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April 2016
Volume 50, Issue 4

THE EDITOR'S CORNER

Relating to Pediatric Dentists

ROBERT G. KEIM DDS, EdD, PhD

I recently ran into one of my orthodontic graduate students at the University of Southern California after we had completed our morning workouts in the gym. I have known this promising young man since his days as a dental student, but before this encounter, he had always been rather shy, never daring to strike up a conversation with me. There was obviously something different in his demeanor this time, since he actively sought me out and began an enthusiastic dialogue. It seems he had recently signed a contract for an associateship following his graduation, and it was located in my old hometown: Albuquerque, New Mexico. At first, his line of conversation focused on the city itself. What did I think of it as a place to raise a family? What were my impressions of the local economic prospects? How is the cultural scene? What is there to do outside of work? I answered him as best I could. Albuquerque is a wonderful place both to live and practice. I indicated to the student that if there had been a dental school where I could teach, I would have been proud to stay and raise my family there. But when I asked him who the senior partner would be in his associateship, since I know many of the orthodontists in New Mexico, he suddenly returned to his customary reticence. He averted his eyes and sort of mumbled under his breath a name I had never heard. On further questioning, it turned out the reason for his reluctance was that the senior partner was not an orthodontist at all but, rather, a pediatric dentist with multiple offices who wanted to offer “in-house ortho”.

213

Nonsurgical Correction of Severe Skeletal Class III Malocclusion

LUIS CARRIERE DDS, MSD, PhD

Optimal treatment of a Class III malocclusion with skeletal disharmony requires orthognathic surgery complemented by orthodontics.1 Treating such cases becomes much more challenging when the patient r...

216

MANAGEMENT AND MARKETING

What Influences a Pediatric Dentist to Refer to a Particular Orthodontist?

HEMALI KOTHARI DMD, MPH, DHEd, DAWN P. PRUZANSKY DMD, JAE HYUN PARK DMD, MSD, MS, PhD

While orthodontists have traditionally relied heavily on referrals from general and pediatric dentists, an increasing number of patients have been receiving orthodontic care from non-orthodontic providers. As far back as 1981, Dugoni and colleagues reported that 55% of the orthodontic treatment provided through prepayment programs in California was delivered by non-orthodontists. In 1984, Moorrees noted an increase in the number of general and pediatric dentists offering orthodontic services.

231

CASE REPORT

Treatment of Chronic Adult Periodontitis in a Patient with Negative Overjet and Multiple Tooth Loss

JONAS CAPELLI JUNIOR MS, PhD, VERA LUCIA COSENDEY DDS, MS, WILLIAM FROSSARD MS, PhD, DANIELA FEU MS, PhD

Orthodontic treatment is complicated in adults with periodontal disease, requiring advanced biomechanical techniques, an understanding of the patient's specific biological situation, and an interdisci...

239

THE HOT SEAT

Accelerated Orthodontics

JOHN W. GRAHAM DDS, MD

This regular column is compiled by JCO Contributing Editor John W. Graham, DDS, MD. Selected participants are asked for brief replies to a series of questions on a single topic. Your suggestions for f...

250

A "Renewable" Archwire for Uprighting Impacted Lower Second Molars

T. PETER TSAY DDS, MS, PhD

An impacted lower second molar is relatively rare, with an incidence of .06-.3%, but when encountered can be the most challenging problem in an otherwise routine orthodontic treatment. Uprighting usually needs to be done as quickly as possible to restore chewing function, placing a premium on efficient mechanics. Unfortunately, since treatment commonly involves individual manipulation of bracket positions, frequent wire changes or bending, or placement of auxiliaries, an impacted lower second molar is difficult to correct with pre-programmed orthodontic appliances such as Invisalign, SureSmile, or Incognito.

254

PEARLS

Double-Ligation Technique for Rotated Teeth

STEPHEN CHAIN BDS, MDS, KENNETH TAN BDS, MDS, ANJU LOOMBA BDS, MDS, PRIYANK SETH BDS, MDS, SWATILEKHA ROY SARKAR BDS, MDS

Ligating a rotated tooth with a stainless steel wire is particularly difficult. The goal is to place the pigtail on the most rotated side to fully seat the wire into the bracket slot, but the problem ...

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JCO Product News Published in April 2016

Click here to download a PDF of the Product News column for April 2016.See also the Online Product News page of our website for a searchable data base of published Product News items for the past seve...

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JCO April 2016 Index of Advertisers

AMERICAN ORTHODONTICS•Empower 2 bracket systemDOLPHIN IMAGING & MANAGEMENT SOLUTIONS•Mobile appFORESTADENT•QuicKlear III bracketsG&H Orthodontics•Vapor and miniPrevail ...

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