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September 2026
Volume 60, Issue 9

THE EDITOR'S CORNER

Trisomy 21

NEAL D. KRAVITZ DMD, MS

Down syndrome, also known as trisomy 21, is a common genetic condition caused by an extra copy of chromosome 21. Named after British physician John Langdon Down, who formally described it in 1866, the...

563

JCO INTERVIEWS

Dr. Frédérick Berardinelli on Orthodontic Finishing

FRÉDÉRICK BERARDINELLI DDS, MS, ANN MARIE GORCZYCA DMD, MPH, MS

Dr. Berardinelli outlines the 16 Key Elements of finishing from his Angle Society thesis, covering bracket repositioning, archform control, functional occlusion, enameloplasty, crown anatomy and gingival heights before debonding, and retention, offering clinicians a structured checklist for evaluating every case before appliance removal.

564

A Hybrid Approach to Class II Correction: Clear Aligner Therapy Combined with Temporary Anchorage Device-Supported Distalization

NAM-KI LEE DDS, PhD, YOON-AH KOOK DDS, MSD, PhD, CHRISTINE HONG DMD, MS, TAE-HYUN CHOI DDS, PhD

The authors describe the use of clear aligners with a modified C-palatal plate and palatal retraction arch to achieve en masse maxillary distalization in an adult with Class II malocclusion and anterior open bite. Class III elastics tip back the mandibular molars to relieve crowding without incisor flaring, showing how skeletal anchorage extends what aligners can accomplish.

570

An Integrated AI Platform for Orthodontic Diagnosis and Treatment Planning

MOHAMMED H. ELNAGAR DDS, MS, PhD, FLAVIO SANCHEZ DDS, MS, SERGIO SAMBATARO DDS, MS, PhD, TERRY SELLKE DDS, MS, BUDI KUSNOTO DDS, MS

An AI platform combining diagnosis, treatment planning, staging, and outcome simulation in a single workflow, with orthodontist verification at each critical stage, is applied to a 12-year-old patient with moderate crowding, illustrating how AI can streamline case preparation while keeping clinical decisions in the orthodontist’s hands.

582

2026 JCO Study of Orthodontic Diagnosis and Treatment Procedures

Part 1 Results and Trends: Diagnostics and Appliances

NEAL D. KRAVITZ DMD, MS, DAVID S. VOGELS III, PHILIP B. VOGELS

Trends in U.S. orthodontic practices since 1986 are examined in this first installment of a four-part report, covering the diagnostic records and appliance systems in use today and how their adoption has shifted over time.

591

Transdisciplinary Treatment in Implant Rehabilitation of an Upper Central Incisor

RANIERE LUIZ DOS SANTOS SOUSA DDS, MSc, CLAUDINE SOUSA DDS, RICARDO SOUSA DDS, RAPHAEL MEDEIROS DDS, LUIZ EDUARDO RODRIGUES JULIASSE DDS, MSc, PhD

Miniplate-supported posterior intrusion and distalization close a severe anterior open bite in a 28-year-old, while timed extraction, connective tissue grafting, and delayed implant placement restore a compromised upper central incisor, highlighting close coordination among orthodontic, surgical, periodontal, and restorative specialists.

613

PEARLS

Innovative Force Delivery for Posterior Segment Mesialization

BASIL M. MUMTAZ BDS, FOrth RCS

A crimpable hook on the working archwire, rigidly ligated to an anterior temporary anchorage device, allows power-chain mesialization of the posterior segment while avoiding the soft-tissue trauma of direct transgingival force application. The technique offers a simple, patient-friendly option for TAD-anchored protraction.

624

DIAGNOSTIC CHALLENGE

Case #17, Part 2: Treatment

SUMITRA REDDY BDS, MDS, POOJA HARISH BDS, MDS, PGDBEME, PGDCE

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. The initial records for th...

626

Continuing Education from the September 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.

633

CASE REPORT

Hemisection of a Fused Maxillary Central Incisor with a Supernumerary Lateral Incisor in a Patient with Significant Maxillary Crowding

MARIA FERNANDA LUNA MONTES DDS, MEHRAN ABEDI DMD, MDentSc, FLAVIO A. URIBE DDS, MDentSc

The authors describe the hemisection of a fused maxillary central incisor and supernumerary lateral incisor in an 11-year-old patient, with calcium hydroxide sealing of a communicating lateral canal to preserve central incisor vitality and premolar extraction allowing a lingually displaced lateral incisor to self-correct and an impacted canine to be guided into the arch.

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