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41.

Correction of Severe Overbite and Gummy Smile in Patients with Bimaxillary Protrusion

Volume 44 : Number 4 : Page 237 : Apr 2010

Deep overbite can be corrected by several means, including extrusion of posterior teeth, flaring of lingually tipped anterior teeth, intrusion of incisors, and orthognathic surgery.1-3 The tendency of...

42.

A Rapid Maxillary Expander with Differential Opening

Volume 48 : Number 7 : Page 430 : Jul 2014

A significant percentage of complete cleft lip and palate (CLP) patients who have undergone lip and palate surgeries in infancy or early childhood will later present with maxillary arch constriction. ...

43.

Biomechanics of Skeletal Anchorage, Part 3: Intrusion

Volume 42 : Number 5 : Page 270 : May 2008

Deep bite is usually corrected by incisor intrusion, often by means of segmented arch mechanics with molar anchorage.1-3 With the introduction of skeletal anchorage, the molars can also be intruded to...

44.

CASE REPORT

Posterior Intrusion Using Skeletal Anchorage in a Patient with Severe Acid Erosion

Volume 47 : Number 4 : Page 249 : Apr 2013

Acid or dental erosion, also known as perimolysis, is a loss of tooth enamel caused by stomach problems such as vomiting, frequent regurgitation, or gastroesophageal reflux or by a high intake of acid...

45.

The Easy Driver for Placement of Palatal Mini-Implants and a Maxillary Expander in a Single Appointment

Volume 51 : Number 11 : Page 728 : Nov 2017

This digitally produced insertion guide simplifies one-visit placement of a Hybrid Hyrax expander for early orthopedic treatment of Class III malocclusion. Alternating maxillary and expansion and constriction are followed by a protraction facemask in the example shown by the authors.

46.

CASE REPORT

Miniscrew Anchorage for Posterior Crossbite Correction in an Adult Patient

Volume 52 : Number 3 : Page 165 : Mar 2018

Drs. de Brito, Simões, and Machado resolve a unilateral posterior crossbite and lower anterior crowding in only 15 months. Buccal and palatal miniscrews are used initially to anchor elastic chain for molar intrusion. After leveling with fixed appliances, intermaxillary elastics are added to extrude the molars into occlusion.

47.

PEARLS

Inserting Auxiliary Springs into the Acrylic of Rapid Palatal Expanders

Volume 53 : Number 6 : Page 355 : Jun 2019

This Pearl shows how to add a removable finger spring to a standard Haas expander by embedding a tube into the acrylic. The spring can then be used to correct simple problems such as anterior crossbite or midline shift during the passive stabilization period after expansion.

48.

CASE REPORT

Comprehensive Treatment of Severe Cleft Lip and Palate

Volume 53 : Number 6 : Page 357 : Jun 2019

Drs. Ribeiro, Lurentt, Pary, and Suedam detail the treatment of an adult female who had undergone surgery for cleft lip and palate as a child, but had not received clinical care during craniofacial growth. Orthodontic expansion is followed by orthognathic surgery, bone grafting, and secondary plastic surgeries.

49.

A New Jig Design for Molar Distalization with Skeletal Anchorage

Volume 54 : Number 5 : Page 302 : May 2020

Sliding jigs can now be combined with temporary anchorage devices to optimize biomechanics for unilateral Class II correction. The authors describe how to fabricate an efficient, esthetic, and inexpensive jig from beta titanium or stainless steel wire.

50.

CASE REPORT

An Effective Approach to Correcting Anterior Crossbite in a Class III Patient

Volume 54 : Number 11 : Page 705 : Nov 2020

When early treatment is impossible, permanent teeth can be moved to compensate for a skeletal Class III discrepancy and anterior crossbite. The authors demonstrate the use of a 2 × 4 appliance and acrylic biteplane to correct a late-diagnosed skeletal Class III malocclusion.

51.

CAD/CAM-Guided Microscrew Insertion for Horseshoe Distalization Appliances

Volume 54 : Number 7 : Page 384 : Jul 2021

The horseshoe palatal anchorage plate relies on precise microscrew positioning to facilitate three-dimensional control of tooth movement, while simplifying the insertion procedure and reducing patient discomfort. Dr. De Gabriele and colleagues present two typical skeletal Class II cases.

52.

CASE REPORT

Retreatment of a Skeletal Class III Malocclusion Using Mandibular Extra-Alveolar Mini-Implants

Volume 55 : Number 9 : Page 561 : Sep 2021

Extra-alveolar skeletal anchorage in the mandibular buccal shelf can allow the entire mandibular dentition to be distalized, avoiding the need for extractions, Class III elastics, or other compensatory strategies, as a case report illustrates.

53.

"Bone First" Principle with CAD/CAM Insertion Guides for Mini-Implant-Assisted Rapid Palatal Expansion

Volume 56 : Number 3 : Page 158 : Mar 2022

In this MARPE protocol, Dr. Wilmes and colleagues prioritize the selection of mini-implant insertion sites with the most available bone, rather than the placement of a prefabricated expander. The application of their Quadexpander is demonstrated in two non-growing patients.

54.

PEARLS

Management of Dentoalveolar Maxillary Asymmetry During Rapid Maxillary Expansion in the Mixed Dentition

Volume 56 : Number 9 : Page 535 : Sep 2022

Rapid maxillary expansion sometimes produces an unwanted unilateral buccal crossbite. This Pearl uses functional turbos bonded to the lower molars to keep the mandible centered during palatal expansion, thus avoiding the development of a skeletal asymmetry.

55.

Facial Growth Modification with a Bone-Anchored Herbst Appliance Part I

Volume 58 : Number 9 : Page 532 : Sep 2024

In the first installment of this two-part series, Drs. De Clerck, Timmerman, Siciliano, and Nguyen and Ms. Vloebergh describe how conventional or bone-anchored Herbst appliances can correct a skeletal Class II malocclusion. Guidelines for using three-dimensional surface models to measure this correction are provided.

56.

Facial Growth Modification with a Bone-Anchored Herbst Appliance Part 2

Volume 58 : Number 10 : Page 608 : Oct 2024

In the second installment of this two-part series, Drs. De Clerck, Timmerman, Nguyen, Jacobs, and Siciliano treat three patients with a novel hybrid Herbst appliance consisting of an upper customized frame and RPE connected to miniplates in the lower-canine region.

57.

CASE REPORT

Multidisciplinary Treatment of an Adult Patient with a Labiopalatal Cleft

Volume 34 : Number 11 : Page 667 : Nov 2000

Patients with labiopalatal clefts have a number of soft-tissue, developmental, and dental problems that must be addressed before orthodontic treatment can be successful. Soft-tissue sequelae affect ma...

58.

Sonosurgery and a Skeletally Supported Expander for Minimally Invasive Maxillary Expansion in Adults

Volume 59 : Number 5 : Page 306 : May 2025

As an alternative to SARPE, Drs. De Gabriele, Tarraf, and Wilmes present a new, minimally invasive method for midpalatal suture release through vertical subtotal osteotomy with sonosurgery, which can be used to prepare patients for maxillary expansion with a boneborne Quadexpander.

59.

Use of a Modified Butterfly Expander to Increase Anterior Arch Length

Volume 37 : Number 9 : Page 490 : Sep 2003

This article shows how a maxillary transverse discrepancy can be corrected by using a modified rapid maxillary expander to increase the incisor-canine arch length while maintaining the intermolar widt...

60.

CASE REPORT

Distalizer Treatment of an Adult Class II, Division 2 Malocclusion

Volume 40 : Number 9 : Page 0 : Sep 2006

An adult patient with a severe Class II, division 2 malocclusion requires careful diagnosis and treatment planning. Camouflage treatment may be possible if the first premolars can be extracted without...

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