THE EDITOR'S CORNERThe Hardest LessonNEAL D. KRAVITZ DMD, MSI often see orthodontists posting on social media about their “worst cases,” but I generally have my doubts about those stories. What they claim to be their worst cases usually turn out to be their be... |
8 | ||
JCO ROUNDTABLELearning from MistakesNEAL D. KRAVITZ DMD, MSThirteen members of the JCO Editorial Board and Clinical Advisory Council describe mistakes they have made and how they have recovered, using case examples. Topics include diagnosis and treatment planning, clear aligner therapy, treatment mechanics, and surgical orthodontics. |
9 | ||
Boneborne Maxillary Expansion: A Clinical Report of Potential ChallengesBJÖRN LUDWIG PhD, DDS, MSD, GUGLIELMO BIONDI DDS, MS, GIORGIO IODICE DDS, MS, HUSSEIN AGHAZADA PhD, DDS, STEFANIA PERROTTA PhD, DDS, MSDCommon failures and adverse side effects of miniscrew-assisted rapid palatal expansion are reviewed. The authors describe and illustrate events related to the temporary anchorage devices, the appliance, and the individual patient, offering recommendations to avoid these occurrences. |
22 | ||
Indiscriminate Alignment in Cases with Severe Mandibular Crowding: How to Prevent and Manage an Everyday Orthodontic ProblemANDREA BOGGIO DDS, PhD, MS, MAURO COZZANI DMD, MScDDrs. Boggio and Cozzani focus on a common mistake committed in daily clinical practice, showing how excessive lower-incisor proclination can be avoided with proper planning. A typical patient with severe lower crowding was followed for 29 years after treatment. |
29 | ||
Optimizing Treatment Outcomes in Transfer Patients with Severe Roller-Coaster EffectsADITH VENUGOPAL BDS, MS, PhD, AMIR HATAMI BDS, BScD, MSc, ABHISEK GHOSH BDS, MDSDrs. Venugopal, Hatami, and Ghosh describe how to identify and counteract iatrogenic “roller-coaster effects,” including anterior deep bite, lateral open bite, distal tipping of anterior teeth, and mesial tipping of posterior teeth, in extraction cases. An adult female transfer patient is presented as an example. |
37 | ||
MANAGEMENT & MARKETINGAsk Ann Marie: Consent for Additional Treatment FeesANN MARIE GORCZYCA DMD, MPH, MSDr. Gorczyca responds to a query about informed consent in a case where the two parents disagreed about paying for a switch from fixed appliances to clear aligners. She offers strategies for improving communication, emphasizing important topics, and avoiding future disputes. |
44 | ||
Loss of Central-Incisor Papilla Following Segmented Le Fort I Osteotomy and Periodontal Osseous SurgeryNEAL D. KRAVITZ DMD, MS, DOUGLAS H. MAHN DDSIn a case presented by Drs. Kravitz and Mahn, an adult patient loses a central-incisor interdental papilla after a segmented Le Fort I osteotomy and subsequent periodontal osseous surgery. Multiple papilla regeneration surgeries and cosmetic dentistry are required to resolve the situation. |
48 | ||
PEARLSSelective Bracket Bonding for Torque CorrectionSARAH ABU ARQUB BDS, MSc, MDentSc, ALEXANDRA BROWN DDSOne of the most common issues involved in clear aligner therapy is a loss of root control. In this Pearl, a sectional fixed appliance is used to torque a buccally displaced premolar root back into the dentoalveolus. |
57 | ||
CASE REPORTFull-Arch Open Bite Resulting from Second-Molar Overeruption During Clear Aligner TreatmentREGINA L. BLEVINS DDS, MSA 12-year-old patient misunderstands her aligner instructions, leading to supraeruption of the second molars and development of a posterior open bite between appointments. The issue is solved by prescribing a new set of aligners with reinforced plastic on the second molars’ occlusal surfaces. |
59 | ||
Failure to Expose a Canine by Diode LaserMICHAEL C. MERU DDS, MSAfter an unsuccessful attempt to expose an impacted canine with a diode laser, Dr. Meru revised his patient-communication protocol and clinical technique. In describing his current procedure for laser exposures, he advises when to stop and refer the patient to an oral surgeon. |
64 | ||
TECHNIQUE CLINICMaking Mesial Molar Movement Manageable with AlignersJONATHAN NICOZISIS DMD, MSAttempts to achieve substantial molar mesialization with clear aligners often result in tilted molars that are difficult to recover. Dr. Nicozisis illustrates how to build a dual or “yin-yang” type of attachment that creates a force couple for uprighting the molars. |
67 | ||
Continuing Education from January 2024 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. |
69 | ||
Product News in January 2024 IssuePRODUCT NEWS is presented as a service to the reader and in no way implies endorsement by JCO. |
73 | ||
DIGITAL PEARLS and SHORTSHazards of OrthodonticsJONATHAN SANDLER BDS, MS, FDS RCPS, MOrth RCSJCO Editor Dr. Jonathan Sandler explores various clinical errors he has had to overcome during 40 years of practice in this series of 16 Digital Pearls and Shorts videos. |
20240101 |
I often see orthodontists posting on social media about their “worst cases,” but I generally have my doubts about those stories. What they claim to be their worst cases usually turn out to be their be...
Thirteen members of the JCO Editorial Board and Clinical Advisory Council describe mistakes they have made and how they have recovered, using case examples. Topics include diagnosis and treatment planning, clear aligner therapy, treatment mechanics, and surgical orthodontics.
Common failures and adverse side effects of miniscrew-assisted rapid palatal expansion are reviewed. The authors describe and illustrate events related to the temporary anchorage devices, the appliance, and the individual patient, offering recommendations to avoid these occurrences.
Drs. Boggio and Cozzani focus on a common mistake committed in daily clinical practice, showing how excessive lower-incisor proclination can be avoided with proper planning. A typical patient with severe lower crowding was followed for 29 years after treatment.
Drs. Venugopal, Hatami, and Ghosh describe how to identify and counteract iatrogenic “roller-coaster effects,” including anterior deep bite, lateral open bite, distal tipping of anterior teeth, and mesial tipping of posterior teeth, in extraction cases. An adult female transfer patient is presented as an example.
Dr. Gorczyca responds to a query about informed consent in a case where the two parents disagreed about paying for a switch from fixed appliances to clear aligners. She offers strategies for improving communication, emphasizing important topics, and avoiding future disputes.
In a case presented by Drs. Kravitz and Mahn, an adult patient loses a central-incisor interdental papilla after a segmented Le Fort I osteotomy and subsequent periodontal osseous surgery. Multiple papilla regeneration surgeries and cosmetic dentistry are required to resolve the situation.
One of the most common issues involved in clear aligner therapy is a loss of root control. In this Pearl, a sectional fixed appliance is used to torque a buccally displaced premolar root back into the dentoalveolus.
A 12-year-old patient misunderstands her aligner instructions, leading to supraeruption of the second molars and development of a posterior open bite between appointments. The issue is solved by prescribing a new set of aligners with reinforced plastic on the second molars’ occlusal surfaces.
After an unsuccessful attempt to expose an impacted canine with a diode laser, Dr. Meru revised his patient-communication protocol and clinical technique. In describing his current procedure for laser exposures, he advises when to stop and refer the patient to an oral surgeon.
Attempts to achieve substantial molar mesialization with clear aligners often result in tilted molars that are difficult to recover. Dr. Nicozisis illustrates how to build a dual or “yin-yang” type of attachment that creates a force couple for uprighting the molars.
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.
PRODUCT NEWS is presented as a service to the reader and in no way implies endorsement by JCO.
JCO Editor Dr. Jonathan Sandler explores various clinical errors he has had to overcome during 40 years of practice in this series of 16 Digital Pearls and Shorts videos.
This is currently not available. Please check back later.
Please contact heather@jco-online.com for any changes to your account.