{"title":"Articles from current orthodontic literature selected and reviewed by: Residents, Department of Orthodontics, State University of New York, Buffalo, NY","authors":"Thikriat Al-Jewair (Program Director), Sercan Akyalcin (Associate Editor for Residents’ Journal Review)","doi":"10.1016/j.xaor.2025.09.001","DOIUrl":"10.1016/j.xaor.2025.09.001","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 6","pages":"Pages 485-488"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bodily retraction of maxillary incisors using a lingual retraction arch and palatal mini-implants","authors":"Min-Ho Jung","doi":"10.1016/j.xaor.2025.09.002","DOIUrl":"10.1016/j.xaor.2025.09.002","url":null,"abstract":"<div><div>To improve the facial profile of lip protrusion patients, orthodontists often opt for premolar extraction. If the patient’s incisor inclination is within normal limits, special considerations are necessary to minimize inclination reduction during retraction. A 13-year-old boy visited my office complaining of maxillary incisor protrusion. He exhibited severe protrusion of the upper lip and maxilla, accompanied by crowding. To address this condition, a large amount of maxillary incisor retraction was required after premolar extraction. Because the maxillary incisors’ inclination was normal, maintaining incisor inclination during retraction was crucial. To apply retraction force close to the center of resistance, a lingual retraction arch was attached to the lingual surface of the anterior teeth, and retraction was performed from the palatal side. The treatment results demonstrated successful bodily retraction and significant profile improvement. The lingual retraction arch proved to be an effective appliance for protrusion patients with normal incisor inclination.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 6","pages":"Pages 497-506"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rongrong Sun , Lei Xu , Xiaoxia Wang , Yongzhi Pang , Ping Liu
{"title":"Combined surgical and orthodontic treatment of skeletal Class III malocclusion using clear aligners","authors":"Rongrong Sun , Lei Xu , Xiaoxia Wang , Yongzhi Pang , Ping Liu","doi":"10.1016/j.xaor.2025.09.003","DOIUrl":"10.1016/j.xaor.2025.09.003","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 6","pages":"Pages 507-528"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mevin George Varghese , A.T. Prakash , Muktha Patwardhan
{"title":"Traumatically intruded permanent incisors in mixed dentition: An innovative clinical technique for orthodontic extrusion","authors":"Mevin George Varghese , A.T. Prakash , Muktha Patwardhan","doi":"10.1016/j.xaor.2025.09.007","DOIUrl":"10.1016/j.xaor.2025.09.007","url":null,"abstract":"<div><div>Orthodontic management of traumatically intruded maxillary incisors in growing patients presents both biomechanical and developmental challenges. In mixed dentition, the lack of suitable posterior anchorage units limits conventional appliance use. This case report describes a simple and effective clinical technique for the orthodontic extrusion of intruded maxillary central incisors using a modified fixed palatal anchorage appliance in a 10-year-old boy. The appliance was bonded to the maxillary first permanent molars and included a contoured wire loop positioned anteriorly, serving as a stable anchorage point for extrusive force delivery. Intentional subluxation of the intruded teeth was performed before traction to disrupt potential ankylosis. Orthodontic buttons were bonded to the labial surfaces, and elastic modules were used for immediate force application. The design enabled absolute anchorage without stressing adjacent teeth or requiring patient compliance. After the initial extrusion, brackets and nickel-titanium wires were employed to refine alignment. The technique allowed controlled extrusion in an immature root without inducing complications. This appliance-based method proved advantageous because of its stability, hygiene, accessibility, and adaptability in the mixed dentition phase.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 6","pages":"Pages 489-496"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hai-Van Giap , Ji Yoon Jeon , Joo-Hee Chun , Amani Alkhamees , Kee-Joon Lee
{"title":"Nonsurgical recovery of a deficient premaxilla because of multiple impacted anterior teeth via repeated maxillary expansion in skeletal Class III malocclusion","authors":"Hai-Van Giap , Ji Yoon Jeon , Joo-Hee Chun , Amani Alkhamees , Kee-Joon Lee","doi":"10.1016/j.xaor.2025.09.006","DOIUrl":"10.1016/j.xaor.2025.09.006","url":null,"abstract":"<div><div>This case report describes a successful nonsurgical treatment approach for a 16-year-old female with a recessive premaxilla hyperdivergent skeletal Class III malocclusion and multiple impacted maxillary anterior teeth. Transverse analysis, done at the estimated center of resistances of the posterior segment using cone-beam computed tomography, revealed a severe transverse discrepancy. Consequently, repeated application of the miniscrew-assisted rapid palatal expander was performed to achieve large-scale orthopedic maxillary expansion, creating sufficient space for the eruption of the impacted teeth. The skeletal Class III malocclusion was further corrected through a strategic mandibular total arch distalization. After 45 months of active treatment, resultant premaxillary development was evident, the impacted teeth were successfully aligned, and a stable Class I occlusion was established with significant enhancement in the patient’s facial profile and smile esthetics. The outcomes remained stable after 2 years and 9 months of retention.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 6","pages":"Pages 529-541"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laurent A.M. Thierens , Charlotte J. D’Hoore , Noëmi M.C. De Roo , Kristiane Van Lierde , Hubert Vermeersch , Guy A.M. De Pauw
{"title":"Multidisciplinary management and long-term follow-up of macroglossia-associated anterior open bite in a patient with Beckwith-Wiedemann syndrome","authors":"Laurent A.M. Thierens , Charlotte J. D’Hoore , Noëmi M.C. De Roo , Kristiane Van Lierde , Hubert Vermeersch , Guy A.M. De Pauw","doi":"10.1016/j.xaor.2025.10.002","DOIUrl":"10.1016/j.xaor.2025.10.002","url":null,"abstract":"<div><div>Beckwith-Wiedemann syndrome is an overgrowth disorder with major features such as exomphalos, macroglossia, and macrosomia. Children with macroglossia exhibit a low tongue posture and lip incompetence, which is responsible for a skeletal Class III tendency with a hyperdivergent growth pattern, anterior open bite, and often a constricted maxilla. This case report covers the multidisciplinary treatment and long-term follow-up of a patient with Beckwith-Wiedemann syndrome, macroglossia, and an anterior open bite. Orofacial management started when 2.5 years old with a clinical examination focused on speech and oral functions. A partial glossectomy was performed using the keyhole technique, followed by oromyofunctional therapy. At 15 years old, an orthodontic-orthognathic correction of the malocclusion was recommended. After orthodontic alignment, a 3-piece LeFort I osteotomy and a bilateral sagittal split osteotomy were performed. Treatment results demonstrated a balanced profile and an Angle Class I occlusion. The 5-year follow-up showed stable results, except for a slight decrease in the vertical overbite.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 6","pages":"Pages 542-554"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tooth movement through mandibular idiopathic osteosclerosis during comprehensive orthodontic treatment","authors":"Hyunseung Hong , Ryoon-Ki Hong","doi":"10.1016/j.xaor.2025.10.001","DOIUrl":"10.1016/j.xaor.2025.10.001","url":null,"abstract":"<div><div>In this case report, we demonstrate successful orthodontic tooth movement in a mandibular idiopathic osteosclerosis (IO) patient during treatment for a gummy smile and lip protrusion. A 21-year-old female presented with the chief complaint of a gummy smile and lip protrusion. Clinical examination revealed a straight profile, lip incompetence, and a curled upper lip. An excessive maxillary gingival display was noted during smiling. Intraorally, she exhibited an anterior deepbite and mandibular anterior crowding. Radiographic examinations identified an IO between the mandibular right first and second premolar roots, contacting the lingual aspect of the second premolar root at the apical third level. The treatment consisted of 3 stages: (1) leveling and alignment; (2) maxillary intrusion; and (3) total arch distalization. Treatment duration was 3 years 4 months. No complications related to the IO were observed. Treatment outcome was well-maintained at the 1-year posttreatment. A comprehensive orthodontic treatment involving maxillary intrusion and total arch distalization was successful in the presence of a mandibular IO directly impacting the mandibular premolars. There were no immediate or long-term complications. Using a typical orthodontic setup and force, teeth could be moved into and out of the IO with radiodensities comparable to those of the mandibular lingual cortex. Knowing the IO’s radiodensity, anatomic relationship to adjacent roots, and the status of the periodontal ligament could guide a clinician in planning a safe and effective tooth movement.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 6","pages":"Pages 555-570"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stability in Class II correction with maxillary distalization: Case Report Update","authors":"Jae Hyun Park (Editor-in-Chief)","doi":"10.1016/j.xaor.2025.09.005","DOIUrl":"10.1016/j.xaor.2025.09.005","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 5","pages":"Pages 425-427"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The therapeutic paradox in managing condylar resorption with orthognathic surgery in skeletal class II patients: Reason resorption vs. result resorption","authors":"Hasan Camcı","doi":"10.1016/j.xaor.2025.07.006","DOIUrl":"10.1016/j.xaor.2025.07.006","url":null,"abstract":"<div><div>Mandibular condylar resorption remains a controversial clinical condition because of its multifactorial etiology and progressive course. According to the literature, mandibular condylar resorption is more prevalent in young female patients and those with skeletal Class II malocclusions characterized by mandibular retrognathia. In orthodontic treatment, the standard approach to mandibular condylar resorption involves initially stabilizing the condyle using a stabilization splint, accompanied by simultaneous muscle deprogramming. After splint therapy, Class II malocclusions—which often worsen—are typically addressed through bimaxillary orthognathic surgery. During bimaxillary surgery, counterclockwise rotation and anterior advancement of the mandible can introduce new biomechanical stresses on the already weakened condylar structures, paradoxically resulting in further resorption. This article aims to raise awareness among orthodontists regarding the etiology of mandibular condylar resorption, differential diagnosis, risk classification, causes of postoperative resorption, and possible preventive strategies.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 5","pages":"Pages 443-447"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}