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381.

A Bone-Borne Appliance for Rapid Maxillary Expansion

Volume 47 : Number 6 : Page 375 : Jun 2013

Since the introduction of nonsurgical rapid maxillary expansion (RME) for the treatment of transverse deficiencies in 1860, maxillary expanders have been part of the orthodontist's armamentarium. A su...

382.

Management of Crouzon Syndrome in an Adult Patient

Volume 47 : Number 11 : Page 673 : Nov 2013

Crouzon syndrome is an autosomal-dominant craniosynostosis characterized by premature closure of the cranial sutures, midfacial hypoplasia, and exophthalmia.1-3 A mutation of fibroblast growth factor ...

383.

CASE REPORT

Treatment of Bimaxillary Protrusion with Lever-Arm Mechanics and Micro-Implant Anchorage

Volume 48 : Number 8 : Page 505 : Aug 2014

Bimaxillary protrusion is most commonly seen in African- American and Asian populations, although it can be found in almost every ethnic group.1-3 Traditional treatment alternatives involve either ort...

384.

The Indirect Palatal Miniscrew Anchorage and Distalization Appliance

Volume 50 : Number 2 : Page 0 : Feb 2016

Distalization of the upper molars is an important treatment option for the correction of Class II malocclusion. Although extra- or intraoral devices have traditionally been used in such cases, the esthetic and social concerns associated with headgear and the undesirable anchorage loss caused by intraoral devices have prompted clinicians to investigate the possibility of using miniscrew implants as anchorage devices. Most of the miniscrew-supported intraoral appliances used to distalize the upper molars are adaptations of preexisting non-compliance devices, such as the Distal Jet or Pendulum, anchored to miniscrews in the paramedian palate or midpalatal suture. Although these appliances are capable of producing significant distal molar movement, they are difficult to fabricate and, when palatal acrylic buttons are used, tend to impede oral hygiene.

385.

Interdisciplinary Treatment of Gingival Recession

Volume 50 : Number 2 : Page 0 : Feb 2016

Gingival recession may be localized or generalized, but always involves at least one tooth surface. It occurs more often in the mandibular arch than in the maxillary arch. Gingival displacement can become a critical complication, leading to esthetic complaints, root sensitivity, loss of periodontal attachment, difficulty in performing oral hygiene, and increased risk of root caries. Exposed root surfaces are also more prone to abrasion from brushing.

386.

Treatment of Anterior Open Bite with a Mini-Implant-Supported Tongue Crib

Volume 51 : Number 1 : Page 0 : Jan 2017

Anterior open bite is attributable to a combination of skeletal, dental, soft-tissue, and habitual factors. Retained infantile swallowing and tongue-thrust habits are the main causes, but other possibilities include unfavorable growth, heredity, pacifiers and digital habits, enlarged lymphatic tissue, and improper tongue function and posture. Treatment strategies aimed at these different etiologies include behavior modification, orthodontic correction alone, and various combinations of orthodontic and orthopedic or orthodontic and surgical correction.

387.

The Zygoma and the Symphysis: New Extra-Alveolar Sites for Long Mini-Implants

Volume 51 : Number 10 : Page 680 : Oct 2017

Long mini-implants placed in extra-alveolar areas of good bone quality and quantity can provide stable anchorage without the added cost and surgery of miniplates. The authors evaluate the potential of two new sites, the zygoma and the symphysis, in orthopedic Class III treatment.

388.

THE READERS' CORNER

Insurance

Volume 54 : Number 4 : Page 241 : Apr 2020

JCO readers discuss a wide range of orthodontic insurance issues, including patient coverage, preauthorization requirements, PPOs and HMOs, state regulations, and staff management. Individual comments address common frustrations and specific recommendations.

389.

CASE REPORT

Orthodontic Treatment of an Adult with Mandibular Deviation and Scoliosis

Volume 54 : Number 6 : Page 357 : Jun 2020

Imbalances of the occlusal, muscular, and skeletal systems can lead to malocclusion and cervical dysfunction. In this patient, a deprogramming splint, mini-implants, and a transpalatal arch are used to resolve a skeletal deviation and alleviate scoliosis without orthognathic surgery.

390.

CASE REPORT

First Molar Extractions in a Patient with Marfan Syndrome

Volume 55 : Number 6 : Page 210601 : Jun 2021

This is the second in a series of case reports from the three finalists for the 2021 Eugene L. Gottlieb JCO Student of the Year Award. Dr. Sola Martin, from the University of Southern California, presents the treatment of an adolescent Marfan syndrome patient.

391.

"Surgery First" Approach for Obstructive Sleep Apnea Treatment

Volume 56 : Number 1 : Page 34 : Jan 2022

Orthognathic surgery is a reliable solution for more severe cases of sleep apnea. As Dr. Pereira and colleagues illustrate, the “surgery first” approach is appealing to these patients because it enables more rapid relief of OSA symptoms. A typical adult case is shown.

392.

An Efficient Palatal Approach for Correction of Unilateral Skeletal Crossbite and Anterior Open Bite

Volume 56 : Number 4 : Page 221 : Apr 2022

This unilateral mini-implant-assisted rapid palatal expander (MARPE), as described by Drs. Banankhah and Uribe, has an attached tongue crib for open-bite treatment. Palatal temporary anchorage devices are placed on the non-crossbite side to help achieve unilateral skeletal expansion.

393.

Phase I Clear Aligner Therapy for Class II, Division 2 Patients

Volume 56 : Number 9 : Page 528 : Sep 2022

The Invisalign First protocol, as described by Drs. Gorton and Bekmezian, makes it possible to simultaneously open space through dental arch expansion and achieve relative intrusion of the incisors. Aligners were changed twice a week during most of this treatment period.

394.

Hybrid Aligner Therapy for Growing Patients with Anterior Open Bites

Volume 56 : Number 10 : Page 580 : Oct 2022

As Dr. Lombardo and colleagues describe, an interceptive phase of rapid maxillary expansion and elimination of oral habits can simplify subsequent Phase II treatment with clear aligners in young open-bite patients. Two cases illustrate this hybrid approach.

395.

CASE REPORT

Unexpected Tooth Movement Under Bonded Retainers

Volume 56 : Number 12 : Page 20221201 : Dec 2022

This case illustrates the potential for unwanted tooth movement in a patient who presented with a 3-3 lingual flexible spiral-wire retainer in place. A retrospective 3D superimposition reveals a tendency for canine movement under a previous stiff-wire retainer that was not noted clinically.

396.

Direct Printing of Clear Aligners

Volume 57 : Number 8 : Page 450 : Aug 2023

As illustrated by Drs. Kim and Graf, a new photocurable clear resin enables direct 3D printing of customized clear aligners. The authors discuss the design of vertical, sagittal, and transverse tooth movements; the use of divots instead of attachments; and the importance of proper aligner fit.

397.

Glass Ionomer Open Exposure (GOPEX) of Palatally Impacted Canines

Volume 58 : Number 6 : Page 381 : Jun 2024

As a modification of the open surgical technique for exposing impacted canines, Drs. Naoumova, Hansson, and Hansen explain the use of glass ionomer cement to cover the canine crown. Two patients in early to middle adolescence are presented as examples.

398.

The High-Pull Palatal Gear (HPPG) Technique for Treating Hyperdivergent Class II Malocclusions

Volume 58 : Number 7 : Page 399 : Jul 2024

The HPPG technique uses a single miniscrew in the anterior midpalate to intrude and retract the entire maxillary dentition. Drs. Lin, Thavarungkul, Chen, and Wang demonstrate the protocol in an adult patient with a hyperdivergent Class II malocclusion.

399.

CASE REPORT

Herbst Appliance with Four-Miniscrew Anchorage for Mandibular Advancement after the Pubertal Peak

Volume 58 : Number 8 : Page 505 : Aug 2024

In this article, Drs. Manni, Boggio, Caldara, Gastaldi, and Cozzani treat a 17-year-old patient with a Class II, division 1 malocclusion using a miniscrew-assisted rapid palatal expander, along with a skeletally supported Herbst appliance modified to limit lower-incisor inclination.

400.

Arch Development and Facial Esthetics

Volume 32 : Number 1 : Page 13 : Jan 1998

Orthodontists and patients are becoming more concerned about undesirable effects of bicuspid extractions on the facial profile. Several authors have shown that the lips may become more retrusive, the ...

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