Long-term follow-up of a young adult patient with a Class II malocclusion treated with a Herbst appliance.
A 13-year, 9-month-old girl presented with the chief complaint of crowding and protrusion of her anterior teeth. She was dolichofacial with a Class II Division 1 occlusion and had reached the final phase of her skeletal growth. Clinical symptoms and tomograms were indicative of a TMJ dysfunction. Because orthognathic surgery was not accepted by the patient and her parents, a Herbst appliance became the choice of treatment. An optimal occlusion and a good facial appearance were achieved after 24 months of treatment. TMJ tomograms at the end of treatment showed a more physiologic condylar position. Long-term follow-up 7 years after the end of treatment showed a very stable occlusion and an acceptable facial appearance.
Schiavoni
Raffaele
R
studio@raffaeleschiavoni.it
Grenga
Vittorio
V
D000293:Adolescent; D016723:Bone Remodeling / Q000502:physiology; D002508:Cephalometry / Q000379:methods; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology; D004204:Joint Dislocations / Q000000981:diagnostic imaging; D008046:Lip / Q000473:pathology; D008137:Longitudinal Studies; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D008335:Mandibular Condyle / Q000000981:diagnostic imaging; D017289:Orthodontic Appliances, Functional; D057887:Overbite / Q000628:therapy; D010347:Patient Care Planning; D011859:Radiography; D013705:Temporomandibular Joint Disorders / Q000000981:diagnostic imaging / Q000628:therapy; D014054:Tomography / Q000379:methods; D014087:Tooth Movement Techniques / Q000295:instrumentation