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August 2021
Volume 55, Issue 8

THE EDITOR'S CORNER

In-House Aligners

ROBERT G. KEIM DDS, EdD, PhD

As clear aligner therapy continues to claim a greater and greater share of the orthodontic market, we would certainly expect to see various adaptations of the original clinical and manufacturing proto...

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ALIGNER CORNER

Integration of In-House Aligner Therapy in Private Practice

PHILIP MATTHEW NISCO DDS

Dr. Matt Nisco, an early adopter of in-house aligners, presents a protocol for integrating such a system into an orthodontic office, including the required equipment, software, and staffing as well as procedures for long-distance care. Two typical aligner cases are offered as examples.

450

A Modified Pontic Appliance for Treatment of Impacted Maxillary Canines

STEVEN D. HARRISON DDS, MS, JAE HYUN PARK DMD, MSD, MS, PhD

A patient with an impacted upper canine and retained predecessor may be reluctant to have the deciduous tooth extracted because of the resulting unesthetic edentulous space. Drs. Harrison and Park describe a versatile pontic appliance that can be used for temporary camouflage.

460

OVERVIEW

Indications and Management Protocol for the Use of Splints with the "Surgery First" Approach

SANDRO PELO MD, DDS, PhD, ALESSANDRO MORO MD, DDS, DAVIDE SOVERINA DDS, FEDERICO DE NUCCIO MD, DDS, ANTONELLA MASELLI DDS, GIULIO GASPARINI MD, DDS

Dr. Pelo and colleagues review the functions and wear duration of four different types of occlusal splints for use in “surgery first” cases. Two clinical cases demonstrate their approach to splint management, which allows them to treat even complex malocclusions.

463

CASE REPORT

Miniscrew Anchorage for Treatment of Severely Proclined Upper Anterior Teeth in a Class II, Division 1 Malocclusion

PIPOP SUTTHIPRAPAPORN DDS, PhD, RUNGKARN THITTIWONG DDS, MSc, POONSAK PISEK DDS, MSc, PhD

This report shows a Class II, division 1 patient with severe upper anterior protrusion, in whom anchorage from bilateral miniscrews was used to correct both sagittal and vertical discrepancies with one-stage en-masse retraction.

485

Continuing Education from the August 2021 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.

495

PEARLS

A Modified Wire Cutter

ROHAN S. HATTARKI BDS, MDS, ANN BENZY BDS

A ligature cutter is commonly used instead of a distal-end cutter to trim a short protruding wire. The authors show how to make a safety mechanism from acrylic and wax to catch the trimmed wire pieces, preventing any swallowing or soft-tissue injury.

497

MANAGEMENT & MARKETING

The Incredible Value of a Strong Sibling Program

NATALIE BEATON

Siblings are often overlooked as a potential source of new patients. Natalie Beaton outlines a six-step procedure to add siblings of established patients to your system and to follow up in scheduling initial exams at the appropriate age.

499

Product News in August 2021 Issue

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

502

CASE REPORT

Treatment of a Patient with a Missing Lower Incisor and Three Impacted Teeth

AHMED AWADH AL-SAKITI BDS, MOrth RCS, FDS RCS, MOSTAFA MOHAMED EL-DAWLATLY BDS, MSD, MOrth RCS, PhD, AMR RAGAB EL-BEIALY BDS, MOrth RCS, MSc, FDS RCS, PhD, YEHYA A. MOSTAFA BDS, MSc, PhD, FDS RCS

This patient presented with a congenitally missing lower lateral incisor, an impacted upper canine, and two impacted lower premolars. A variety of orthodontic mechanics are used in conjunction with both conventional and skeletal anchorage to achieve successful results.

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