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2501.

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...

2502.

TECHNIQUE CLINIC

Archwire Auxiliary for Patients with Posterior Bridges

Volume 18 : Number 1 : Page 59 : Jan 1984

Orthodontic treatment for patients with fixed posterior bridges presents a challenge to the clinician. The treatment can be handled by sectioning the bridge, banding the abutment teeth, and aligning t...

2503.

TECHNIQUE CLINIC

Impacted or Not, Beware the Labial Cuspid

Volume 21 : Number 7 : Page 474 : Jul 1987

In my experience, lingually ectopic or impacted cuspids have had a more favorable prognosis than labially ectopic or impacted cuspids. Lingual cuspids are generally protected from trauma, have less fr...

2504.

THE EDITOR'S CORNER

Which Is Farther, North, or by Bus?

Volume 22 : Number 6 : Page 0 : Jun 1988

Which Is Farther, North or by Bus? When I talk to my colleagues, it often occurs to me that we communicate in a kind of orthodontic double-speak. A description of a patient's condition as a "Class I m...

2505.

CLINICAL AID

Self-Locking Hemostats for Molar Banding

Volume 23 : Number 7 : Page 492 : Jul 1989

The sizing and cementation of lower second molar bands is one of the most difficult clinical procedures in the orthodontic office. Usually access is restricted and visibility poor. Often the distal su...

2506.

Effects of Enamel Conditioning on Bond Strength with a Restorative Light-Cured Glass Ionomer

Volume 29 : Number 10 : Page 0 : Oct 1995

Fixed orthodontic appliances make oral hygiene more difficult,1 and the accumulation of plaque around orthodontic brackets can promote enamel demineralization.2,3 Consequently, white-spot lesions are ...

2507.

CLINICAL AID

Archwire Organizer

Volume 31 : Number 10 : Page 702 : Oct 1997

Materials found in any orthodontic office can easily be used to make archwire holders, without having to buy expensive ready-made products. An archwire organizer is constructed as follows: Glue toget...

2508.

Buccal Mini-Implant Site Selection: The Mucosal Fallacy and Zones of Opportunity

Volume 46 : Number 7 : Page 434 : Jul 2012

The attached gingiva in the areas of the alveolus and the infrazygomatic crest has long been a favored site for buccal mini-implant placement.1,2 The rationale is that because an implant is a fixed an...

2509.

A Box Loop for Intrusion of an Overerupted Molar

Volume 48 : Number 4 : Page 256 : Apr 2014

Any longstanding posterior edentulous area promotes overeruption of the opposing teeth. The resulting space discrepancy may require orthodontic intrusion of the antagonists by methods including molar-...

2510.

Management of a Subgingivally Fractured Tooth with Miniscrew-Anchored Extrusion

Volume 50 : Number 9 : Page 0 : Sep 2016

Teeth with traumatic injuries, especially those in the esthetic region, can be challenging to restore to proper health and function. When a tooth is fractured below the level of the gingiva, the progn...

2511.

CLINICAL AID

Elastomeric Module Changer for Patient Use

Volume 30 : Number 10 : Page 575 : Oct 1996

Although ceramic brackets have made orthodontic treatment acceptable to many adults, staining of clear elastomeric ligature modules by certain foods can still create an unesthetic appearance. I now su...

2512.

PEARLS

Easy and Accurate Welding of Attachments to Bands

Volume 34 : Number 5 : Page 285 : May 2000

We have all experienced the problem of trying to weld an orthodontic attachment in a precise location on a band, only to have it move or fall off before the welding is finished. There is an easy way t...

2513.

PEARLS

Debonding Day

Volume 35 : Number 5 : Page 311 : May 2001

Any debonding in my office is the occasion for a small celebration (Fig. 1) at which the patient is given balloons, popcorn, and other "forbidden" foods, along with a Polaroid snapshot of his or her n...

2514.

CASE REPORT

Incisor Intrusion with Invisalign Treatment

Volume 40 : Number 3 : Page 171 : Mar 2006

Orthodontic intrusion can be effective in adult patients with periodontal disease,1,2 as long as light, continuous forces are used and excellent oral hygiene is maintained.3,4 Such treatment can reduc...

2515.

An Interdisciplinary Approach to Treating Impacted Canines Associated with Gummy Smiles

Volume 54 : Number 11 : Page 680 : Nov 2020

Dr. Manzo and colleagues describe a digital smile design combining orthodontic treatment, periodontal surgery, and direct composite veneer restorations to resolve the esthetic impairment created by an impacted upper canine, disproportionate dental arches, and excessive gingival exposure.

2516.

Impression Technique for Patients with Limited Mandibular Opening

Volume 29 : Number 3 : Page 0 : Mar 1995

The most frequent cause of hypomobility of the jaw, according to Rotskoff, is muscular trismus.1 Other possible causes include arthritis or synovitis of the temporomandibular joints,2 trauma to the co...

2517.

THE CUTTING EDGE

Age-Old Questions

Volume 38 : Number 2 : Page 93 : Feb 2004

Which works best? An .018" slot or an .022" slot? A standard edgewise system or the latest available prescription? Which is more cost-effective? Should we employ the same appliances in all circumstanc...

2518.

A Patient-Classification System for Invisalign Cases

Volume 43 : Number 8 : Page 0 : Aug 2009

The Invisalign system* offers many advantages over fixed appliances, including gentler tooth movement, fewer office visits, improved esthetics, and easier oral hygiene. Appropriate case selection is i...

2519.

Correcting Malaligned Mandibular Incisors with Removable Retainers

Volume 30 : Number 7 : Page 0 : Jul 1996

Removable spring retainers can be used to correct rotations and buccolingual malpositions. Conventional Hawley-type retainers, however, limit the direction of tooth movement, since the facial bow can ...

2520.

Translucency, Stain Resistance, and Hardness of Composites Used for Invisalign Attachments

Volume 50 : Number 3 : Page 0 : Mar 2016

Align Technology, the company behind Invisalign, shipped more than 422,300 clear-aligner prescriptions in 2013; as of 2015, the company supports 44,240 active providers, including both orthodontists and general practitioners. Perhaps the most important advantage of clear aligners, at least from the standpoint of patient acceptance and demand, is their esthetic appearance. To maintain that "invisible" look while achieving difficult movements such as rotation, composite attachments are bonded to the facial surfaces of teeth. Although Invisalign markets a dental restorative composite for making these attachments, some practitioners use orthodontic adhesives due to their convenience and availability. Because orthodontic adhesives are formulated for bonding brackets, however, their esthetic and mechanical properties may not be sufficient for making attachments. An aligner attachment needs to either match the color of the natural tooth or be translucent enough to blend with the underlying tooth. Translucency is preferable because it allows the use of one material for all patients and is more esthetic when working with polychromatic teeth. A second important esthetic consideration is the attachment's resistance to staining. Finally, the wear of composite attachments, as the patient repeatedly removes and replaces the aligners, is crucial because it may affect the retentive force of the aligner and thus lead to less efficient tooth movement.

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