Herbst and Extractions of Two Lower Premolars to Correct a Second Class Patient with Thin Gingival Biotype

Abstract

Herbst appliance is considered one of the most efficient devices for class II correction, but in cases of patients with thin gingival biotype biomechanics that avoid adverse effects on periodontal health are required. This case shows the use of Herbst combined with extractions of two lower premolars, obtaining mandibular advancement, aesthetic improvement of the profile and reducing the risk of developing gingival recession.