PURPOSE: To correct the front to back relationship of the upper and lower jaws. It encourages the lower jaw to grow by guiding it forward. Advancement of the short lower jaw is essential in obtaining a good profile, full smile, and correct bite. The rods and tubes of the herbst connect the upper and lower jaws. The connection does not interfere with opening, closing, or eating. However, side to side movement is usually restricted. The herbst appliance provides the best and fastest correction of your bite and profile.
HYGIENE: Brush the appliance as you would your own teeth. A waterpik or other irrigating device is recommended and effective adjunct to brushing and rinsing. Food may get stuck between the appliance and roof of mouth, so hygiene is extremely crucial to treatment. Brush thoroughly around all the crowns and especially under the lower bars.
DIET: Eating may be a little difficult for the first week or so due to soreness. After that, you should be able to eat almost everything you did before your appliance was placed. Please stay away from any hard, sticky, and tacky candy or food. Some examples are: ice cubes, lollipops, frozen candy bars, gym, taffy, and caramels. Avoid chewing very hard or tough foods, which can damage the herbst and result in discomfort and emergency visits.
OTHER IMPORTANT INFO: Speech will be affected by the appliance at first, but the more you talk the better it will be. Saliva will increase the first few days while your mouth adjusts to the appliance being in there. The bottom screws may irritate the inside of your lip, you can use wax to smooth them until the lower lip adjusts to screws. Opening the mouth too wide can cause rods to come loose. If screws, crowns, or other parts come loose or break, please contact us. The appliance may or may not need to be expanded, if it does, instructions will be given at that time.