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June 2026
Volume 60, Issue 6

THE EDITOR'S CORNER

Office of Theseus

NEAL D. KRAVITZ DMD, MS

In orthodontics, we speak of practices almost as living entities. An office has a name, a reputation, a recognizable style. Patients say they are “going to Kravitz,” as though the place itself carries...

363

CASE REPORT

Interdisciplinary Management of Severe Skeletal Class III Malocclusion in an Adult Patient: A Four-Year Follow-Up

IAN RABY DDS, MSc, BENJAMIN GRACIA DDS, MSc, MATÍAS PASCUAL DDS, MSc, ROLANDO MORALES DDS, MSc, PEDRO SOLÉ DDS, MSc, GASTON SALAS DDS, MSc

A 57-year-old patient with a skeletal Class III malocclusion, partial edentulism, and posterior occlusal collapse undergoes a combined interdisciplinary treatment involving orthodontics, dental implants, and orthognathic surgery, with four-year follow-up records confirming the long-term stability of the results.

364

A Two-Phase Approach for Correction of Skeletal Class III Malocclusion: Maxillary Expansion and Facemask Therapy Followed by 3D-Printed Nocturnal Aligners

FRANCESCA CREMONINI DDS, VERONICA CIRULLI DDS, FILIPPO PEPE DDS, MARIO PALONE DDS, LUCA LOMBARDO DDS

In this two-phase treatment, early facemask therapy is combined with conventional maxillary expansion, followed by a SKAR III protocol using a miniscrew-supported hybrid rapid palatal expander and orthodontic finishing with 3D-printed nocturnal aligners.

380

PEARLS

Engineered Eruption: Palatal Ballista Spring Biomechanics

BASIL M. MUMTAZ BDS, MOrth RCS, HUSSEIN MOHAMED SAAD

This Pearl shows a modified ballista spring anchored to a transpalatal arch, allowing immediate vertical traction of a palatally impacted canine, independent of the main archwire, without the need for initial fixed appliances or space opening. This approach offers a simplified low-cost option for early canine eruption guidance.

394

MANAGEMENT & MARKETING

Treatment Coordination is a Team Sport

ANN MARIE GORCZYCA DMD, MPH, MS

JCO’s Management & Marketing Editor makes the case for cross-training the entire orthodontic team in treatment coordination and directly involving the orthodontist in the process, arguing that this shared approach improves conversion rates, reduces staff dependency, and strengthens the practice as a whole.

397

OVERVIEW

The Microplastic Footprint of Orthodontics

YEN TRAN DSc, GDip, HAIZAL MOHD HUSSAINI BDS, MDentSci, PhD, FDS RCS, AZAM ALI MSc, PhD, MAURO FARELLA DDS, PhD, ADITH VENUGOPAL BDS, MS, PhD, FDS RCS

The authors review the growing body of evidence for the release of micro- and nanoplastics from common orthodontic polymers—including clear aligners, composite attachments, and removable appliances—and offer practical, clinically actionable strategies for minimizing patient exposure during treatment.

402

Clinical Management of Primary Failure of Eruption

NEAL D. KRAVITZ DMD, MS, SERCAN AKYALÇIN DDS, MS, PhD, ANDRE WEISSHEIMER DDS, MS, PhD, JAMES NOBLE BSc, DDS, MSc

Two cases of primary failure of eruption—a rare genetic eruption disorder affecting the posterior dentition—are presented, with a discussion of the features that distinguish the condition from ankylosis, why conventional orthodontic traction is contraindicated, and what treatment options remain viable for affected teeth.

409

DIAGNOSTIC CHALLENGE

Case #15, Part 2: Treatment

SHAWN MILLER DMD, MMSC, GAYLE GLENN DDS, MSD

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

415

Product News in the June 2026 Issue

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

420

Continuing Education from the June 2026 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.

421

DIGITAL PEARLS

One-Step Grip Attachment Removal with Ligature Cutters

LINTON NASH MDS, Morth, RCS

Building on the March 2026 Aligner Corner by Dr. Alali, this video demonstrates how ligature cutters or specialized pliers can pop aligner attachments off cleanly and intact in a single motion, eliminating the need to grind away residual composite after treatment completion.

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