{"title":"Visual treatment objectives for facial profile improvement by nonextraction orthodontic treatment with temporary skeletal anchorage devices: A 9-year follow-up","authors":"Kiyoshi Tai , Jae Hyun Park","doi":"10.1016/j.xaor.2024.06.002","DOIUrl":"10.1016/j.xaor.2024.06.002","url":null,"abstract":"<div><div>To improve her facial balance, a 15-year-old female with a convex profile and a retrognathic chin was treated with nonextraction orthodontic treatment<span> along with temporary skeletal anchorage devices. The patient was in treatment for a total of 26 months. Her 9-year posttreatment records showed excellent results with good occlusion and facial harmony.</span></div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 5","pages":"Pages 426-429"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441950","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}
Carol Weinstein , Miguel Hirschhaut , Carlos Flores-Mir
{"title":"Clinical pearls for the management of maxillary impacted canines: Lessons learned from 14 patients","authors":"Carol Weinstein , Miguel Hirschhaut , Carlos Flores-Mir","doi":"10.1016/j.xaor.2024.07.003","DOIUrl":"10.1016/j.xaor.2024.07.003","url":null,"abstract":"<div><div>Despite its low prevalence, maxillary permanent canine impaction can complicate and prolong orthodontic treatment. It can also represent a root resorption risk for adjacent teeth. It is a multifactorial alteration of the dental eruption, and its causes are divided into general and local. Palatal and buccal maxillary canine impactions have different origins. Early measures can avoid their impact on some patients. Including deciduous canine extraction and space opening when possible. When early intervention does not provide a resolution, these patients require an interdisciplinary approach. In these situations, the orthodontist must work as a team with the periodontist or oral surgeon to uncover the impacted canine and bring it to the dental arch. This 14-case series will present different scenarios—ranging from early intervention to the surgical-orthodontic management of palatally and buccally-impacted maxillary permanent canines.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 5","pages":"Pages 376-415"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of anterior open bite in a patient with dentinogenesis imperfecta","authors":"","doi":"10.1016/j.xaor.2024.05.001","DOIUrl":"10.1016/j.xaor.2024.05.001","url":null,"abstract":"<div><p><span>Dentinogenesis imperfecta (DGI) is a genetic disorder characterized by severe hypomineralization of dentin and an altered dentin structure. Teeth with this disease have an amber hue because of the brittle dentin and exhibit frequent wear and chipping of the enamel and dentin because of insufficient adhesion to the superficial enamel. Herein, we report the successful </span>orthodontic treatment<span> of a patient with DGI. A 24-year-old woman had chief complaints of anterior open bite<span><span>. She showed Class II and open bite skeletal discrepancy with excessive anterior facial height and lip incompetency because of mandibular backward rotation. Edgewise treatment with temporary anchorage devices was used to induce counterclockwise rotation of the mandible by intruding the molars and reducing the </span>overjet by total arch distalization. Resultantly, the facial profile and occlusion showed substantial improvement without any noticeable side effects.</span></span></p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 4","pages":"Pages 303-313"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141929","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":"Dentofacial orthopedics for a retrognathic mandible: Total arch intrusion treatment","authors":"","doi":"10.1016/j.xaor.2024.05.006","DOIUrl":"10.1016/j.xaor.2024.05.006","url":null,"abstract":"<div><p><span>Previous studies showed that posterior teeth<span> intrusion using skeletal anchorage in patients with </span></span>open bite<span> could improve overbite and retrusive chin profile by counterclockwise mandibular rotation. If the incisor intrusion is also performed, posterior teeth intrusion can be used for profile improvement of retrognathic patients without open bite, and this type of treatment can be called total arch intrusion (TAI). In retrognathic patients with lip incompetency, TAI is a very useful tool to improve the profile and lip strain. This paper shows the considerations, indications, and precautions to be taken when implementing TAI with a treated patient.</span></p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 4","pages":"Pages 292-302"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398211","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":"An evidence-based treatment planning guide for a gummy smile","authors":"Dalia El-Bokle , Amany Hassan Abdel Ghany","doi":"10.1016/j.xaor.2024.05.003","DOIUrl":"10.1016/j.xaor.2024.05.003","url":null,"abstract":"<div><p>A gummy smile (GS) is usually manifested due to concurrent multiple causes. Effective management requires a quantified treatment approach that targets the responsible etiologies based on their corresponding contributions to a GS. This paper provides an evidence-based treatment planning guide for GS to achieve predictable outcomes and avoid unrealistic patient expectations. Collected means of GS correction and relapse rates using targeted modalities were tabulated and diagrammatically presented for ease of reference. Three clinical cases were included to demonstrate the application of the guide during treatment planning and patient consultation.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 4","pages":"Pages 279-291"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050374","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":"Bracketless fixed orthodontic treatment with mandibular incisor extraction","authors":"","doi":"10.1016/j.xaor.2024.02.001","DOIUrl":"10.1016/j.xaor.2024.02.001","url":null,"abstract":"<div><p><span><span><span>As an alternative to the conventional fixed appliance that uses orthodontic brackets, a simple tube without a bonding base can be bonded by covering it with flowable composite resin. However, bracketless fixed treatment has been limited to nonextraction patients because rigid </span>archwires cannot be used. In this report, a 23-year-old woman presented with the chief complaint of the reopening of the </span>maxillary lateral incisor<span><span> extraction space and the development of mandibular anterior crowding during retention. She was orthodontically treated with the extraction of the maxillary right and left lateral incisors and mandibular left central </span>incisor 9 years ago. Spacing at the maxillary extraction site and </span></span>mandibular crowding<span><span> developed because of the lingual fixed retainer bond failure. She was diagnosed with a skeletal Class I with a one-quarter-cusp dental Class II relationship. The extraction of the mandibular right central incisor<span><span> was planned to relieve the mandibular anterior crowding and increase the required overjet for retracting the </span>maxillary central incisors to close the spacing. Simple tubes were bonded to the teeth instead of brackets. </span></span>Stainless steel<span> retraction overlay archwires were used to close the extraction space and apply Class II elastics. Overlays worked as a rigid archwire, preventing the bowing effect. After treatment, favorable occlusion was achieved. This case report demonstrates that bracketless fixed orthodontic treatment with simple tubes can be applied to patients undergoing mandibular incisor extraction with the aid of a rigid overlay archwire.</span></span></p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 4","pages":"Pages 268-278"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466648","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":"Maxillary dentition sequential distalization using clear aligners and mini-implants in an adult with Class II Division 1 malocclusion","authors":"","doi":"10.1016/j.xaor.2024.05.004","DOIUrl":"10.1016/j.xaor.2024.05.004","url":null,"abstract":"<div><p>Class II Division 1 malocclusion<span><span> is characterized by maxillary incisor<span> protrusion and excessive overjet, leading to common esthetic concerns among patients. Clinically, determining between extraction and nonextraction is a complicated treatment decision, especially in patients with borderline diagnoses. This case report describes the treatment of an adult borderline case with Class II Division 1 malocclusion and protruding maxillary incisors. To ensure esthetic prognosis, the virtual treatment goal for maxillary incisors was set on the basis of esthetic criteria. In addition, a 3-dimensional evaluation was conducted to acquire comprehensive information on the arch volume for scientific treatment decision-making. This patient received a nonextraction treatment involving maxillary dentition sequential distalization and proper dental expansion aimed to retract the protruding maxillary incisors to the ideal esthetic position. The treatment was successfully conducted using clear </span></span>aligners and mini-implants. Ultimately, harmonious dentofacial esthetics and ideal functional occlusion were achieved after 33 months of treatment and maintained after 2 years of retention.</span></p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 4","pages":"Pages 331-349"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407288","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":"Achieving predictable treatment outcomes with clear aligner therapy: Is the day coming?","authors":"Xingzhong (John) Zhang","doi":"10.1016/j.xaor.2024.06.001","DOIUrl":"10.1016/j.xaor.2024.06.001","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 4","pages":"Pages 253-254"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050357","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":"Scissor bite correction and molar-extraction space closure adjacent to a large radicular cyst bone defect","authors":"","doi":"10.1016/j.xaor.2024.05.002","DOIUrl":"10.1016/j.xaor.2024.05.002","url":null,"abstract":"<div><p>Radicular cysts are commonly encountered inflammatory cysts that can lead to significant bone defects if left untreated. When performing orthodontic treatment on patients with large radicular cysts, special attention must be given to the movement of teeth adjacent to the bone defect. This case report describes the treatment of a patient with a large radicular cyst located in the mandibular body originating from a decayed molar. The condition was further complicated by the supernumerary teeth within the maxillary dentition, multiple decayed teeth, scissor bite, severe crowding, deepbite, shortening of the left ramal height, and canted mandibular occlusal plane. The radicular cyst was successfully treated through marsupialization, and the supernumerary teeth were extracted. Correction of the scissor bite was achieved using a combination of a biteplate and a transpalatal arch with extending hooks. The decayed molar was extracted, and the resulting space was closed, ultimately achieving good occlusion without the need for prosthesis placement. This case report emphasizes the significance of close monitoring of large radicular cysts using cone-beam computed tomography and the importance of careful planning when arranging the sequence of the tooth movement adjacent to the cystic lesions during orthodontic treatment.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 4","pages":"Pages 314-330"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430524000463/pdfft?md5=1bdab412f7d380ed3dd71f158cf2bf37&pid=1-s2.0-S2666430524000463-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}