Like many orthodontists, I spent a number of years (almost a decade in my case) as a general dentist before selling my practice and returning to school for formal orthodontic training. I have always b...
A young patient with upper and lower anterior crowding can now be treated without extractions using only clear aligners. Drs. Ojima, Dan, Kumagai, Watanabe, and Nanda demonstrate an approach involving upper arch expansion and molar distalization in a 12-year-old female.
Drs. Balut, Hernández, Soto, and Pérez recommend positive, negative, or standard torque values to minimize the undesirable side effects of anterior self-ligating brackets in treating various types of Class I, Class II, Class III, and open-bite cases.
Orthodontists are increasingly involved in identifying obstructive sleep apnea and treating it with intraoral devices. Unlike mandibular advancers, this Tongue Rehabilitator works by raising the tongue and directing it to a more physiological position, thus opening the posterior airway.
Drs. Upadhyay, Hakami, Posada, and Chen describe a simple upper molar distalization device, made from a stainless steel wire segment and a nickel titanium open-coil spring, that derives its anchorage support from a mini-implant in the buccal alveolar bone.
A 10-year-old patient with a missing lower permanent canine, retained deciduous canine, and peg-shaped upper lateral incisor is treated with rapid maxillary expansion and skeletally anchored orthodontic space closure, thus avoiding the need for future implant rehabilitation.
Metal tongue spurs for correction of a tongue-thrust habit are difficult to incorporate in aligner treatment. This Pearl shows how to stack lingual attachments in the virtual setup and then sharpen the unfilled wells to create tongue spurs in the aligner trays.
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