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May 2025
Volume 59, Issue 5

THE EDITOR'S CORNER

Management of Avulsed Permanent Teeth

NEAL D. KRAVITZ DMD, MS

Orthodontists play a vital role in managing avulsion, the most severe type of dental injury. Approximately 25% of school-age children experience trauma to their permanent teeth, with avulsions account...

296

CASE REPORT

Treatment of an Asymmetrical Class II Malocclusion in an Adult Patient with Multiple Missing Teeth

EDUARDO TERUMI BLATT OHIRA DDS, MSc, GUSTAVO OSSAMU BLATT OHIRA DDS, MSc, DANIELA BEZERRA DE MENEZES BORBA DDS, MSc, RENZO ALEX IWASAKI DDS, MSc, FABRICIO PINELLI VALARELLI DDS, MSc, PhD, PAULA COTRIN DDS, MSc, PhD, TIAGO FIALHO DDS, MSc, PhD

A Class II subdivision malocclusion is particularly challenging to treat in an adult patient with multiple missing teeth. In this article, the authors treat such a case with extraction of an upper molar and space closure supported by two mini-implants.

297

Sonosurgery and a Skeletally Supported Expander for Minimally Invasive Maxillary Expansion in Adults

ORONZO DE GABRIELE DDS, MS, NOUR E. TARRAF BDS, MDSc, PhD, MRACDS, MOrth RCS, BENEDICT WILMES DDS, DMD, PhD

As an alternative to SARPE, Drs. De Gabriele, Tarraf, and Wilmes present a new, minimally invasive method for midpalatal suture release through vertical subtotal osteotomy with sonosurgery, which can be used to prepare patients for maxillary expansion with a boneborne Quadexpander.

306

PEARLS

Lassoed Lateral: A Reliable Method for Stabilizing Pontics

ZACHARY PAUL PITCHER DMD, MDS

This Pearl details a technique for using a stainless steel ligature to securely attach a pontic to a bracket, reducing the chance that it will become unstable or detach over the course of treatment.

315

DIGITAL ORTHO LAB

CAD/CAM Workflows for In-House Printing of Bite Bumpers and Distalizing Appliances

SEUNG-WOO YOO DMD, TILL E. BECHTOLD DMD, MS, PhD

To introduce orthodontists to the possibilities of in-house appliance design and printing, Drs. Yoo and Bechtold present workflows for in-house production of three devices: personalized bite bumpers, a custom-sized Carriere-like distalizing appliance, and a distalslider that can be adjusted to limit side effects.

316

DIAGNOSTIC CHALLENGE

Case #7, Part 1: Presentation

ESLAM YOUSSIF MOHAMED BDS, MOrth RCS

In this monthly column, Contributing Editors Gayle Glenn, DDS, MSD, and Shawn L. Miller, DMD, MMSc, present a case to challenge your diagnosis and treatment-planning skills. Review the initial records...

323

Modified Frog Protocol for Deep-Bite Management in Growing Patients

LUIS HUANCA GHISLANZONI DDS, MS, PhD, THOMAS MOURGUES DDS, MS, MARÍA JOSÉ GONZÁLEZ-OLMO DDS, MS, PhD, MARTÍN ROMERO-MAROTO DDS, MS, PhD

To level the curve of Spee while correcting a severe deep bite with clear aligners, Drs. Huanca Ghislanzoni, Mourgues, Gonzáles-Olmo, and Romero-Maroto introduce a modification of the frog protocol, combining space creation with alternating intrusion of the lower canines and incisors.

326

DIAGNOSTIC CHALLENGE

Case #6 Part 2: Treatment

ALFRED LI DDS, MS, MONA BAJESTAN DDS, MS, GAYLE GLENN DDS, MSD

Courtesy of University of California, San Francisco In this monthly column, Contributing Editors Gayle Glenn, DDS, MSD, and Shawn L. Miller, DMD, MMSc, present a case to challenge your diagnosis an...

335

MANAGEMENT & MARKETING

Ask an Expert: Increasing Referrals from General Dentists

ROGER P. LEVIN DDS

Dr. Levin, the CEO of Levin Group, a leading orthodontic management consulting firm, outlines the most effective approaches to building relationships with general dentists to increase patient referrals.

341

Product News in May 2025 Issue

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

344

Continuing Education from May 2025 Issue (questions only)

Click here to download a PDF of the printed questions from the journal for reference. CE tests must be taken online. When you are ready, go here to take the quiz.

345

CASE REPORT

Segmental Mechanics with T-Loop Springs for Management of Ectopic Canines and Severe Crowding

MAYANK ARVIND MALIK BDS, MDS, RAJAN K. MAHINDRA BDS, MDS

Drs. Malik and Mahindra use segmental mechanics with T-loop springs for space closure after premolar extractions in a patient with ectopic canines and severe crowding, avoiding the effects of friction between an archwire and brackets.

20250501

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