LONG-TERM EFFECTS OF CLASS-II CORRECTION IN HERBST AND BASS THERAPY

This study compared the initial and long-term skeletal and dental effe cts of Herbst and Bass appliance therapy for correction of Class II ma locclusion. The sample comprised 18 pairs of boys matched for growth p eriod at the time of therapy, with similar pre-treatment sagittal and vertical jaw base relationships. One boy in each pair was treated with the Herbst and the other with the Bass appliance. At follow-up, 15 bo ys of the Herbst group and 17 of the Bass group were available. Latera l cephalograms in centric occlusion taken before treatment, after 6 mo nths of treatment and at the end of growth were analysed. After 6 mont hs of treatment the Bass appliance seemed to have a greater effect on mandibular jaw base position. The correction of overjet and sagittal m olar relationship was more complete in the Herbst patients due to dent al changes. At follow-up varying effects both between and within pairs were observed. Overall, the skeletal and dental changes from start of treatment to end of growth were of the same magnitude. A restraining effect on the position of the maxilla was observed in both groups, som ewhat more pronounced in the Bass sample. Both treatment methods are m ost useful in correction of severe Class II malocclusions. It was, how ever, difficult to find possible differences in treatment effects betw een the two methods due to great individual variations of growth.