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581.

Treatment of Class III Relapse Due to Late Mandibular Growth Using Miniscrew Anchorage

Volume 42 : Number 7 : Page 400 : Jul 2008

Skeletal Class III malocclusion can be treated in growing patients with either fixed or orthopedic appliances.1-6 Premolar extractions are often required in adolescents with both anterior crossbite an...

582.

CASE REPORT

"Surgery First" Skeletal Class III Correction Using the Skeletal Anchorage System

Volume 43 : Number 2 : Page 0 : Feb 2009

Surgical-orthodontic treatment traditionally involves presurgical orthodontic preparation, including dental alignment, incisor decompensation, and arch coordination. In skeletal Class III patients, ho...

583.

CASE REPORT

Maxillary Expander for Treatment of Unilateral Posterior Crossbite with Anterior Open Bite

Volume 43 : Number 10 : Page 0 : Oct 2009

Anterior open bite is one of the most difficult malocclusions to treat because it is often caused by multiple interacting factors and is frequently associated with other anteroposterior, transverse, a...

584.

CASE REPORT

Two-Stage Treatment of a Skeletal Class III Patient with Severe Crowding

Volume 46 : Number 4 : Page 225 : Apr 2012

Skeletal Class III malocclusion involves maxillary retrusion, mandibular protrusion, or a combination of both.1-3 Maxillary deficiency is the most common etiology, accounting for 60-63% of Class III m...

585.

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 ...

586.

Space Regaining with Modified Palatal Anchorage Plates

Volume 49 : Number 9 : Page 0 : Sep 2015

Space regaining is an important treatment modality for eruption guidance. Shalish and colleagues reported that space regaining and the removal of obstructions can facilitate spontaneous eruption of impacted premolars. Although several devices have been developed to regain space through molar distalization, these methods may result in anchorage loss, incisor proclination, and a slight increase in vertical facial dimension. Koutzoglou and Kostaki reported a relationship between rapid palatal expansion and the natural eruption of impacted canines, but maxillary expansion has also been related to a loss of height and thickness of buccal alveolar bone at the anchorage teeth.

587.

CASE REPORT

Nonextraction Treatment of an Open Bite with a Preadjusted Lingual Appliance and Intermaxillary Elastics

Volume 50 : Number 10 : Page 0 : Oct 2016

This case report describes retreatment of an adult open-bite patient using a preadjusted lingual appliance and intermaxillary lingual elastics, combined with logopedic therapy. Diagnosis and Treatment...

588.

Orthodontic Treatment after High Condylectomy in Patients with Unilateral Condylar Hyperplasia

Volume 50 : Number 12 : Page 727 : Dec 2016

Unilateral condylar hyperplasia (UCH) is a self-limiting, but deforming, pathological condition that affects facial hard and soft tissues, creating functional and esthetic problems.1,2 It is caused by...

589.

ALIGNER CORNER

A Hybrid Approach to Clear Aligner Therapy in Lower-Incisor Extraction Cases

Volume 56 : Number 4 : Page 211 : Apr 2022

Drs. Lombardo, Pepe, Carlucci, and Cremonini present an approach in which bonded lingual buttons and archwire segments are used to correct severe lower anterior crowding in conjunction with clear aligner treatment. The case shown here was completed in only six months.

590.

Maxillary Expansion and Protraction Using Mini-Implants and the Benefit Direct Mechanism

Volume 56 : Number 12 : Page 708 : Dec 2022

The Benefit Direct miniscrew attaches to a Hybrid Hyrax frame using a specially designed ring, as described by Dr. Wilmes and colleagues. This system enables an “appliance-first” approach while customizing the expander to situate the mini-implants in the best palatal bone.

591.

Loss of Central-Incisor Papilla Following Segmented Le Fort I Osteotomy and Periodontal Osseous Surgery

Volume 58 : Number 1 : Page 48 : Jan 2024

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.

592.

A Simple Prediction Method for "Surgery First" Treatment of Skeletal Class II Malocclusions

Volume 58 : Number 7 : Page 428 : Jul 2024

Drs. Khattab, Lutfi, Alzarif, Almallah, and Alawad present a simple acrylic trial splint that simulates the results of mandibular-advancement surgery, avoiding the need for complex technology in treatment planning. The splint then serves as a surgical wafer during the procedure.

593.

Improved Biomechanical Control with Spark Aligner Approver Root-Visualization Software

Volume 58 : Number 8 : Page 466 : Aug 2024

Spark Aligner Approver’s root-visualization feature allows dental root shapes to be considered when planning aligner treatment. Dr. Pinter demonstrates the use of this software to determine whether relative or absolute extrusion of the upper incisors is indicated and to stage the required movements.

594.

Facial Growth Modification with a Bone-Anchored Herbst Appliance Part 2

Volume 58 : Number 10 : Page 608 : Oct 2024

In the second installment of this two-part series, Drs. De Clerck, Timmerman, Nguyen, Jacobs, and Siciliano treat three patients with a novel hybrid Herbst appliance consisting of an upper customized frame and RPE connected to miniplates in the lower-canine region.

595.

A Modified “Surgery First” Approach and Customized Brackets for Treatment of Class III Malocclusion

Volume 59 : Number 6 : Page 358 : Jun 2025

Drs. Gurrala, Nedjat-Haiem, Ibrar, Zhang, and Uribe present a modified version of the “surgery first” approach that enhances the stability of the postsurgical occlusion with a short presurgical orthodontic phase. LightForce brackets are used for postsurgical orthodontics.

596.

CASE REPORT

Miniscrew-Supported Recovery of Partially Impacted Lower Second Molars

Volume 59 : Number 7 : Page 452 : Jul 2025

Drs. Palone, Averta, Poma, Cremonini, and Lombardo describe the use of temporary anchorage devices and nickel titanium wire segments to upright bilateral impacted lower second molars in a patient who wished to avoid visible fixed appliances.

597.

Multidisciplinary Management of Post-Ankylosis Malocclusion and Mandibular Deformity

Volume 51 : Number 12 : Page 809 : Dec 2017

Ankylosis of the TMJ can lead to severe functional, dental, facial, and esthetic problems that will require a multidisciplinary approach to resolve. The authors present a protocol involving orthodontic alignment and distraction osteogenesis for treatment of adults with long-standing TMJ ankyloses.

598.

Anatomical Limits for Distalization of Lower Posterior Molars with Micro-Implant Anchorage

Volume 53 : Number 5 : Page 305 : May 2019

Based on conventional lateral cephalograms, the anterior border of the ascending ramus has been considered the limit for lower molar distalization. Drs. Kim, Jang, and Park use computed tomography to provide visual evidence of a more realistic anatomical limit.

599.

CASE REPORT

"Surgery-First" Approach with Invisalign Therapy to Correct a Class II Malocclusion and Severe Mandibular Retrognathism

Volume 53 : Number 7 : Page 397 : Jul 2019

The “surgery-first” approach appeals to adults who wish to avoid a temporary worsening of their facial appearance during presurgical orthodontics. Drs. Chang, Steinbacher, Nanda, and Uribe show how postsurgical aligner therapy can further enhance the esthetics and acceptability of treatment for such patients.

600.

CASE REPORT

Nonrestorative Treatment of a Patient with Large Edentulous Spaces and Anterior Open Bite

Volume 59 : Number 12 : Page 809 : Dec 2025

In this adult patient with an anterior open bite and multiple missing teeth, strategic autotransplantation of a lower second premolar is combined with orthodontic space closure and protraction of third molars, thus avoiding the need for subsequent prosthetic restorations.

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