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81.

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.

82.

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.

83.

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.

84.

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.

85.

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.

86.

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.

87.

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...

88.

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 ...

89.

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 ...

90.

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.

91.

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.

92.

PEARLS

Multipurpose Ligation Technique for Elastomeric Chain

Volume 51 : Number 12 : Page 821 : Dec 2017

Limited access sometimes makes it difficult to secure elastomeric chain to a wire attachment. This simple chairside method can be used to attach a chain to a palatal sheath or a labial miniscrew for efficient molar protraction or incisor intrusion, respectively.

93.

PEARLS

Virtually Eliminating Undercuts in Invisalign's ClinCheck

Volume 52 : Number 1 : Page 51 : Jan 2018

Posterior restorations can result in undercuts that cause the edges of Invisalign trays to fold inward, making it difficult to insert or remove aligners. This Pearl from Dr. Cetta shows how to use ClinCheck to alter the shape of the simulated gingiva around such a restoration.

94.

PEARLS

Closure of Mandibular Spaces During Retention

Volume 52 : Number 11 : Page 639 : Nov 2018

Extraction spaces often reopen within a year following orthodontic treatment. This Pearl presents a simple modification to a wraparound retainer, using a cinched nickel titanium wire in the labial bow, that can close a relapsed space in the lower arch during retention.

95.

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.

96.

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.

97.

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.

98.

PEARLS

An Esthetic Removable Inclined Plane

Volume 54 : Number 5 : Page 275 : May 2020

An anterior crossbite can be resolved with a fixed inclined biteplane, but those devices have drawbacks in terms of hygiene, speech, and mastication. This removable, vacuformed alternative uses a full dental arch as anchorage to correct a crossbite during Phase I treatment.

99.

PEARLS

Crimpable Hooks to Control Pressure from Forsus Push Rods

Volume 54 : Number 11 : Page 711 : Nov 2020

Constant mesial pressure from the push rod of a Forsus Fatigue Resistant Device can debond the lower bracket and increase treatment time. This Pearl describes a simple archwire hook that can be crimped onto the base archwire to relieve such pressure.

100.

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...

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