This special issue of JCO is devoted to the treatment of complex cases with aligner therapy. I will admit to being fascinated with the concept behind aligner orthodontics since it was introduced in th...
It’s been two years since JCO has published an issue devoted entirely to clear aligner therapy. That makes it past time to revisit its progress as a technique capable of treating complex orthodontic p...
Dr. El-Bialy describes the combination of PBM with the Invisalign mandibular advancement feature in adult patients. In certain cases, this approach may avoid the need for extractions or orthognathic surgery. The protocol is illustrated in an adult female who was treated in only seven months.
The Mesialslider allows the use of sliding mechanics anchored by mini-implants in the anterior palate. As Drs. Wilmes, Schwarze, Vasudavan, and Drescher demonstrate, this facilitates closure of upper edentulous spaces when used either simultaneously or consecutively with clear aligner treatment.
Aligner therapy can now be employed to accommodate forced eruption of transposed canines and lateral incisors, using auxiliaries such as elastomeric traction applied directly to the trays. The authors present a typical treatment involving a 13-year-old female patient.
Drs. Lou and Caminiti provide recommendations for surgical-orthodontic treatment with clear aligners, including a typical workflow for presurgical orthodontics, tips for prescribing aligners, effective methods of temporary maxillomandibular fixation, and techniques for postoperative management.
The complex mechanics needed for incisor intrusion during closure of premolar extraction spaces may require additional anchorage. In this adult patient with a deep overbite, buccal miniscrews were placed to anchor Class II elastic traction during clear aligner therapy.
Partially erupted upper second molars are difficult to correct with clear aligners alone. This Pearl shows how posterior fixed appliance segments can be used in conjunction with aligners to derotate the second molars and promote posterior occlusion and settling.
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