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81.

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.

82.

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.

83.

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.

84.

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.

85.

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.

86.

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.

87.

PEARLS

Detecting Lateral-Incisor Root Resorption During Expansion in Patients with Labially Displaced Canines

Volume 58 : Number 10 : Page 631 : Oct 2024

When using a rapid palatal expander during impacted-canine treatment, the radiopaque image of the jackscrew can obscure the lateral incisors’ apices on the panoramic radiograph, making root resorption difficult to identify. This Pearl describes how to respond to this challenge.

88.

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.

89.

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.

90.

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.

91.

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.

92.

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.

93.

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...

94.

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 ...

95.

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 ...

96.

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.

97.

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.

98.

PEARLS

A Modified Bonding Technique for Invisalign Attachments

Volume 52 : Number 12 : Page 715 : Dec 2018

Newly placed Invisalign attachments are frequently pulled off the teeth when the template tray is removed. This Pearl describes a few simple modifications to the bonding technique that can improve success with attachments.

99.

PEARLS

Extraction Alternatives in Cases with Missing Lower First Molars

Volume 53 : Number 3 : Page 181 : Mar 2019

Orthodontic consolidation of a first molar space usually involves extraction of the second premolars in the other three quadrants. Instead, this Pearl recommends extracting the upper first premolars and either a lower first or lower second premolar on the opposite side.

100.

PEARLS

A Removable Acrylic Inclined Plane for Anterior Crossbite Correction

Volume 54 : Number 4 : Page 247 : Apr 2020

This removable appliance is an alternative to a composite bite turbo for nudging an upper permanent incisor out of crossbite during the early mixed dentition. If a lower incisor also needs to be moved, a finger spring can be embedded in the acrylic.

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