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81.

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.

82.

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.

83.

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.

84.

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.

85.

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.

86.

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...

87.

PEARLS

The Hybrid Aligner Approach for Extrusion and Rotation of Posterior Teeth

Volume 55 : Number 1 : Page 69 : Jan 2021

Partially erupted upper second molars are difficult to correct with clear aligners alone. This Pearl shows how posterior fixed appliance segments can be used in conjunction with aligners to derotate the second molars and promote posterior occlusion and settling.

88.

PEARLS

Orientation of the Occlusal Plane in Virtual Treatment Planning

Volume 54 : Number 3 : Page 185 : Mar 2021

The authors demonstrate how to superimpose the digital occlusal plane over the patient’s occlusal plane in natural position by importing the lateral and frontal radiographs, frontal smile photograph, and scanned digital model into the treatment presentation software.

89.

PEARLS

Occlusal Build-Ups to Prevent Compensatory Mandibular Molar Eruption During Maxillary Molar Intrusion

Volume 55 : Number 5 : Page 305 : May 2021

Posterior resin turbos, as often used in deep-bite cases, can be applied to control the vertical dimension during presurgical or anterior open-bite treatment. A step-by-step technique is presented, along with a procedure for sequential additions to the build-ups.

90.

PEARLS

An Efficient and Ergonomic Device for Easy Elastic Wear

Volume 55 : Number 6 : Page 359 : Jun 2021

The authors demonstrate how to bend a length of stainless steel wire into a simple elastic applicator for patients to use at home. Step-by-step instructions are provided for fabrication of the device and for elastic placement.

91.

PEARLS

A Multipurpose Auxiliary for Intrusion or Retraction with Infrazygomatic Crest Screws

Volume 55 : Number 11 : Page 697 : Nov 2021

When a miniscrew is inserted in its ideal orientation in the infrazygomatic crest, an elastomeric chain tends to slip off. This Pearl shows how to fabricate a simple hook from stainless steel wire for attachment of a chain or a nickel titanium coil spring.

92.

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.

93.

PEARLS

Management of Dentoalveolar Maxillary Asymmetry During Rapid Maxillary Expansion in the Mixed Dentition

Volume 56 : Number 9 : Page 535 : Sep 2022

Rapid maxillary expansion sometimes produces an unwanted unilateral buccal crossbite. This Pearl uses functional turbos bonded to the lower molars to keep the mandible centered during palatal expansion, thus avoiding the development of a skeletal asymmetry.

94.

PEARLS

Molar Protraction Tube with Multiple Hooks

Volume 57 : Number 3 : Page 187 : Mar 2023

The MP-Tube utilizes a long buccal hook with four steps to apply the protraction force closer to the center of resistance of the molars. Specifications of the tube are included, and the technique is demonstrated in a typical case.

95.

PEARLS

Skeletally Anchored Running-Loop Technique for Mandibular First-Molar Uprighting

Volume 57 : Number 5 : Page 287 : May 2023

Agenesis or loss of a lower second premolar can lead to mesial tipping of the adjacent first molar. This Pearl describes a running-loop spring, supported by indirect miniscrew anchorage and posterior fixed appliances, that can upright and intrude the first molar without side effects.

96.

2012 AAO CONVENTION

Paradise Revisited

Volume 46 : Number 2 : Page 77 : Feb 2012

The Aloha State has not played host to the AAO since 2003, but its most wondrous attractions are timeless. As a preview of the annual meeting, to be held May 4-8, our yearly guide to attractions in th...

97.

THE EDITOR'S CORNER

Something Old, Something New

Volume 48 : Number 11 : Page 673 : Nov 2014

A senior colleague once told me that if you ever think you have discovered something new in orthodontics, you should look a little deeper into the international literature from 75-100 years ago. You m...

98.

PEARLS

Second-Molar Crossbite Correction with a Hairpin-Spring Appliance

Volume 50 : Number 5 : Page 0 : May 2016

Lower second molars commonly erupt into a lingual crossbite or "scissor bite". Traditional treatment involves banding or bonding a lingual attachment and running crossbite elastics to the upper second molars, but that method is cumbersome and dependent on patient compliance. This month's Pearl describes a hairpin-spring appliance that can efficiently correct a second-molar crossbite without the need for brackets or elastics.

99.

PEARLS

In-Office Fabrication of a Flipper

Volume 50 : Number 8 : Page 0 : Aug 2016

Upper lateral-incisor agenesis occurs in the permanent dentition in .8-2% of the population.1 Preservation of an edentulous lateral-incisor space after orthodontic treatment, in anticipation of a perm...

100.

PEARLS

A Modified Retainer for Class II or III Functional and Surgical Patients

Volume 51 : Number 4 : Page 229 : Apr 2017

Retainers that control anteroposterior correction after orthodontic treatment, such as a bionator or Damon* splint, are often challenging for patients to wear because they restrict mobility. This Pear...

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