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1.

The Lingual Pearl

Volume 32 : Number 5 : Page 318 : May 1998

The maturation of deglutition starts early in a child's life and sometimes ends only with the eruption of the permanent dentition. Bilabial contact is important during both rest and deglutition in mai...

2.

The Micro-Implant Pearl

Volume 44 : Number 6 : Page 385 : Jun 2010

The Lingual Pearl is a passive-guidance appliance used primarily to retrain patients' tonguefunction and for speech therapy.1 It also can be used in orthodontic treatment when it is important to corre...

3.

PEARL Easy-to-Bond Lower Lingual Retainer

Volume 40 : Number 8 : Page 502 : Aug 2006

Here is a simple and accurate chairside procedure for bonding a lower lingual retainer. 1. Fabricate a lower 3-3 or 4-4 retainer on the mandibular working cast (Fig. A). 2. Cut five or six small piece...

4.

DIGITAL PEARLS

Lower Molar Bands on Upper Molars in Camouflage Cases

Volume 54 : Number 10 : Page 201001 : Oct 2020

Dr. Neal Kravitz explains the advantages of using lower molar bands on upper molars in camouflage cases in this video Pearl.

5.

PEARLS

Model Drying Unit

Volume 15 : Number 9 : Page 637 : Sep 1981

This model drying unit is incorporated into your cabinet design. The top is hinged and serves as a work surface when closed. The unit is equipped with two 40-watt bulbs to dry the models slowly. It ta...

6.

PEARLS

Keeping Letters in Order

Volume 15 : Number 4 : Page 282 : Apr 1981

If letters are kept in patient folders, this little trick may be very helpful. A blue legal folder sheet, available from almost any office supply company, can be used to keep letters neat and in order...

7.

PEARLS

Bonding to Porcelain

Volume 15 : Number 12 : Page 813 : Dec 1981

If you have a problem bonding attachments to porcelain crowns or bridges, there are at least two products that may help you have better success. One is Ormco's Porcelain Primer. Etch the tooth normall...

8.

PEARLS

Handling Broken Appointments and Broken Appliances

Volume 16 : Number 6 : Page 413 : Jun 1982

Orthodontists' lives would be a lot easier if we never had a patient fail an appointment or break or damage an appliance. We often excuse this lack of cooperation and end by "biting the bullet" by abs...

9.

PEARLS

Recording Deductible Cash Expenses

Volume 16 : Number 8 : Page 533 : Aug 1982

This is an organizational Pearl that may very well save you many dollars a year. I carry with me, at all times, a small pocket calendar book in which I keep my appointments, but I also keep my "deduct...

10.

PEARLS

Class III Index

Volume 17 : Number 9 : Page 600 : Sep 1983

It is sometimes difficult to coordinate arches when aligning the teeth in Class III surgery. In Class II surgical cases, the patient can be asked to protrude the mandible to check arch coordination. S...

11.

THE EDITOR'S CORNER

Pearls of Wisdom

Volume 50 : Number 2 : Page 0 : Feb 2016

Within the past year, JCO conducted an extensive online survey of both current and former subscribers, generating direct feedback on just what they like or dislike about our journal. Even on the basis of informal communications with our readers over the years, all of us on the editorial board had a strong sense that Pearls were among JCO's most popular features. Our more scientifically conducted online survey only confirmed that impression. As a result, we have decided to increase our emphasis on publishing Pearls - the eventual objective is to include one in each issue - while continuing to improve the quality and utility of these orthodontic gems.

12.

PEARLS

Uprighting Mandibular Second Molars with Twin Brackets

Volume 57 : Number 2 : Page 121 : Feb 2023

To upright an impacted second molar, an open-coil spring is commonly placed between the first- and second-molar tubes. This Pearl shows how a twin second-premolar bracket can be substituted for the first-molar tube to improve access for placement of the spring.

13.

PEARLS

Helping Patients Properly Connect Elastic Bands

Volume 51 : Number 2 : Page 117 : Feb 2018

Dr. Kravitz shows a two-step method, involving different-colored ligature ties and in-office photography with the patient’s own phone, to help the patient remember how to attach elastics to the proper teeth at home, thus preventing errors that could prolong treatment.

14.

PEARLS

Early Class III Treatment with Rapid Palatal Expansion and a Modified Lower Essix Retainer

Volume 53 : Number 12 : Page 745 : Dec 2019

Dr. Lee shows how to use Class III elastics, attached from a maxillary expander to buttons on the lower lateral incisors, and a lower Essix retainer to correct an underbite during Phase I interceptive treatment without headgear.

15.

PEARLS

Extraction Letter

Volume 17 : Number 5 : Page 344 : May 1983

344-jco-img-0.jpgA patient is often anxious to start orthodontic treatment before it is possible to write a consultation letter to his general dentist. On such occasions, if extractions are needed, th...

16.

PEARLS

Could Be a Life Saver

Volume 56 : Number 11 : Page 649 : Nov 2022

Any vulnerable segment of a flexible archwire can be protected with a made-to-measure section of rigid stainless steel tubing. This Pearl can thus avoid archwire breakage and consequent emergencies, while also improving comfort for the patient’s buccal mucosa.

17.

PEARLS

Cross-Arch Elastics for Tongue Isolation in Bonding Lower Lingual Retainers

Volume 56 : Number 12 : Page 737 : Dec 2022

Proper isolation is the most important concern in bonding a lower lingual retainer, but can sometimes be difficult to achieve with standard retractors. This simple Pearl uses cross-arch elastics to trap the tongue, thus ensuring an open field for the procedure.

18.

PEARLS

CAD/CAM Sheath for Attaching a Cantilever Spring to a Metal-Printed Rapid Palatal Expander

Volume 87 : Number 2 : Page 119 : Feb 2023

Although metal-printed expanders have become increasingly popular, their rigid framework is a disadvantage. This digitally designed sheath is printed into the metal frame to enable simultaneous traction of an impacted canine with an adjustable beta titanium cantilever spring.

19.

PEARLS

Lingual Step-In Bend for Use with Piggyback Mechanics

Volume 57 : Number 4 : Page 248 : Apr 2023

An impacted canine is often extruded with a nickel titanium piggyback wire. A vertical bend in the base archwire will avoid interference with the erupting tooth; if the canine is in the lower arch, an additional lingual bend avoids contact with the opposing teeth.

20.

PEARLS

Open-Coil Activation of Impacted Canines

Volume 57 : Number 10 : Page 625 : Oct 2023

A superelastic open-coil spring and power thread are employed to erupt an ectopic maxillary canine in a controlled direction. The elastic thread is tied to the distal end of the compressed coil spring, and as the spring opens, the canine is activated vertically and distally.

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