Although I enjoy every aspect of clinical orthodontics, I must admit to an absolute fascination with orthognathic surgery cases. This began way back in my freshman year of dental school, when an overv...
Dr. Bill Layman describes a procedure that utilizes a digital intraoral scanner and 3D-printed transfer media to improve the accuracy of bracket placement and reduce lab time, while taking advantage of the chairside efficiency of indirect bonding. Includes video.
The “surgery-first” approach appeals to adults who wish to avoid a temporary worsening of their facial appearance during presurgical orthodontics. Drs. Chang, Steinbacher, Nanda, and Uribe show how postsurgical aligner therapy can further enhance the esthetics and acceptability of treatment for such patients.
The availability of micro-implant anchorage with immediate loading offers new possibilities for extrusion and uprighting of severely impacted second molars, as the authors demonstrate. A 24-year-old female patient is presented as an example of the technique.
C-tube microplates can be adjusted to allow delivery of multidirectional forces for vertical control of the upper anterior teeth. Drs. Noh, Seo, Choo, Chung, and Kim describe the application of bendable I-shaped or long T-shaped microplates beneath the anterior nasal spine.
The authors present a simple procedure that can eliminate voids, minimize flash, and facilitate flash removal from around bonded attachments in clear aligner treatment. When this technique is used, the attachments will more closely match the computer setup.
This Pearl shows how to modify the cheek protection shields and occlusal tabs of an Ultra-Guard sports mouthpiece so that it fits comfortably under the telescoping arms of a Herbst appliance. The procedure can be adapted to work with other bite-jumping devices as well. Includes video.
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