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Herbst®
The Herbst® is a fixed, mandible-advancing appliance that allows skeletal and dental changes to occur. Spacers are used to adjust the A/P. The patient has a range of vertical and lateral movement making it reasonably comfortable after a brief adjustment period. The Herbst can be a good treatment alternative for patients who struggle to wear removable appliances.
There are two main appliance designs available from Johns Dental: the banded and the bonded Herbst.
Other similar appliance designs available from Johns Dental include the MARA.