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April 2024
Volume 58, Issue 4

THE EDITOR'S CORNER

Ortho-Heuristics

NEAL D. KRAVITZ DMD, MS

Heuristics are mental shortcuts that enable a person to solve problems quickly and efficiently. Think of them as rule-of-thumb strategies to shorten decision-making time. For example, children learnin...

220

ALIGNER CORNER

A New Functional Approach to Class II Treatment with Clear Aligners in Growing Patients

FRANCESCA CREMONINI DDS, FRANCESCA PAVAN DDS, FRANCESCA CERVINARA DDS, MARIO PALONE DDS, LUCA LOMBARDO DDS

In two young Class II patients, Dr. Cremonini and colleagues demonstrate the use of F22 Young clear aligners with a mandibular-advancement feature: a customizable block behind the upper incisors that fits into the lingual incisal area of the lower aligner.

221

Objective Criteria for Phase I Maxillary Expansion

RYAN K. TAMBURRINO DMD

Dr. Tamburrino shows two simple methods of measuring the skeletal transverse dimension. Decision trees are provided for six common scenarios encountered in examinations of young children, as a means of helping the clinician decide whether to initiate or postpone orthopedic expansion.

236

OVERVIEW

Orthodontic Management of Patients with Cleft Lip and Palate: Phase I Treatment

KRISTEN M. LOWE DDS, MS, LINDSAY SCHUSTER DMD, MS, SNEHLATA OBEROI BDS, MDS, DDS, ILANA M. ZINN DMD, MS

Drs. Lowe, Schuster, Oberoi, and Zinn present a timeline for multidisciplinary management of patients with cleft lip and palate, focusing on current clinical guidelines for alveolar bone grafts and for Phase I orthodontic treatment in the mixed dentition.

243

JCO INTERVIEWS

Dr. Peter Sinclair on Orthodontic Treatment Philosophy

ROBERT G. KEIM DDS, EdD, PhD, PETER M. SINCLAIR DDS, MSD

Dr. Robert Keim interviews the longtime JCO Associate Editor and orthodontic educator, who describes his background, mentors, and personal treatment philosophy. Dr. Sinclair also lists the top 10 things he has learned over 40 years in the profession.

249

PEARLS

Opening Stuck Doors of Self-Ligating Brackets

SERGIO HERNAN VALVERDE MONTALVA DDS, MS

Plaque often accumulates on the door mechanisms of self-ligating brackets. This simple Pearl illustrates how the application of phosphoric acid gel can break down calcified plaque and release the door without compromising the bracket or affecting adjacent teeth.

256

PEARLS

Active Power Arm for Extraction-Space Closure with Clear Aligners

MARIO GRECO DDS, PhD, ANDREA ROMBOLÀ DDS, ALFREDO SALVATORE MONTEROSSI DDS

Controlling canine root tip with clear aligners can be challenging. These authors bond an activated TMA power arm directly to the canine, incorporating vertical attachment slots with gingival cutouts in the aligners to provide space for the added wire.

257

Continuing Education from April 2024 Issue (questions only)

Click here to download a PDF of the printed questions from the journal for reference. CE tests must be taken online. See the link to continuing education on the menu bar at the top of the screen.

259

Product News in April 2024 Issue

PRODUCT NEWS is presented as a service to the reader and in no way implies endorsement by JCO.

261

CASE REPORT

Treatment of a Patient with Apparent Primary Failure of Eruption Using a Modified Hyrax Expander and Miniplate Anchorage

AJIT J. KALIA BDS, MDS, MOrth RCS

This 17-year-old Class III patient showed signs of primary failure of eruption, but had no family history and tested negative for PTH1R mutations. Successful orthodontic treatment involved a banded expander followed by mandibular distalization using fixed appliances and skeletal anchorage.

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