an oppoctunity to show them my work. “And I would like to thank my parents for letting me take this appornaaity for theie ove and support, and for providing me with resources I need to achieve my goals, Works Cited Graber, T. M.and Robert I. Vanarsdall. Orthadontics: Current Principles and ‘Techniques, 3rd ed. St. Louis: Mosby, 2000. Print. Scott, Meredith, Dr. "Orthodontics (Herbs!) Research." Personal interview. 23 Nox: 2015.