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681.

The "Surgery First" Approach with Passive Self-Ligating Brackets for Expedited Treatment of Skeletal Class III Malocclusion

Volume 49 : Number 6 : Page 361 : Jun 2015

Various authors have recently suggested a "surgery first" approach (SFA) before orthodontic treatment.1-4 SFA avoids the need for dental decompensation and consequent deterioration of esthetics and fu...

682.

Changes in the Condyle-Fossa Relationship in Patients with TMD after Occlusal Deprogramming

Volume 51 : Number 1 : Page 0 : Jan 2017

Common signs and symptoms of TMD include masticatory muscle pain, TMJ sounds, limited mouth opening, and deviations in mandibular movements. Treatment generally involves some combination of occlusal splints, physiotherapy, relaxation therapy, pharmacological intervention, arthroscopic surgery, education, and behavioral counseling. One randomized controlled trial indicated that an occlusal deprogramming splint is more effective than other methods in treating TMD, although another study produced contradictory results.

683.

Rapid Palatal Expansion with the Keles Keyless Expander

Volume 52 : Number 11 : Page 598 : Nov 2018

A second-generation palatal expander avoids problems associated with the activation key by using an integrated arm operated with a finger. It can be fabricated with two support arms for a patient in the mixed dentition or with four support arms for enhanced stability in the permanent dentition.

684.

THE CUTTING EDGE

CAD/CAM Technology for Digital Indirect Bonding

Volume 52 : Number 11 : Page 621 : Nov 2018

Drs. Spitz, Gribel, and Marassi describe the application of computer-aided design to position brackets and to design and fabricate transfer trays for indirect bonding, using a 3D printer. The procedure is illustrated in a 13-year-old female patient.

685.

A Digitally Designed and Sinter Laser-Melted Hybrid Hyrax

Volume 54 : Number 6 : Page 336 : Jun 2020

The authors examine the feasibility of producing a fixed functional appliance by fully digital design and manufacturing. A Hybrid Hyrax expander and a surgical guide for palatal miniscrew placement are both three-dimensionally printed in the laboratory from a digital model.

686.

Evaluation of Mandibular Position for Splint Therapy Using a Virtual Articulator

Volume 54 : Number 8 : Page 466 : Aug 2020

Digital technology offers an alternative to the traditional articulator and facebow transfer used to confirm condylar stability during stabilization splint treatment. In this virtual mounting method, sequential mandibular positions are evaluated based on superimposition of the initial CBCT data with intraoral scans taken at each visit.

687.

Intraoral Maxillary Protractor for Early Treatment of a Class III Malocclusion with Maxillary Deficiency

Volume 55 : Number 4 : Page 229 : Apr 2021

This simple toothborne device, as described by Dr. Pithon and colleagues, can be installed as soon as the lower first permanent molars have erupted. Combined with rapid maxillary expansion, it eliminates the need for extraoral appliances or miniplate anchorage in a skeletal Class III case.

688.

Combination of Clear Aligners and Beneslider for Correction of Severe Midline Deviation

Volume 55 : Number 11 : Page 675 : Nov 2021

Drs. Wilmes, Schwarze, Vasudavan, and Drescher show how unilateral upper molar distalization can correct a Class II subdivision malocclusion, using a palatally anchored device to prevent anchorage loss during clear aligner therapy. A typical adult case illustrates the technique.

689.

Invisalign Treatment with Periodontally Accelerated Osteogenic Orthodontics and Orthognathic Surgery

Volume 57 : Number 5 : Page 264 : May 2023

Dr. Meuli and colleagues demonstrate the use of clear aligners for incisor decompensation and elimination of occlusal interferences before surgery. Regenerative corticotomy is performed two to four weeks into treatment, and power arms and buttons are bonded for intraoperative stabilization. The occlusion is then refined with a short aligner phase.

690.

Modified Class III Carriere Motion Appliance and Aligners for the Treatment of Class II Malocclusion

Volume 59 : Number 7 : Page 432 : Jul 2025

Drs. Martinetti, Di Gioia, and Granatiero present a novel technique in which the Class III version of the Carriere Motion appliance is positioned on the palatal sides of the teeth and used alongside clear aligners for nearly invisible Class II correction.

691.

Intrusion of Supraerupted Second Molars with the Palatal Intrusion Fork

Volume 49 : Number 10 : Page 0 : Oct 2015

Loss of a tooth in either arch will result in tipping of the adjacent teeth toward the extraction space, narrowing of the alveolar ridge due to resorption, and supraeruption of the antagonist tooth. T...

692.

A "Renewable" Archwire for Uprighting Impacted Lower Second Molars

Volume 50 : Number 4 : Page 0 : Apr 2016

An impacted lower second molar is relatively rare, with an incidence of .06-.3%, but when encountered can be the most challenging problem in an otherwise routine orthodontic treatment. Uprighting usually needs to be done as quickly as possible to restore chewing function, placing a premium on efficient mechanics. Unfortunately, since treatment commonly involves individual manipulation of bracket positions, frequent wire changes or bending, or placement of auxiliaries, an impacted lower second molar is difficult to correct with pre-programmed orthodontic appliances such as Invisalign, SureSmile, or Incognito.

693.

Quad Helix Canine System for Forced Eruption of Impacted Upper Canines

Volume 50 : Number 6 : Page 0 : Jun 2016

An impacted canine is one of the most difficult clinical problems for the orthodontist. Treatment requires close teamwork with the oral surgeon to gain access to the impacted tooth, followed by precis...

694.

The Bonded Lingual Retainer and Multiple Spacing of Anterior Teeth

Volume 17 : Number 12 : Page 838 : Dec 1983

In 1977, promising short-term clinical experience (1 to 2.5 years) with 43 bonded lingual canine-to-canine retainers was reported.11 These retainers were made of .032" to .036" wire with loops at the ...

695.

ALIGNER CORNER

Treatment Timing Considerations for Mandibular Advancement with Clear Aligners in Skeletal Class II Malocclusions

Volume 56 : Number 8 : Page 464 : Aug 2022

Using the case of a 12-year-old male with a skeletal Class II malocclusion, the authors measure the effects of MA aligners during the pubertal growth peak. Over 36 weeks, with trays changed weekly, the Precision Wings provide a gradual advancement of 2mm for every eight aligners.

696.

Forced Eruption: An Alternative to Extraction or Periodontal Surgery

Volume 26 : Number 3 : Page 0 : Mar 1992

Defects of the tooth structure near the alveolar bone, such as subgingival tooth fracture, cervical caries, endodontic perforation, and internal root resorption, are difficult to restore. Orthodontic ...

697.

Edgewise Herbst Appliance

Volume 29 : Number 12 : Page 0 : Dec 1995

The Edgewise Herbst Appliance is designed to minimize certain limitations inherent in the Herbst design and to incorporate edgewise brackets and mechanics in the correction of Class II malocclusions. ...

698.

Surgical Correction of Mesially Impacted Mandibular Second Molars

Volume 37 : Number 4 : Page 209 : Apr 2003

Partial or total impaction of mandibular second molars can prolong orthodontic treatment, especially in deep-bite cases, where leveling these teeth is the key to correcting the curve of Spee. Such imp...

699.

Early Orthopedic Class III Treatment with a Modified Tandem Appliance

Volume 37 : Number 4 : Page 218 : Apr 2003

Growing patients with dentofacial deformities characterized by either a midfacial deficiency or true mandibular prognathism are perhaps the most challenging cases for the clinician to manage. In patie...

700.

A New Device for Forced Eruption of Palatally Impacted Canines

Volume 38 : Number 6 : Page 342 : Jun 2004

Many techniques have been proposed for moving a palatally impacted canine into the arch following surgical exposure.1-6 Direct bonding of an eyelet and traction with a stainless steel ligature is rela...

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