title: [Orthodontic treatment of nongrowing patient with Class II Division 2 malocclusion by Herbst appliance].
abstract: BACKGROUND
  Inheritance is most casual etiological factor of Class II division 2 malocclusion. This kind of malocclusion is very difficult for treatment specially in older patients.
  
  
  METHODS
  In the female patient, 20 years old, at the beginning of the treatment at the School of Dentistry in Belgrade, lateral cephalogram showed skeletal and dentoalveolar Class II division 2 malocclusion. She was in the Herbst treatment for 8 months and 12 months more with a fixed multibracket appliance. The measurements were performed on lateral cephalograms before and after the treatment: ii, is, mi, ms, Pg and ss. The distance from these points to occlusal perpendicular line (Olp) were measured and compared from cephalogram before to cephalogram after the treatment. Temporomandibular joint (TMJ) tomograms were compared from before and after the treatment by superimposition. Correction was found in molar and incisor relation, overjet and overbite. There were found sagital skeletal changes and soft tissue profile improvement.
  
  
  CONCLUSIONS
  Herbst appliance is effective in the treatment of Class II malocclusions, even in adult patients. Dental and skeletal changes as a result of Herbst treatment could be good choice instead of camouflage orthodontics or surgical decision.
authors: Stomatoloski fakultet, Klinika za ortopediju vilica, Beograd, Srbija. nenad.nedeljkovic70@gmail.com
authors: Nenad
authors: N
authors: Nedeljković
authors: Branislav
authors: B
authors: Glisić
authors: Evgenija
authors: E
authors: Marković
authors: Ivana
authors: I
authors: Sćepan
authors: Zorana
authors: Z
authors: Stamenković
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D017289:Orthodontic Appliances, Functional; D055815:Young Adult