Manni Antonio, Lupini Daniela, Cozzani Mauro
Private Practice, via Giacobina 10, Racale (LE), Italy.
Istituto Giuseppe Cozzani and Scuola di Specializzazione in Ortognatodonzia, Università di Trieste, via Monte Zebio 1A, Giulianova (TE), Italy.
Int Orthod. 2019 Jun;17(2):354-364. doi: 10.1016/j.ortho.2019.03.018. Epub 2019 Apr 27.
The Herbst appliance (HA) is considered an efficient method to treat class II malocclusion characterized by mandibular retrusion. Nevertheless, HA is although hampered by side effects reducing its therapeutic potentialities. The association between HA and TADs in the lower arch has proved to be very effective in controlling lower incisor flaring. This case report shows that the insertion of TADs in both arches offers a satisfactory control of the vertical dimension, by avoiding a maxillary clockwise inclination.
Herbst矫治器（HA）被认为是治疗以下颌后缩为特征的安氏II类错牙合的有效方法。然而，HA尽管受到副作用的阻碍，降低了其治疗潜力。HA与下牙弓微种植体支抗（TADs）的联合已被证明在控制下前牙唇倾方面非常有效。本病例报告表明，在上下牙弓中植入TADs可通过避免上颌顺时针倾斜，对垂直方向进行令人满意的控制。
