Overview
The Herbst appliance is a fixed orthodontic device used to correct significant overbites (Class II malocclusions) in growing patients. At The Art of Braces in Las Vegas, NV, board-certified orthodontist Dr. Saoly Benson uses the Herbst appliance to encourage forward growth of the lower jaw while restricting upper jaw growth, creating a more balanced bite and facial profile.
Unlike removable appliances that depend on patient compliance, the Herbst appliance is fixed in place and works continuously. This makes it especially effective for teenagers who may not consistently wear removable appliances.
How the Herbst Appliance Works
The Herbst appliance consists of metal tubes and pistons that connect the upper and lower jaws. These components hold the lower jaw in a forward position, which stimulates lower jaw growth and helps the upper and lower teeth come together properly. The appliance is attached to the molars and works 24/7 to gradually correct your bite.
Who Is a Candidate?
The Herbst appliance is most effective for growing patients with significant overbites. Ideal candidates include:
- Children and teenagers with Class II malocclusions (overbite)
- Patients with a recessed lower jaw
- Growing patients who would benefit from jaw modification
- Patients who may not comply well with removable appliances
By treating jaw discrepancies during growth, the Herbst appliance can often eliminate the need for jaw surgery later in life.
What to Expect
Dr. Benson will cement the Herbst appliance to your molars using orthodontic bands. The appliance is designed to allow normal mouth function, including eating and speaking. You may experience some initial discomfort and adjustment period as you get used to the appliance. Most patients adapt within 1-2 weeks.
You'll need to schedule regular follow-up appointments so Dr. Benson can monitor your progress and make any necessary adjustments. Treatment with the Herbst appliance typically lasts 9-12 months.
Caring for Your Herbst Appliance
- Avoid hard, sticky, or chewy foods that could damage the appliance
- Brush carefully around all parts of the appliance
- Use a water flosser or interdental brushes to clean between components
- Contact our office if any part becomes loose or broken
After Your Herbst Treatment
Once your jaw relationship has been corrected, Dr. Benson will remove the Herbst appliance and continue your orthodontic treatment with braces or aligners to perfect your tooth alignment. The combination of the Herbst appliance and comprehensive orthodontic treatment provides excellent long-term results.
Insurance Coverage
The Herbst appliance is included as part of your comprehensive orthodontic treatment plan. If you have dental insurance with orthodontic benefits, our office will contact your provider to determine your coverage. The Art of Braces offers no-interest, flexible payment plans to make treatment affordable.
Frequently Asked Questions
How long do I need to wear the Herbst appliance?
Most patients wear the Herbst appliance for 9-12 months, depending on the severity of the overbite and individual growth patterns.
Will the Herbst appliance affect my speech?
You may notice some changes to your speech initially, but most patients adapt within 1-2 weeks and speak normally with the appliance in place.
Can I eat normally with the Herbst appliance?
You can eat most foods, but should avoid hard, sticky, or chewy items that could damage the appliance. Cut food into smaller pieces and chew carefully during the adjustment period.
Is the Herbst appliance uncomfortable?
There may be some initial discomfort and soreness as you adjust to the appliance, but most patients find it comfortable after the first week or two. Over-the-counter pain relievers can help manage any initial discomfort.