A 12-year-old female asked:
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herbst vs extraction i have two very different opinions from orthodontists. one suggests extraction of 5 and 13. the other suggests no extraction and herbst. help!

2 doctor answers
Dr. Arnold Malerman
52 years experience Orthodontics
3rd opinion: Suggest you seek a 3rd opinion. Herbst appliances used primarily for growing children and tweens. Extractions indicated more often for non-growing adults. Without benefit of examination/diagnostic records, cannot give you a treatment opinion. Seeks 3rd opinion.
Answered on Oct 24, 2017
Dr. Robert Douglas
50 years experience Orthodontics
Herbst: I have always preferred the result that can be achieved by keeping all the bicuspids. As your daughter is just 12, the extra time and cost for the Herbst treatment - typically 14 - 18 months is completely justified by the more pleasing result. Having said that, a third consultation might set your mind at ease so consider seeking yet another opinion.
Answered on Jul 26, 2017

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