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2561.

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.

2562.

Tooth Whitening in Association with Clear Aligner Treatment

Volume 53 : Number 9 : Page 508 : Sep 2019

Drs. Oliverio, Cremonini, Lombardo, and Siciliani designed this clinical study of 38 orthodontic patients to evaluate the efficacy of various at-home whitening protocols when the bleaching agents were sprayed directly onto the interior surfaces of clear aligner trays.

2563.

Self-Ligation in the Year 2000

Volume 34 : Number 2 : Page 74 : Feb 2000

The first self-ligating bracket, the Russell attachment, was developed by a New York orthodontic pioneer, Dr. Jacob Stolzenberg, in the early 1930s.1 This bracket had a flat-head screw seated snugly i...

2564.

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...

2565.

A New Method of Retention

Volume 7 : Number 12 : Page 744 : Dec 1973

This method of retention is a bonding technique using NuvaSeal, which was developed as a pit and fissure sealant. I first used NuvaSeal in my practice on tooth surfaces judged to be highly susceptible...

2566.

THE EDITOR'S CORNER

When in Doubt, Cut It Out

Volume 24 : Number 11 : Page 0 : Nov 1990

When in Doubt, Cut It OutWhen I was invited to speak to the Nebraska Orthodontic Society recently, one of the chief appeals was the opportunity to enjoy a famous Omaha steak, which turned out to be ev...

2567.

The Effectiveness of an Elastomeric Module Dispenser in Cross-Infection Control

Volume 32 : Number 12 : Page 721 : Dec 1998

Orthodontic patients and staff members are exposed to transmission of infectious agents through direct contact (for example, with infected blood), indirect contact (from injury with contaminated instr...

2568.

CASE REPORT

Interdisciplinary Management of a Large Multicystic Ameloblastoma in the Mandible

Volume 59 : Number 2 : Page 87 : Feb 2025

Drs. Duggal, Shafer, Bidra, and Uribe describe the multidisciplinary treatment of an adult patient with a multicystic ameloblastoma in the lower jaw who underwent surgical resection and reconstruction of the mandible, followed by orthodontic intervention to prepare for an implant-supported prosthesis.

2569.

A Technique for Early Class III Treatment, Part V: MED in Extraction Cases

Volume 2 : Number 6 : Page 0 : Jun 1968

We now come to the most controversial material which will be presented in this series--the Modified Edgewise Technique in extraction cases. The rationale of early Class II treatment is based on three ...

2570.

JPO Q&A

Volume 3 : Number 8 : Page 426 : Aug 1969

Lower anterior extraction Q When, if ever, is it justifiable to extract a mandibular central or lateral in orthodontic treatment? A Our consultants are as divided as the rest of the profession on this...

2571.

Permanent Fixed Lingual Retention

Volume 35 : Number 12 : Page 728 : Dec 2001

Most patients seek orthodontic treatment for cosmetic reasons1,2 and assume that their orthodontic alignment, especially of the visible anterior teeth, will last a lifetime. Long-term post-treatment s...

2572.

An Uprighting Appliance for Impacted Mandibular Second and Third Molars

Volume 40 : Number 2 : Page 110 : Feb 2006

For patients who have missing first molars or whose first molars need to be extracted, the ideal orthodontic treatment is to move the other molars mesially into the first molar spaces. Unfortunately, ...

2573.

CASE REPORT

Nonextraction Treatment of Severe Crowding with a Self-Ligating Appliance

Volume 54 : Number 12 : Page 765 : Dec 2020

The arch expansion that can be obtained with self-ligating brackets and high-tech archwires can avoid the need for extractions. In this case, transverse development is used to correct extreme lower crowding in an adult patient without adversely affecting his balanced profile.

2574.

JCO Interviews Dr. Jack G. Dale on Serial Extraction, Part 3

Volume 10 : Number 3 : Page 196 : Mar 1976

This is the final installment in this series. The first two appeared in the January and February issues.DR. BRANDT How do you apply growth prediction to serial extraction decisions? DR. DALE Dr. Tweed...

2575.

Disinfection of Removable Appliances

Volume 19 : Number 4 : Page 293 : Apr 1985

As more orthodontists use removable appliances, there is an increased ethical and legal responsibility to prevent the spread of infectious diseases that can be carried on these appliances. Removable r...

2576.

Unusual Extraction Combinations in Patients with Impacted Maxillary Canines

Volume 53 : Number 10 : Page 603 : Oct 2019

Surgical removal of an ectopically impacted upper canine and substitution by the first premolar can be an option in suitable adult patients. Dr. Al Shhab and colleagues show how the extraction of a lower first molar with poor prognosis can contribute to successful arch alignment in such a case.

2577.

THE EDITOR'S CORNER

The Value of Analog in a Digital World

Volume 32 : Number 3 : Page 133 : Mar 1998

A study recently published in the Journal of the American Medical Association revealed a disturbing diagnostic deficit among physicians training for primary-care practice. They are terribly inept at u...

2578.

THE EDITOR'S CORNER

Koch Goes to Dental School

Volume 34 : Number 8 : Page 451 : Aug 2000

My transition from private professional life to an academic one at the University of Texas Health Science Center in San Antonio is only a few months old. I came to UTHSCSA to direct the new orthodonti...

2579.

THE EDITOR'S CORNER

The Indirect Approach

Volume 41 : Number 11 : Page 651 : Nov 2007

Indirect bonding has been the subject of innumerable papers and meeting presentations since it first appeared in the orthodontic literature in the mid-'70s.1-5 The reasons for using indirect bonding a...

2580.

Patient Compliance with Removable Clear Aligner Therapy

Volume 52 : Number 12 : Page 710 : Dec 2018

In this retrospective clinical study, Dr. James Crouse reviews the records of 220 patients from his practice to assess their coooperation with aligner wear. Comparisons are tabulated by patient sex and age group, and tips for managing compliance are offered.

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