A member asked:

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!

6 doctors weighed in across 2 answers

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 10/24/2017

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Dr. Robert Douglas answered

Specializes in 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 7/26/2017

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