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81.

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.

82.

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.

83.

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.

84.

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...

85.

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.

86.

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.

87.

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.

88.

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.

89.

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.

90.

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.

91.

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.

92.

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.

93.

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.

94.

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.

95.

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...

96.

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 ...

97.

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 ...

98.

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.

99.

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.

100.

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.

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