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3081.

PEARLS

Modified Bite-Block Rapid Maxillary Expander

Volume 53 : Number 1 : Page 53 : Jan 2019

Rather than bonding the acrylic pads of a bite-block expander to the teeth, the authors band this appliance to the second deciduous molars. A pivotal opening allows the patient to perform oral hygiene.

3082.

PEARLS

Avoiding Yellow Discoloration of Clear Elastomeric Modules

Volume 53 : Number 2 : Page 115 : Feb 2019

Unsightly yellowing of clear elastomeric ligatures from food products such as mustard or curry is a common concern among patients wearing ceramic brackets. The authors propose using pale lavender ligature ties, which turn a neutral off-white when combined with yellow.

3083.

TECHNIQUE CLINIC

Relapse Correction Using a Modified Spring Aligner and Expansion Screw

Volume 53 : Number 6 : Page 334 : Jun 2019

The authors describe a simple modification to a lower retainer, using a 7mm anteroposterior jackscrew, that can alleviate moderate lower anterior crowding due to relapse. The expansion screw not only provides substantial activation, but is easy to fit and insert.

3084.

PEARLS

Mouthpiece Modification for Herbst Appliances

Volume 53 : Number 7 : Page 429 : Jul 2019

This Pearl shows how to modify the cheek protection shields and occlusal tabs of an Ultra-Guard sports mouthpiece so that it fits comfortably under the telescoping arms of a Herbst appliance. The procedure can be adapted to work with other bite-jumping devices as well. Includes video.

3085.

PEARLS

Etching Mask for Invisalign Attachments

Volume 54 : Number 3 : Page 173 : Mar 2020

A duplicate attachment template tray is ordered from Align Technology and then modified with a scalpel to remove the composite wells. The modified tray is used as a mask to control etchant placement and thus limit the amount of flash, simplifying the bonding appointment.

3086.

A Modified Pontic Appliance for Treatment of Impacted Maxillary Canines

Volume 55 : Number 8 : Page 460 : Aug 2021

A patient with an impacted upper canine and retained predecessor may be reluctant to have the deciduous tooth extracted because of the resulting unesthetic edentulous space. Drs. Harrison and Park describe a versatile pontic appliance that can be used for temporary camouflage.

3087.

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.

3088.

Product News in May 2022 Issue

Volume 56 : Number 5 : Page 313 : May 2022

PRODUCT NEWS is presented as a service to the reader and in no way implies endorsement by JCO.

3089.

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.

3090.

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.

3091.

CASE REPORT

Nonsurgical Treatment of Anterior Crossbite in a Cleft Lip and Palate Patient Using a Fan-Type Rapid Palatal Expander and Fixed Appliances

Volume 57 : Number 7 : Page 397 : Jul 2023

In cleft patients, a maxillary transverse deficiency is often more pronounced in the anterior region. A report of a skeletal Class III case shows how a banded fan-type palatal expander can promote differential expansion and avoid unwanted posterior side effects.

3092.

PEARLS

Selective Bracket Bonding for Correction of Mesial Rotations

Volume 57 : Number 9 : Page 511 : Sep 2023

In this Pearl, a relatively well-aligned tooth is initially left unbracketed to allow placement of an open-coil nickel titanium spring that can rotate two adjacent crowded teeth in opposite directions. An example demonstrates quick resolution of a patient’s anterior crowding.

3093.

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.

3094.

PEARLS

Lassoed Lateral: A Reliable Method for Stabilizing Pontics

Volume 59 : Number 5 : Page 315 : May 2025

This Pearl details a technique for using a stainless steel ligature to securely attach a pontic to a bracket, reducing the chance that it will become unstable or detach over the course of treatment.

3095.

Retrospective on Progressive Dentofacial Changes After Treatment and Retention, Part I: A Report on 21 Cases Averaging 14 Years Retention-Free

Volume 4 : Number 4 : Page 193 : Apr 1970

The test of a diagnostic and treatment system is the final result years after treatment and retention have been terminated. An inventory of our own progress over the years provides an appraisal of the...

3096.

Clinical Consequences of Splint-Induced Malocclusions

Volume 58 : Number 11 : Page 680 : Nov 2024

Drs. Greene and Ditmarov review the historical beliefs behind splint therapy in TMD treatment, recount several cases of iatrogenic changes caused by improper splint use, and discuss current evidence-based protocols for managing TMD with oral appliances.

3097.

Asymmetric Application of the Jasper Jumper in the Correction of Midline Discrepancies

Volume 32 : Number 3 : Page 170 : Mar 1998

Significant midline discrepancies, often due to anchorage loss, must sometimes be corrected during the last phase of orthodontic treatment. Although asymmetrical intermaxillary elastics are the most p...

3098.

Multidisciplinary Management of Double-Tooth Anomalies

Volume 43 : Number 7 : Page 0 : Jul 2009

A double tooth is a congenital anomaly in which two adjacent teeth are joined at the crown level (enamel and dentin), forming a single tooth with an enlarged crown.1 Although the cause is unknown, gen...

3099.

CASE REPORT

Miniscrew-Assisted Treatment of a Transposed and Horizontally Impacted Upper Central Incisor

Volume 51 : Number 8 : Page 461 : Aug 2017

The authors describe the successful correction of a rare upper lateral-central incisor transposition associated with dilaceration and horizontal impaction of the central incisor. Cone-beam computed tomography is used for diagnosis and a miniscrew with a special accessory wire for indirect anchorage.

3100.

CASE REPORT

Miniscrew Anchorage for Treatment of Severely Proclined Upper Anterior Teeth in a Class II, Division 1 Malocclusion

Volume 55 : Number 8 : Page 485 : Aug 2021

This report shows a Class II, division 1 patient with severe upper anterior protrusion, in whom anchorage from bilateral miniscrews was used to correct both sagittal and vertical discrepancies with one-stage en-masse retraction.

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