Abstract

Ethics, Efficiency, Excellence in Treating Class II Patients Towards the End of Growth

by Cozzani Mauro and Manni Antonio

In orthodontic treatments, especially those performed toward the end of growth, it is useful to use mechanics and appliances that allow to solve the malocclusion in as many cases as possible (efficiency). It is important that the result tends to be the best possible (excellence), so as to meet the expectations of the patient, who often knows what he or she would like to change, but is unable to know how to achieve it (technique, operator, etc.), unlike the orthodontist (ethics). An effective, standardized and simple technique, such that it can be used by anyone with the same results would be desirable. Herbst MTH treatment with skeletal anchorage is capable of achieving clinically evident results in cases where the patient decides not to undergo surgical treatment at the end of growth. The premise is a thorough understanding of the value that overjet (static and dynamic) has in the evaluation of Class II cases. The Herbst MTH appliance is an easy-to-use appliance with one of the highest published success rates, a short learning curve, and operator-independent results; it should often be combined with TADs to limit unwanted tooth movement. The result is clinically evident advancement of Pogonion, with simultaneous control of the nasolabial angle. The use of customized mechanics (Suresmile) in the finishing phase allows for excellent occlusion and maintenance of esthetics achieved even at "older" ages (16-17 years).

Learning Objectives

After this lecture, you will be able to .
After this lecture, you will be able to .
After this lecture, you will be able to .