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41.

PEARLS

A Windowed Temporary Crown for a Peg-Shaped Lateral Incisor

Volume 52 : Number 10 : Page 559 : Oct 2018

Spaces created prior to restoration of a peg-shaped lateral incisor are traditionally maintained with closed-coil springs. This Pearl shows an esthetic alternative: a temporary crown with a window that allows a bracket to remain bonded to the incisor surface during retraction and space closure.

42.

PEARLS

Mini-Implants as Bone Maintainers

Volume 53 : Number 8 : Page 479 : Aug 2019

Vertically positioned miniscrews with pontics have long been used for tooth replacement in adolescent patients. This Pearl offers a variation of that technique, describing the insertion of a horizontal miniscrew beneath a Maryland bridge to halt the progression of alveolar ridge atrophy.

43.

PEARLS

A Crimpable Stopper for Tooth Rotation

Volume 54 : Number 6 : Page 369 : Jun 2020

Bonding a bracket to a severely rotated tooth is difficult because of the lack of space. Dr. Masters proposes a crimpable archwire stopper as an alternative to a bonded eyelet for derotating a lower canine, as demonstrated in an adult patient.

44.

PEARLS

Improving the Bond Strength of Molar Tubes

Volume 56 : Number 10 : Page 595 : Oct 2022

This month’s Pearl shows how adding a small amount of composite over the occlusal portion of a molar tube can increase the surface area of the base and thus deflect force and enhance bond strength, preventing bond failures.

45.

PEARLS

Indirect Rebonding Transfer Tray Following Magnetic Resonance Imaging

Volume 57 : Number 6 : Page 359 : Jun 2023

When a patient needs to have fixed appliances removed for an MRI, a single intraoral scan can be used to produce both a temporary Essex retainer and an indirect transfer tray, allowing the brackets to be replaced in the same positions.

46.

PEARLS

The Piston Elastic for Uprighting an Ectopic Molar

Volume 57 : Number 7 : Page 407 : Jul 2023

Early correction of a mesio-angulated first permanent molar is crucial to avoid root resorption of the second deciduous molar. In this simple Pearl, a stiff wire segment pushes off the deciduous molar to distalize the permanent molar.

47.

PEARLS

A Mini-Implant-Supported Canine Cantilever Spring

Volume 57 : Number 8 : Page 479 : Aug 2023

Early extrusion of a palatally impacted upper canine is enabled by a skeletally anchored cantilever arm. Two bracket-head miniscrews are inserted with their slots aligned for proper torque expression. The canine can be erupted within six months, independent of the adjacent teeth.

48.

PEARLS

Effective Isolation and Bonding of Mandibular Second Molars

Volume 58 : Number 2 : Page 117 : Feb 2024

In this Pearl, Dr. Jarosz connects a saliva ejector to a cheek-and-tongue retractor to provide buccal and lingual isolation for bonding lower second molars. Bite turbos on the adjacent first molars prevent debonding of the molar tubes.

49.

PEARLS

Correction of Occlusal-Plane Cant Using Spee-Anti-Spee Wires

Volume 58 : Number 5 : Page 289 : May 2024

A canted occlusal plane is a challenging problem that can affect facial esthetics. In this Pearl, after initial leveling and alignment, rectangular TMA archwires are configured with Spee and anti-Spee bends on opposite sides to compensate for the cant.

50.

PEARLS

Customized Metal-Printed Appliance for Molar Derotation and Distalization

Volume 58 : Number 6 : Page 377 : Jun 2024

This Pearl illustrates a completely digital workflow in which computer-aided design and selective laser melting are used to print a customized appliance that can accomplish the challenging movements of upper first-molar derotation and distalization with ample anchorage.

51.

PEARLS

Single-Tooth Gingivectomy with a Ceramic Bur

Volume 58 : Number 8 : Page 503 : Aug 2024

Gingivectomy with a diode laser can be expensive and expose patients to unnecessary radiation. In this Pearl, Drs. Huang, Hayes, Weissheimer, and Kravitz outline a fast, simple, and inexpensive protocol for soft-tissue removal with a ceramic bur.

52.

Product News in the November 2024 Issue

Volume 58 : Number 11 : Page 713 : Nov 2024

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

53.

PEARLS

Multiloop Surgical Archwire as an Alternative to Crimpable Lugs

Volume 58 : Number 12 : Page 775 : Dec 2024

In this Pearl, the authors present an alternative to using crimpable lugs on a surgical archwire for the attachment of heavy intermaxillary elastics. Bending an archwire with multiple interbracket loops eliminates the potential for detachment or lip irritation.

54.

PEARLS

Use of Elastomeric Chain and Open-Coil Spring to Correct a Severely Rotated Premolar

Volume 59 : Number 2 : Page 107 : Feb 2025

To simplify the derotation of a severely rotated premolar, this Pearl introduces a technique involving the use of an elastomeric chain to compress an open-coil spring to one-third of its length, enabling the spring to exert a distal force on the posterior end of the chain.

55.

PEARLS

Inverted Elastomeric Ligatures with Guards for Lower-Lip Hypertonicity

Volume 59 : Number 4 : Page 249 : Apr 2024

A hypertonic lower lip can press forcefully against the lower brackets, causing painful indentations in the mucosa. As a solution, this Pearl describes how to use upside-down elastomeric ligatures with guards to protect the soft tissue like a lip bumper.

56.

PEARLS

Attachment Beauty Queen: The "Sash" for Rotation Correction of Upper Lateral Incisors

Volume 50 : Number 3 : Page 0 : Mar 2016

One the most challenging movements to make with is rotation correction of the upper lateral incisors. Conventional attachments are often unable to prevent the aligner from slipping off the facial surface of the tooth. In this Pearl, Invisalign expert Dr. Jonathan Nicozisis describes his "sash" attachment design. Having used it numerous times, I promise it will become your favorite technique for controlling stubborn malrotated lateral incisors. NEAL D. KRAVITZ, DMD, MS, Associate Editor for Pearls

57.

PEARLS

Phase I Retainer with Pontics for Ectopic Canines

Volume 59 : Number 1 : Page 65 : Jan 2025

Treatment of palatally displaced canines may require Phase I expansion and removal of the anterior deciduous teeth, but many children are reluctant to proceed with the extractions. This Pearl describes a Phase I retainer with pontics that can be used to resolve their concerns.

58.

PEARLS

Eruption of a Palatally Displaced Canine

Volume 59 : Number 3 : Page 194 : Mar 2025

In this Pearl, Dr. Mumtaz introduces a technique involving an arm with multiple loops bent from rectangular stainless steel wire, which is attached to a palatal TAD to erupt an impacted canine.

59.

LETTERS

J-Hook Headgear Safety

Volume 41 : Number 5 : Page 257 : May 2007

Regarding the "Pearl" on "J-Hook Headgear Safety" by Dr. S. Everett Rushing (JCO, October 2006): Like Dr. Rushing, I like J-hook headgears because Jack Hickham was one of the finest orthodontists I ev...

60.

PEARLS

Double Traction for Lower- First-Molar Space Closure

Volume 50 : Number 2 : Page 118 : Feb 2016

Protraction of a lower molar through an edentulous space is particularly challenging. Archwire bends alone are often unable to prevent tipping and rotation of the molar. This Pearl offers a simple technique that provides lingual support during lower-molar protraction, thus improving the efficiency of space closure and avoiding unwanted tooth movement. NEAL D. KRAVITZ, DMD, MS Associate Editor for Pearls

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