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3741.

Creative Adjuncts for Clear Aligners, Part 2: Intrusion, Rotation, and Extrusion

Volume 49 : Number 3 : Page 162 : Mar 2015

Part 1 in this series of articles (JCO, February 2015) described a number of adjuncts for improving the reliability of Class II treatment with clear aligners. This month, we will demonstrate how to pe...

3742.

CASE REPORT

An Alternative Method for Correcting Unilateral Posterior Crossbite with Functional Shift in an Adolescent Patient

Volume 49 : Number 8 : Page 525 : Aug 2015

Unilateral posterior crossbite (UPC) is frequently observed in children, with an incidence ranging from 8.7% to 23.3%.1 An associated functional shift of the mandible appears in 80% of the patients wi...

3743.

Biomechanics of Lower Second-Molar Protraction Using a New Appliance

Volume 50 : Number 12 : Page 736 : Dec 2016

The technique of using absolute anchorage from endosseous implants for protraction of lower molars was introduced by Roberts and colleagues.1 Since the development of mini-implants, many more clinicia...

3744.

Anatomical Limits for Distalization of Lower Posterior Molars with Micro-Implant Anchorage

Volume 53 : Number 5 : Page 305 : May 2019

Based on conventional lateral cephalograms, the anterior border of the ascending ramus has been considered the limit for lower molar distalization. Drs. Kim, Jang, and Park use computed tomography to provide visual evidence of a more realistic anatomical limit.

3745.

ALIGNER CORNER

A Hybrid Approach to Clear Aligner Therapy in Lower-Incisor Extraction Cases

Volume 56 : Number 4 : Page 211 : Apr 2022

Drs. Lombardo, Pepe, Carlucci, and Cremonini present an approach in which bonded lingual buttons and archwire segments are used to correct severe lower anterior crowding in conjunction with clear aligner treatment. The case shown here was completed in only six months.

3746.

ALIGNER CORNER

EX 30 vs. SmartTrack Materials in Maxillary Expansion with the Invisalign System

Volume 56 : Number 6 : Page 343 : Jun 2022

In a retrospective study of 108 patients, two Invisalign materials are compared in terms of their efficacy and predictability in achieving maxillary expansion. Intercanine, interpremolar, and intermolar widths are measured at both the gingival and cusp levels.

3747.

ALIGNER CORNER

Prospective Multicenter Investigation of Invisalign Treatment with the Mandibular-Advancement Feature: An Interim Report

Volume 56 : Number 8 : Page 458 : Aug 2022

In an ongoing study by Drs. Glaser, Tai, Blevins, and Daher, the effectiveness of Invisalign’s MA protocol is evaluated as an alternative to removable functional appliances in growing Class II patients. Results include a significant reduction in overjet.

3748.

Hybrid Aligner Therapy for Growing Patients with Anterior Open Bites

Volume 56 : Number 10 : Page 580 : Oct 2022

As Dr. Lombardo and colleagues describe, an interceptive phase of rapid maxillary expansion and elimination of oral habits can simplify subsequent Phase II treatment with clear aligners in young open-bite patients. Two cases illustrate this hybrid approach.

3749.

Maxillary Expansion and Protraction Using Mini-Implants and the Benefit Direct Mechanism

Volume 56 : Number 12 : Page 708 : Dec 2022

The Benefit Direct miniscrew attaches to a Hybrid Hyrax frame using a specially designed ring, as described by Dr. Wilmes and colleagues. This system enables an “appliance-first” approach while customizing the expander to situate the mini-implants in the best palatal bone.

3750.

Mesialslider for Treatment of Congenitally Missing Upper Lateral Incisors

Volume 58 : Number 8 : Page 489 : Aug 2024

The Mesialslider enables clinicians to protract the posterior teeth without unintended changes in tooth positions. Drs. Campoy Ferrer, Northway, and Wilmes present the use of this appliance to treat a 16-year-old patient with missing upper lateral incisors.

3751.

ALIGNER CORNER

Treatment of a Class II, Division 1 Malocclusion and Ectopic Canines with Invisalign Mandibular Advancement and the Bootstrap Technique

Volume 59 : Number 3 : Page 166 : Mar 2025

In this edition of the Aligner Corner, the authors describe the use of the Invisalign system’s mandibular advancement feature to treat a Class II, division 1 malocclusion, assisted by bootstrap elastics for the extrusion of ectopic canines.

3752.

CASE REPORT

Nonsurgical Management of an Anterior Open Bite in a Young Adult

Volume 59 : Number 6 : Page 20250601 : Jun 2025

The 2025 JCO Student of the Year addresses an anterior open bite potentially caused by occlusal splint wear with a nonsurgical approach involving strategic use of elastics and extraction of the lower left incisor.

3753.

CASE REPORT

Management of a Geminated Tooth and Supernumeraries in a Patient with Acromesomelic Dysplasia, Maroteaux Type

Volume 59 : Number 8 : Page 518 : Aug 2025

Drs. Chang, Azami, Chen, and Yadav discuss the case of a patient with this rare skeletal dysplasia who presented with a geminated upper right central incisor and multiple supernumeraries, enabling a unique treatment approach involving two tooth substitutions.

3754.

Where Teeth Should Be Positioned in the Face and Jaws and How To Get Them There

Volume 31 : Number 9 : Page 586 : Sep 1997

Contrary to conventional thought, the optimum position of the teeth in the face should be determined by the position of the maxillary incisors, rather than the mandibular incisors. To achieve optimum ...

3755.

A Practical Approach to the Tongue Thrust Problem

Volume 2 : Number 3 : Page 0 : Mar 1968

Orthodontists are aware that habits must be eliminated, preferably before instituting mechanotherapy. A practical approach to the tongue thrust problem, which has proven most effective in my practice,...

3756.

TECHNIQUE CLINIC

Model Miscellany

Volume 5 : Number 2 : Page 82 : Feb 1971

1. Trimming Unless models are trimmed in a standard way, there is no real basis for comparison and especially no judgment about what happened to the inclination of the upper anterior teeth in treatmen...

3757.

New Design Positioner

Volume 15 : Number 1 : Page 68 : Jan 1981

In their present design, positioners are not very comfortable. The result is that many patients do not wear positioners as prescribed, and teeth are not retained well nor improved in position. Many or...

3758.

CLINICAL AID

Elastomeric Ligature Dispensers

Volume 26 : Number 4 : Page 238 : Apr 1992

Elastomeric ligatures represent a cross-contamination problem that many orthodontists have yet to address. One proposed solution is to cut canes of ligatures into individual patient segments of 10 to ...

3759.

Pain-Free Debonding with Occlusal Rim Wax

Volume 28 : Number 10 : Page 0 : Oct 1994

Orthodontists have tried several techniques to mitigate the pain associated with debonding. It is axiomatic that the better stabilized the teeth are, the better they are able to resist the torsional d...

3760.

TECHNIQUE CLINIC

Determining Archwire Length

Volume 30 : Number 1 : Page 14 : Jan 1996

Clinicians often find it difficult to estimate the lengths of wire needed for archwires--particularly when using initial or multistranded wires, which may require extra length to engage severely malal...

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