Pancherz H
Am J Orthod. 1985 Jan;87(1):1-20. doi: 10.1016/0002-9416(85)90169-1.
The purpose of this article is to survey the Herbst bite-jumping method. An outline of appliance design and appliance construction is given. The effects of the treatment method on the dentofacial complex and on the masticatory system have been analyzed with the aid of dental casts, cephalometric roentgenograms, and electromyographic registrations from the masticatory muscles. The use and effectiveness of the Herbst appliance in the treatment of Class II malocclusions are exemplified by clinical cases, some of which were followed for 5 years after treatment. The Herbst appliance is most effective in the treatment of Class II malocclusions, provided it is used as indicated. Thus, the appliance must be limited to growing persons only. The treatment method should not be looked upon as a last resort to be used only when other treatment approaches have failed. Treatment prognosis is best in subjects with a brachyfacial growth pattern. Unfavorable growth, unstable occlusal conditions, and persisting oral habits after treatment are potential risk factors for occlusal relapses. As treatment with the Herbst appliance is performed during a relatively short period, the hard and soft tissues (teeth, bone, and musculature) would need some time for adaptation to the new mandibular position after the appliance is removed. Posttreatment retention as a routine with a removable functional appliance is therefore recommended.
本文旨在综述Herbst咬合跳跃矫治方法。文中给出了矫治器设计和制作的概述。借助牙模、头影测量X线片以及咀嚼肌的肌电图记录，分析了该治疗方法对牙颌面复合体及咀嚼系统的影响。通过临床病例举例说明了Herbst矫治器在治疗安氏II类错牙合中的应用及疗效，其中部分病例在治疗后随访了5年。Herbst矫治器在治疗安氏II类错牙合中最为有效，但前提是要按说明使用。因此，该矫治器必须仅用于生长发育期的患者。这种治疗方法不应被视为仅在其他治疗方法失败时才使用的最后手段。短面型生长模式的患者治疗预后最佳。治疗后生长不利、咬合状况不稳定以及持续存在的口腔习惯是咬合复发的潜在危险因素。由于使用Herbst矫治器的治疗时间相对较短，在矫治器拆除后，硬组织和软组织（牙齿、骨骼及肌肉组织）需要一些时间来适应新的下颌位置。因此，建议常规使用可摘功能性矫治器进行治疗后保持。
