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61.

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

62.

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.

63.

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.

64.

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...

65.

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

66.

PEARLS

Double-Ligation Technique for Rotated Teeth

Volume 50 : Number 4 : Page 258 : Apr 2016

Ligating a rotated tooth with a stainless steel wire is particularly difficult. The goal is to place the pigtail on the most rotated side to fully seat the wire into the bracket slot, but the problem ...

67.

PEARLS

An Innovative Tucker for the SmartClip System

Volume 50 : Number 8 : Page 503 : Aug 2016

Orthodontists commonly repurpose worn ligature cutters into debonding pliers. This Pearl describes a creative method for modifying a bracket tweezer into an instrument that can be used to seat the arc...

68.

PEARLS

An Easy Activation Technique for a Twin Block Appliance

Volume 50 : Number 10 : Page 620 : Oct 2016

In the absence of maxillary advancement screws, reactivation of a Twin Block appliance often requires the cumbersome and time-consuming addition of acrylic to the maxillary component. This Pearl highl...

69.

PEARLS

Effective Derotation of Canines and Premolars

Volume 50 : Number 11 : Page 700 : Nov 2016

Canines and premolars often erupt in malrotated positions, making proper bracket placement and wire engagement challenging. This Pearl describes the use of buccal and lingual buttons with segmented el...

70.

PEARLS

Measuring Bonded Lingual Retainers

Volume 51 : Number 5 : Page 294 : May 2017

Multistranded lingual retainers are commonly “eyeball” measured for length during bonding, which can result in a retainer that is too long or too short. The time needed to cut a new retainer wire exte...

71.

PEARLS

Extraction of Gingivally Retained Deciduous Teeth Using Orthodontic Elastics

Volume 51 : Number 8 : Page 480 : Aug 2017

The authors provide a creative method for loosening a retained deciduous tooth by placing an orthodontic elastic around its cementoenamel junction. The deciduous tooth is simply “squeezed” loose from its gingival attachment in a few days, with no discomfort and minimal bleeding. This technique works for small or large retained teeth.

72.

PEARLS

Forsus Reactivation with Composite Beads

Volume 51 : Number 10 : Page 677 : Oct 2017

The Forsus Fatigue Resistant Device commonly requires the addition of crimpable metal shims to the push-rods for reactivation. This Pearl shows how composite beads can serve as a simple alternative to the shims, using materials readily available in the office.

73.

PEARLS

Remote Retainer Fabrication Using Teledentistry

Volume 51 : Number 11 : Page 706 : Nov 2017

The author details how a replacement retainer was prescribed by an office in Virginia for a patient attending a wedding in Arizona, using digital scanning and teledentistry. The same technique can be applied to a distant Invisalign patient who is in need of refinement aligners.

74.

THE EDITOR'S CORNER

New Online Features for JCO Subscribers

Volume 54 : Number 11 : Page 655 : Nov 2020

This month, I want to turn over the podium to three other JCO editors, who will describe new online initiatives available to subscribers through our website. RGK Online Bonus Articles JCO receives hun...

75.

PEARLS

A Modified Wire Cutter

Volume 55 : Number 8 : Page 497 : Aug 2021

A ligature cutter is commonly used instead of a distal-end cutter to trim a short protruding wire. The authors show how to make a safety mechanism from acrylic and wax to catch the trimmed wire pieces, preventing any swallowing or soft-tissue injury.

76.

PEARLS

The G-Bridge to Reduce Mesial Incisor Tipping after Maxillary Expansion

Volume 56 : Number 7 : Page 428 : Jul 2022

After rapid maxillary expansion, a wide diastema commonly appears between the upper central incisors. The authors’ technique temporarily fills the diastema with a bridge made from a bulk-fill flow composite, which also avoids spontaneous mesial incisor tipping into the space.

77.

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.

78.

PEARLS

Selective Bracket Bonding for Torque Correction

Volume 58 : Number 1 : Page 57 : Jan 2024

One of the most common issues involved in clear aligner therapy is a loss of root control. In this Pearl, a sectional fixed appliance is used to torque a buccally displaced premolar root back into the dentoalveolus.

79.

TECHNIQUE CLINIC

Making Mesial Molar Movement Manageable with Aligners

Volume 58 : Number 1 : Page 67 : Jan 2024

Attempts to achieve substantial molar mesialization with clear aligners often result in tilted molars that are difficult to recover. Dr. Nicozisis illustrates how to build a dual or “yin-yang” type of attachment that creates a force couple for uprighting the molars.

80.

PEARLS

Active Power Arm for Extraction-Space Closure with Clear Aligners

Volume 58 : Number 4 : Page 257 : Apr 2024

Controlling canine root tip with clear aligners can be challenging. These authors bond an activated TMA power arm directly to the canine, incorporating vertical attachment slots with gingival cutouts in the aligners to provide space for the added wire.

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