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81.

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.

82.

PEARLS

Active Nickel Titanium Lingual Retainer for Minor Tooth Movement

Volume 51 : Number 5 : Page 308 : May 2018

Incisor crowding can relapse even when lingual retainers are bonded or when patients are dedicated in wearing removable retainers. This Pearl reviews the use of an “active” nickel titanium lingual retainer to achieve minor recorrections without the need for compliance.

83.

PEARLS

Measuring the Torque on the Terminal End of an Archwire

Volume 52 : Number 0 : Page 346 : Jun 2018

An orthodontist sometimes needs to add buccal root torque to the finishing archwire to resolve a hanging palatal molar cusp. This Pearl shows how a standard plastic protractor can be modified to precisely determine the amount of torque on the terminal end of the wire.

84.

PEARLS

Bonded Attachment for Severely Rotated Teeth

Volume 52 : Number 9 : Page 476 : Sep 2018

When a tooth is severely rotated, the lack of accessible surface area can make it difficult to bond an attachment. The Jadex eyelet, fabricated at the chair from stainless steel ligature wire, is easily bonded to achieve quick derotation.

85.

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.

86.

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.

87.

PEARLS

Composite Build-Up of Infraoccluded Second Deciduous Molars

Volume 53 : Number 5 : Page 290 : May 2019

Lack of a successor to a lower second deciduous molar can cause supraeruption of the opposing upper premolar. This Pearl shows how to add flowable resin to the infraoccluded deciduous molar to restore function and esthetics during the retention phase.

88.

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.

89.

PEARLS

An Alternative Technique for Miniscrew-Assisted Rapid Palatal Expander Fabrication and Placement

Volume 53 : Number 11 : Page 669 : Nov 2019

The authors’ vacuformed plastic surgical guide allows a boneborne MARPE to be employed without the extension arms, which reportedly cause some dental expansion. A simple procedure for fabrication and placement of the appliance is described and illustrated.

90.

PEARLS

Intruding a Single Overerupted Tooth with a Modified Clear Removable Tray

Volume 59 : Number 12 : Page 808 : Dec 2025

As an alternative to more complicated approaches for intrusion of a single tooth, a clear tray is modified with scissor cuts, allowing the patient to hook a small elastic on the lingual side of the tray, stretch it across the occlusal surface, and hook it on the buccal side.

91.

PEARLS

Simple and Secure Ligation Technique for Anterior Intrusion Using a Miniscrew

Volume 54 : Number 2 : Page 121 : Feb 2020

In this Pearl, an elastomeric chain is engaged from a palatal miniscrew head to two gingivally oriented loops on the main archwire. The resulting upper incisor intrusion can rapidly close a midline diastema without the need for frequent reactivation.

92.

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.

93.

PEARLS

Posterior Functional Bite Turbos for Sagittal Correction

Volume 54 : Number 7 : Page 435 : Jul 2021

This Pearl describes the application of functional resin turbos on the upper and lower premolars to help correct a Class II malocclusion. When used in conjunction with fixed appliances and elastics, their effect is similar to that of a Twin Block.

94.

PEARLS

A Simplified Method of Correcting Single-Tooth Crossbite

Volume 50 : Number 7 : Page 0 : Jul 2016

Every orthodontist needs to be equipped with methods for providing limited interceptive care. In this month's Pearl, the authors share a simple composite build-up technique to correct a traumatic ante...

95.

PEARLS

A Quick and Easy Fix for Maxillary Diastema Relapse

Volume 51 : Number 2 : Page 0 : Feb 2017

Reopening of anterior spaces following orthodontic treatment is particularly frustrating for both patient and orthodontist. In this Pearl, the authors show an esthetic, noncompliance-dependent method ...

96.

PEARLS

An Efficient and Effective Technique for Uprighting Mesially Erupting Lower Second Molars

Volume 51 : Number 3 : Page 179 : Mar 2017

Orthodontists can never have enough techniques in their armamentaria for uprighting mesioangular lower second molars. In this Pearl, as an alternative to a Halterman appliance, the authors use a beta ...

97.

PEARLS

A Simple Glue-Tray Guide for Precise Miniscrew Insertion

Volume 51 : Number 6 : Page 361 : Jun 2017

This Pearl demonstrates a guide for more accurate insertion of miniscrews, using a transfer tray made from glue as described in an indirect-bonding technique. The simple glue tray provides three-dimensional orientation and stabilizes the manual driver during placement, with the precise location of the miniscrew confirmed by a periapical radiograph.

98.

PEARLS

Root-First Lingual Canine Retraction with Power Arms

Volume 51 : Number 7 : Page 427 : Jul 2017

Uprighting canines is challenging with lingual appliances because of the narrow brackets and short interbracket distances. This Pearl describes a lingual technique that can be effectively employed after premolar extractions, using a special Incognito canine bracket with an auxiliary tube in combination with lingual power arms and palatal mini-implants.

99.

ALIGNER CORNER

Complex Treatment with Clear Aligners

Volume 55 : Number 1 : Page 10 : Jan 2021

It’s been two years since JCO has published an issue devoted entirely to clear aligner therapy. That makes it past time to revisit its progress as a technique capable of treating complex orthodontic p...

100.

PEARLS

Derotation of an Upper Molar Using Cantilever Mechanics

Volume 56 : Number 8 : Page 483 : Aug 2022

A maxillary first molar sometimes erupts with a mesial-in rotation. This simple cantilever spring is inserted in the molar tube from the distal to rotate a single molar mesial-out, using anchorage from the main archwire on the same side.

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