Throughout my career—even when I was in training many years ago—the majority of my patients have been adults. I never intentionally tried to develop an “adult practice”; it just happened. A number of ...
In a series of five cases, Drs. Orloff and Shiikha demonstrate the application of clear aligners in distalizing lower molars to relieve moderate anterior crowding. No extractions, intermaxillary elastics, or temporary anchorage devices are employed, and interproximal reduction is used only to address tooth-size discrepancies.
The effects of TMD are generally interrelated with those of a developing skeletal malocclusion. Dr. Verulkar and colleagues show how to use AutoCAD software to evaluate condylar position before, during, and after treatment by means of a Gelb 4/7 grid superimposed on sectional TMJ views.
Drs. Matsumoto, Tanna, and Boucher describe a method involving soft-tissue augmentation with a connective tissue graft followed by hard-tissue modification with a bone graft. This approach is designed to restore full periodontal health prior to maxillary molar distalization in adult patients.
LOUIS HARDAN, DDS, PhD 128 pages, 315 illustrations. $75. 2020.Quintessence Publishing Co., Inc., 411 N. Raddant Road, Batavia, IL 60510.(800) 621-0387; www.quintpub.com. Dr. Louis Harden is to be con...
Canine extrusion can cause unwanted intrusion of the adjacent lateral incisor and first premolar, especially when twin brackets are used. In this Pearl, a “floating O-ring” engages the archwire beneath the bracket, avoiding the generation of a vertical force vector on neighboring teeth.
Extra-alveolar skeletal anchorage in the mandibular buccal shelf can allow the entire mandibular dentition to be distalized, avoiding the need for extractions, Class III elastics, or other compensatory strategies, as a case report illustrates.
Dr. Coleman introduces a device that is laser-sintered in the laboratory, based on a routine digital intraoral scan. This technique avoids the drawbacks of traditional banded expanders, which require orthodontic separators, and bonded expanders, which can encroach on the gingival margins and are hard to remove.
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The introduction of skeletal anchorage has made orthodontic camouflage a more viable option in mild to moderate skeletal Class III cases. Here, a nonextraction camouflage plan is adopted after the patient refuses orthognathic surgery during presurgical leveling and alignment.
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