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1.

The Lingual Pearl

Volume 32 : Number 5 : Page 318 : May 1998

The maturation of deglutition starts early in a child's life and sometimes ends only with the eruption of the permanent dentition. Bilabial contact is important during both rest and deglutition in mai...

2.

The Micro-Implant Pearl

Volume 44 : Number 6 : Page 385 : Jun 2010

The Lingual Pearl is a passive-guidance appliance used primarily to retrain patients' tonguefunction and for speech therapy.1 It also can be used in orthodontic treatment when it is important to corre...

3.

PEARL Easy-to-Bond Lower Lingual Retainer

Volume 40 : Number 8 : Page 502 : Aug 2006

Here is a simple and accurate chairside procedure for bonding a lower lingual retainer. 1. Fabricate a lower 3-3 or 4-4 retainer on the mandibular working cast (Fig. A). 2. Cut five or six small piece...

4.

DIGITAL PEARLS

Lower Molar Bands on Upper Molars in Camouflage Cases

Volume 54 : Number 10 : Page 201001 : Oct 2020

Dr. Neal Kravitz explains the advantages of using lower molar bands on upper molars in camouflage cases in this video Pearl.

5.

PEARLS

Model Drying Unit

Volume 15 : Number 9 : Page 637 : Sep 1981

This model drying unit is incorporated into your cabinet design. The top is hinged and serves as a work surface when closed. The unit is equipped with two 40-watt bulbs to dry the models slowly. It ta...

6.

PEARLS

Keeping Letters in Order

Volume 15 : Number 4 : Page 282 : Apr 1981

If letters are kept in patient folders, this little trick may be very helpful. A blue legal folder sheet, available from almost any office supply company, can be used to keep letters neat and in order...

7.

PEARLS

Bonding to Porcelain

Volume 15 : Number 12 : Page 813 : Dec 1981

If you have a problem bonding attachments to porcelain crowns or bridges, there are at least two products that may help you have better success. One is Ormco's Porcelain Primer. Etch the tooth normall...

8.

PEARLS

Handling Broken Appointments and Broken Appliances

Volume 16 : Number 6 : Page 413 : Jun 1982

Orthodontists' lives would be a lot easier if we never had a patient fail an appointment or break or damage an appliance. We often excuse this lack of cooperation and end by "biting the bullet" by abs...

9.

PEARLS

Recording Deductible Cash Expenses

Volume 16 : Number 8 : Page 533 : Aug 1982

This is an organizational Pearl that may very well save you many dollars a year. I carry with me, at all times, a small pocket calendar book in which I keep my appointments, but I also keep my "deduct...

10.

PEARLS

Class III Index

Volume 17 : Number 9 : Page 600 : Sep 1983

It is sometimes difficult to coordinate arches when aligning the teeth in Class III surgery. In Class II surgical cases, the patient can be asked to protrude the mandible to check arch coordination. S...

11.

THE EDITOR'S CORNER

Pearls of Wisdom

Volume 50 : Number 2 : Page 0 : Feb 2016

Within the past year, JCO conducted an extensive online survey of both current and former subscribers, generating direct feedback on just what they like or dislike about our journal. Even on the basis of informal communications with our readers over the years, all of us on the editorial board had a strong sense that Pearls were among JCO's most popular features. Our more scientifically conducted online survey only confirmed that impression. As a result, we have decided to increase our emphasis on publishing Pearls - the eventual objective is to include one in each issue - while continuing to improve the quality and utility of these orthodontic gems.

12.

PEARLS

Helping Patients Properly Connect Elastic Bands

Volume 51 : Number 2 : Page 117 : Feb 2018

Dr. Kravitz shows a two-step method, involving different-colored ligature ties and in-office photography with the patient’s own phone, to help the patient remember how to attach elastics to the proper teeth at home, thus preventing errors that could prolong treatment.

13.

PEARLS

Uprighting Mandibular Second Molars with Twin Brackets

Volume 57 : Number 2 : Page 121 : Feb 2023

To upright an impacted second molar, an open-coil spring is commonly placed between the first- and second-molar tubes. This Pearl shows how a twin second-premolar bracket can be substituted for the first-molar tube to improve access for placement of the spring.

14.

PEARLS

Early Class III Treatment with Rapid Palatal Expansion and a Modified Lower Essix Retainer

Volume 53 : Number 12 : Page 745 : Dec 2019

Dr. Lee shows how to use Class III elastics, attached from a maxillary expander to buttons on the lower lateral incisors, and a lower Essix retainer to correct an underbite during Phase I interceptive treatment without headgear.

15.

PEARLS

Extraction Letter

Volume 17 : Number 5 : Page 344 : May 1983

344-jco-img-0.jpgA patient is often anxious to start orthodontic treatment before it is possible to write a consultation letter to his general dentist. On such occasions, if extractions are needed, th...

16.

PEARLS

Lingual Auxiliary Spring for the Correction of Severe Upper-Incisor Retroclination in Class II, Division 2 Patients

Volume 58 : Number 9 : Page 565 : Sep 2024

This Pearl introduces an auxiliary spring, similar to the Warren spring, that can be used with lingual appliances to substantially increase the inclination of the incisors, even in cases with severely deficient torque at the start of treatment.

17.

PEARLS

An Alternative for Placing Drop-In Hooks in Bracket Systems with Vertical Slots

Volume 58 : Number 11 : Page 689 : Nov 2024

In this Pearl, Dr. Deshpande introduces a chairside method of bending simple, economical hooks that can be used in brackets with vertical slots, eliminating reliance on costly manufacturer-provided drop-in hooks.

18.

PEARLS

Simultaneous Canine Alignment and Extrusion with a Cantilever and Step Bend

Volume 59 : Number 7 : Page 465 : Jul 2025

Traditional methods of repositioning canines during leveling and alignment may require several bracket readjustments. This Pearl eliminates the need for bracket repositioning with a simplified double-archwire technique that combines a step bend with a cantilever for simultaneous canine alignment and extrusion.

19.

PEARLS

Modified Transpalatal Arch for Simultaneous Intrusion and Retraction

Volume 52 : Number 8 : Page 439 : Aug 2018

Miniscrews are commonly placed in the buccal dentoalveolus, mesial to the maxillary first molars, to anchor simultaneous intrusion and retraction of the anterior teeth. This simple Pearl takes us back to a tried-and-true alternative: a modified transpalatal arch with soldered buccal arms in place of miniscrews.

20.

PEARLS

The "Sashette" Attachment for Correcting Severely Rotated Upper Central Incisors

Volume 59 : Number 10 : Page 678 : Oct 2025

Dr. Nicozisis introduces a variation on his “sash” attachment designed specifically for upper central incisors. Placing these smaller attachments in the incisal third reduces visibility while improving rotational control during clear aligner treatment.

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