Both of our board certified orthodontists at Cooney & Tyner Orthodontics want patients to know the important steps of any orthodontic treatment they may receive at our practice. Patients who require a Herbst Appliance to correct bite discrepancies can familiarize themselves with the five necessary treatment steps here:
Step 1: 3D digital imaging of your teeth.
Step 2: Placement of Separators (Spacers) in between the back teeth approximately one week prior to placing the Herbst to maintain space for the appliance to fit comfortably.
Step 3: Removal of Separators and placement of the Herbst Appliance. The appliance itself stays in place for 9-12 months because once we adjust the bite, it needs time to settle into place.
Step 4: Top braces are placed. The bottom braces are generally placed a few months after the top. For most patients the Herbst Appliance is removed before the bottom braces start. Many times rubber bands will be necessary to settle the bite into a correct and healthy position. You will then be seen every few months for braces adjustments until the desired tooth and bite position is acquired.
Step 5: Removal of all brackets and placement of upper and lower clear plastic retainers. Retainers will be worn full time for a few days, then 12hrs a day for a year, then night time for a lifetime to stabilize and maintain your hard work.