The best replacement for herbst appliance is headgear.

The best alternatives to herbst appliance are rated as following:
★★★★★  headgear
★★★  rubber bands
★  mara
★  jaw surgery
★  twin block
★  forsus appliance
★  bionator
  mara appliance
  forsus
  damon braces

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herbst appliance
headgear
rubber bands