Treatment of 2nd class division 1 malocclusion by using Herbs appliance

Abstract

In this case was described the treatment in 14.5 years old female patient with II/1 class of malocclusion. On the base of clinical findings, study cast analysis, analysis of orthopan and profile cephalograms, there were assess II/1 class of malocclusion with deep bite, bimaxilar protrusion of frontal teeth and mild crowding in lower jaw. Patient was inefficacy treated by Andresen’s activator for two years. This occasion and patients age was reason to continue with the therapy by Herbst appliance for 6 months and fixed appliance 7 months more. By Herbst appliance was corrected sagital relation between jaws in very short treatment time and continuing treatment with fixed appliance was corrected intermaxilar teeth relation.

U ovom radu je prikazana terapija sprovedena kod pacijenta ženskog pola, uzrasta 14.5 godina, sa malokluzijom II klase 1. odelenja. Na osnovu kliničkog nalaza, morfološke analize sprovedene na studijskim modelima, analize ortopantomografskog i profilnog kefalometrijskog snimka, utvrđeno je da se radi o malokluziji II klase 1. odelenja , sa dubokim preklopom, protruzijom frontalnih zuba obe vilice i blagom teskobom u donjem zubnom nizu. Pacijent je bio u terapiji pomoću aktivatora po Andresen-u oko 2 godine ali bez značajnog uspeha. S obzirom na ovu okolnost i uzrast pacijenta, nastavljena je terapija pomoću Herbst aparata 6 meseci, i fiksnog aparata još 7 meseci. Herbst aparatom je u kratkom periodu korigovan sagitalni odnos vilica, nakon čega je fiksnim aparatom samo postignut pravilan međuvilični i unutar niza odnos zuba.