Herbst Appliances

A Herbst appliance is used by orthodontists in correcting moderate to severe overbites that wearing rubber bands alone will not fix.  They are extremely effective when used in a young patient who is not fully developed. A Herbst appliance is used to enhance the growth of the lower jaw in a forward direction, while at the same time applying pressure to the upper jaw in a backward direction. Expansion (widening) of the upper jaw may also be done if necessary.

What Age Is Ideal?

The AAO recommends all children see an orthodontist by age seven.  As long as growth hasn’t stopped and the bones are not fully developed, a Herbst appliance can be an option.

How Is It Worn?

The Herbst appliance is cemented on the back teeth and is active 24 hours a day. It is generally worn  for about six months to a year. A Herbst can be worn as a standalone appliance but is often used in conjunction with braces.

What Are The Benefits?

In most cases, the Herbst facilitates large overjet correction without having to extract teeth or have jaw surgery in the future.  Taking a preventative approach while young and using the body’s natural growth process can reduce complications and even prevent the need for braces in the future.

We would be happy to provide a free consultation to discuss any issues you are concerned about! 

Karski & Spokane Orthodontics

David Spokane and Melissa Karski are committed to providing the very best orthodontic and dental care to valued patients throughout the state of Pennsylvania. We are affiliated we several prestigious organizations, including the:

  • American Board of Orthodontics
  • American Association of Orthodontists
  • American Dental Association

You can schedule an appointment at one of our six convenient office locations today by calling (724) 591-5758 or sending us a message. We will get back to you shortly. 

Contact Us Today

"Highly satisfied with my child's ortho procedure. The entire process has been seamless even with the pandemic. The website and patient portal is user friendly, but should you need to call the office for any reason, a staff member always answers in a friendly manner.  The Ambridge office is stunning, it's like waking into a super hero museum.  Everybody's favorite super hero can be found.  Dr. Spokane has a great chair side manner, upbeat and friendly.  My child was nervous at first but his fear quickly went away with the super comfortable atmosphere.  I recommend Dr. Spokane to all my friends and family." Cymone Bronaugh

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