Herbst
速
Appliance
The Ultimate in Class II Correction
Orthodontic Laboratory Division
Herbst
®
Appliance The Herbst® appliance is a superior fixed functional appliance which effectively corrects skeletal Class II malocclusions. DynaFlex® has created quality Herbst® appliances for doctors all over the world for forty years and counting. DynaFlex laboratory offers value pricing, expertise, and a vast knowledge of current Herbst® designs. Herbst® Designs: The Herbst® designs include stainless steel crowns, Rollo Bands, bands and/or acrylic. The amount of mandibular advancement and bite opening depends on the case and appliance design. All Herbst® designs can be reactivated by using precut “shims” or “spacers” to gain further advancement of the mandible. The EAS® design allows for 5 additional mm of advancement with a built-in screw mechanism.
Hilgers Crown Herbst® Design This is a simple yet effective design by Dr. Jim Hilgers. Utilizing the traditional rod and tube components soldered to crowns with an LHA for a comfortable and efficient appliance. The upper first molar crowns and the lower first bicuspid crowns provide sufficient anchorage; however, the LHA rest can also be bonded for even greater anchorage.
Hanks™ Telescoping Herbst®
The HTH was developed by Dr. Stephen Hanks as a major improvement to the traditional rod and tube design and is the only true “one piece” design available for Herbst® treatment. The telescoping design eliminates problems of disengagement and incorporates a ball and socket pivotal screw that is built into the telescoping mechanism. The ball and socket allows for tremendous lateral excursion and increased patient comfort. Also, the built in screw makes chair side placement extremely easy.
Miniscope™ with Apple Core™ The MiniScope Herbst is a three section telescoping mechanism that will not become disengaged during patient opening. The Apple Core housing nut has a curved radius to allow for increased lateral excursion, reduction of breakage and optimum patient comfort.
EAS™ This Herbst design was developed by Dr. Michael Williams and allows the clinician to make chair-side advancement adjustments without the use of shims. The EAS mechanism can advance up to 5mm by simply turning the outer sleeve with the use of an appliance key. Any combination of upper and lower appliances can be used.
Flip-Lock® Herbst® The Flip Lock mechanism is comprised of a simple ball joint hinge that allows for maximum lateral excursion and extremely easy chair side assembly. It can be fabricated with the traditional design or the cantilever design for increased patient comfort.
The DynaFlex® Philosophy We are intensely committed to providing our customers with the service, quality and value that they expect and deserve. We will do whatever it takes to service our customers in every detail with consistency and courtesy. We want to be your first choice!
Best Fit Guarantee You demand it . . . DynaFlex® guarantees it! Our appliances fit the first time every time. All of our appliances are fabricated by experienced, knowledgeable and highly skilled laboratory technicians. To assure quality, only the highest premium materials are used in appliance fabrication.
How to Send a Case Accurate working models and an appropriate construction bite are required. Please pour working models in orthodontic stone. Check impressions for any “pulling in” of the alginate material away from the impression trays to help eliminate model shrinkage and distortion. For accurate working models, all impressions should be poured as soon as possible. Prescriptions can be downloaded at www.dynaflex.com. If your practice is equipped with an orthodontic scanner and you can obtain an .stl file from the scan, these files can be transferred to DynaFlex® electronically for appliance fabrication.
Delivery Times Normal scheduling is 3 to 5 days in Lab. To be sure your appliances are delivered promptly, please utilize the “date wanted” box on all your prescription forms with a specific date. It is important to allow 2 days shipping each way when scheduling your cases. Same day lab service is available on most appliances at no additional cost.
Shipping & Handling To avoid damage, we recommend that each model is wrapped individually. All models should be marked with both the patient and doctor’s name for proper identification. For shipping your cases to DynaFlex®, we provide convenient postage free mailing labels. A postage paid label is available on our website. All your cases will be returned guaranteed Fed-Ex for a small shipping and handling fee. OVERNIGHT DELIVERY is also available for an additional charge.
Technical Assistance DynaFlex® is as close as your telephone. Feel free to call our toll free number 1-800-489-4020 for assistance on appliance designs and appliance adjustments.
ISO 13485:2003
10403 International Plaza Drive HERBST® PRESCRIPTION P.O. Box 99 • St. Ann, Missouri 63074
(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575 info@dynaflex.com • www.dynaflex.com
IF NEW ACCOUNT: BUSINESS REPLY LABEL 57251
DOCTOR
DOCTOR FIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
®
ADDRESS
ADDRESS POSTAGE WILL BE PAID BY ADDRESSEE
CITY
STATE ZIP 10403 International Plaza Drive EMAIL P.O. Box 99 • St. Ann, Missouri 63074 (800) #489-4020OFC • (314) ACCT. # 426-4020 • FAX (314) 429-7575 info@dynaflex.com • www.dynaflex.com IF NEW ACCOUNT:
RX FORMS ARE AVAILABLE AT DOCTOR PATIENT’S NAME ADDRESS
CITY EMAIL ACCT. #
OFC #
P.O. Box 99 St. Ann, Missouri 63074-9910
NO POSTAGE NECESSARY STATE ZIP IF MAILED IN THE UNITED STATES
RX FORMS ARE AVAILABLE AT PATIENT’S NAME
www.dynaflex.com BUSINESS PLEASE PROVIDE DATE WANTED REPLY LABEL AGE DATE SENT DATE WANTED BRACKETS
STATE
POSTAGE WILL BE PAID BY ADDRESSEE
ZIP
www.dynaflex.com
TO AVOID DELAYS
REMOVE FIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
CITY
®
10403 International Plaza Drive P.O. Box 99 • St. Ann, Missouri 63074 (800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575 info@dynaflex.com • www.dynaflex.com
IF NEW ACCOUNT:
FIRST CASE
AG
BIONATO EZ-ALIGN EZ-2000® FIXED
RETURN SEND MORE RXS MODELS SEND BOXES
UPPER COLOR
314-429-4848
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NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES
OPEN BITE CLOSE BITE NEUTRAL BIONATOR 321 123 UPPER LOWER RESET EZ-ALIGN® 321 123 BANDED HERBST BITE RELATIONSHIP ACCT. # OFC # P.O. Box 99 UPPER LOWER EZ-2000® St. Ann, Missouri 63074-9910 UPPER COLOR Use Enclosed wax bite for AP HABIT APP Standard Banded Herbst BANDED RPE DISTAL JET™ PENDULUM PENDEX FIXED HAWLEY Use Lines on Models for AP Cantilever HerbstAT www.dynaflex.com BONDED RPE PROVIDE WILLIAMSDATE WANTED WILSON™ TO TYPE RX FORMS AREBanded AVAILABLE PLEASE AVOID DELAYS
REMOVE BRACKETS
RETURN MODELS
PATIENT’S NAME
DATENANCE SENT Position forAGE Class 1 Molars
Reinforce Bands
E ARCH
Position Anterior Edge to Edge
REMOVE CROWN HERBST BRACKETS
Crown Cantilever
RETURN MODELS
UPPER COLOR Dischinger Cantilever
Hilgers
R
Smith Type I
Smith Type II
Space Closing Herbst
OTHER HERBST DESIGNS Acrylic Splint Herbst Band/Crown Combination
R
HERBST MECHANISMS Standard Rod & Tube Hanks Telescope (HTH) Mini-Scope with Apple Core Flip-Lock LOWER Offset COLOR Lower Rods
TONGUE HABIT APPLIANCE OPEN BITE BIONATOR HAWLEY EXPANSION OPTIONS UPPER UPPER EZ-ALIGN® CLASP Slimline 12mm (2 arm) UPPER EZ-2000® RPE FIXED12mm Screw (4 BANDED Standard arm) upper
Other ______________
HAWLEY SPRING RETAINER E ARCH TYPE WIRE HERBST® ACCESSORIES TONGUE HABIT APPLIANCE UPPER INDIRECT BONDING Lower Lingual Arch UPPER HAWLEY EXPANSION MARA CLASP Upper Transpalatal Arch UPPER SAGITTAL UPPER SCHWARZ LABIAL WIRE ARCHWIRE TUBES MAX® SERIES 2000®
Upper AW Tubes
SPRINGS .018 MSX® .022
DATEPALATAL WANTED LHA TRANS
BONDED RETAINER (3x3) THUMB CLOSE BITE LOWER LOWER BALL LOWER ARROW DISTAL JET™ 3X3 WILLIAMS FINGER TRANS PALATAL UPPER BONDED RETAINER
FIRST CASE
TYPE
R
SEND MORE RXS
FLEA
SEND BOXES
HAWLEY BLUE GRASS HERBST® NEUTRAL ESSIX™ RETAINER 321 123 INDIRECT B RESET MARA 321 CIRCUMFERENTIAL 123 ADAMS
FINGER PENDULUM PENDEX CIRCUMFERENTIAL WILSON™ TYPE MUSHROOM LHA TYPE LOWER RESET (3x3) FLEA
QCM
21 12 21 12
SLEEP APP SPLINT THUMB BLUE GRASS TANDEM LOWER CUSTOM BASE PROVIDE BRACKETS TOOTH PO LOWER ESSIX™ RETAINER TWIN BLO BUCCAL SHIELD CIRCUMFERENTIAL STUDY M BALL ADAMS LOWER BANDS CROWNS ROLLO BANDS LOWER COLOR
ARROW FINGER LOWER COMMENTS 3X3 QCM CIRCUMFERENTIAL DynaFlex Provide DMJ® -per Diagram DMAX® SAL® Below FINGER MUSHROOM SAG® MJX® SAN® Crowns, Bands or Rollo Bands UPPER LOWER RESET 21 12 MSC® TB-SAG® CS-2000®21 12 enclosed - per Diagram Below
EAS®
TB-SAG®
MSC®
CS-2000®
7 6 5/e 4/d d/4 e/5 6 TYPE SLEEP APPLIANCE 7 6 5/e 4/d d/4 e/5 6 ____mm ____qty AddSPLINT Vertical Slits TYPE UPPER LOWER TANDEM CIRCLE OCCLUSAL RESTS CROWN ACCESSORIES TYPE TOOTH POSITIONER MAXIMUM BITE OPENING TO TYPE BLOCK™ UpperTO OPEN AddTWIN Ball Clasps Lower 7 CLOSE 6 5/e 4/d d/4 e/5 6 _______________mm PHONE NUMBER SIGNATURE PRINT NAME STUDY MODELS (SOAPED FOR PRESENTATION) DUPLICATE 7 6 5/e 4/d d/4 MODELS e/5 6 LOWER COLOR DIGITAL MODEL STORAGE COMMENTS
MARGINALS HERE PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PHONE NUMBER
SAGITTA SCHWAR SERIES 2
HAWLEY SPRING RETAINER Extend AW to 2nd Bicuspid EAS® TYPE PHONE NUMBER SIGNATURE HERBST® TYPE SLEEP APPLIANCE Lower AW Tubes LOWER CUSTOM BASE PROVIDE BRACKETS INDIRECT BONDING.018 UPPER.022 TYPE SPLINT CIRCLE CROWNS TO BE SEATED BUCCAL SHIELD EXPANSION MAR Occlusal Center Gingival MARA UPPER LOWER TANDEM LOWER UPPER SAGITTAL PT1= ORIGINAL 7 6 5/e 4/d d/4 (RETURN e/5 6TO DYNAFLEX) 7 TYPE TOOTH POSITIONER CROWN ACCESSORIES LOWER UPPER SCHWARZ 7 6 5/e 4/d d/4 e/5 6 7 TO CLOSE TO OPEN TYPE TWIN BLOCK™ DMJ® DMAX® SAL® MAX® Remove Occlusal SERIES 2000®from Crowns STUDY MODELS (SOAPED FOR PRESENTATION) DUPLICATE MODELS SAG® TO BE SEATED MJX® SAN® MSX® CIRCLE BANDS Add Lingual Seating LugsDIGITAL MODEL STORAGE
Add Vent Holes
COMMENTS Advancement Shims
LABIAL WIRE BONDED RPE SPRINGS NANCE
ALLEGRA MARKETING, PRINT, MAIL
51
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SIGNATURE
PRINT NAME
MARGINALS HERE
7 7
7 7
P.O. Box 99 • St. Ann, MO 63074-0099 314-426-4020 • Fax: 314-429-7575
History of the Herbst® Appliance Emil Herbst (1872-1940) was a German orthodontist who lived in Bremen, Germany. He graduated from the University of Leipzig as a student of dentistry in 1894. After his graduation, he went to the United States for one year and studied at Dental Colleges in Philadelphia, Pennsylvania and Buffalo, New York. When returning to Germany, he worked in his father’s dental office as a general practitioner for many years. Over time, however, he became more and more interested in orthodontics. After studying to get his PhD and defending his thesis, Herbst was appointed professor in orthodontics at the University of Bremen, which made him the first-acting orthodontic professor and chairman in Germany. Herbst was ahead of his time. Much of what we know about orthodontic appliances today was already described by him more than 90 years ago. The main contribution Herbst made to modern orthodontics was the development of the Okklusionsscharnier or Retentionsscharnier (Herbst Appliance). Herbst presented his appliance for the first time at the 5th International Dental Congress in Berlin in 1909. DynaFlex® is a world leader in Herbst manufacturing and production. We utilize the newest techniques and the highest quality materials to guarantee long term success and patient satisfaction.
800.489.4020 Local: 314-426-4020 • Fax: 314-429-7575 P.O. Box 99 • St. Ann, MO 63074-0099 info@dynaflex.com • www.dynaflex.com
Herbst is a registered trademark of Dentaurum® © 2012 DynaFlex® , St. Louis, MO 63074. Printed in U.S.A. All rights reserved. It is a violation of copyright law to reproduce all or part of this material, including photography, without the permission of DynaFlex®.