José Augusto Mendes Miguel , Joberth Rainner Baliza de Paula , Julio Pedra e Cal-Neto , Henrique Martins da Silveira
{"title":"A 24-year follow-up on the surgical correction stability of Class II skeletal malocclusion associated with anterior open bite and temporomandibular joint pain","authors":"José Augusto Mendes Miguel , Joberth Rainner Baliza de Paula , Julio Pedra e Cal-Neto , Henrique Martins da Silveira","doi":"10.1016/j.xaor.2025.07.005","DOIUrl":"10.1016/j.xaor.2025.07.005","url":null,"abstract":"<div><div>This case report presents a 24-year follow-up of a previously treated Class II malocclusion with an anterior open bite and temporomandibular joint pain. Mandibular advancement with counterclockwise rotation and nonrigid fixation was employed to avoid bimaxillary surgery, given the favorable positioning of the maxilla. Postoperative outcomes revealed significant improvements in occlusion, esthetics, and temporomandibular joint function. Twenty-four years later, the patient still had a stable occlusion, excellent esthetics, and periodontal health. There was no recurrence of temporomandibular disorder symptoms, which demonstrates the treatment’s long-term success.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 5","pages":"Pages 478-480"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290136","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}
Kyung Jae Hong , Jong Pil Baek , Jung Jin Park , Jae Hyun Park
{"title":"Repair of receded gingival tissue through lingual root movement with an overhanging attachment and clear aligners","authors":"Kyung Jae Hong , Jong Pil Baek , Jung Jin Park , Jae Hyun Park","doi":"10.1016/j.xaor.2025.07.003","DOIUrl":"10.1016/j.xaor.2025.07.003","url":null,"abstract":"<div><div>Gingival recession is challenging in orthodontics, especially in patients with preexisting conditions. Clear aligner treatment offers a less invasive option, but root torque control remains complex without specialized mechanics. This case report describes the successful treatment of gingival recession on the mandibular left central incisor through root movement using a clear aligner with an overhanging attachment. An overhanging attachment is a modified clear aligner attachment designed to apply force closer to the center of resistance, enabling greater control over root movement. In this case, the patient experienced reduced gingival recession from 5 to 1 mm after 11 months of treatment with 20 stages of clear aligners. The root of the mandibular left central incisor was repositioned lingually, facilitating tissue repair and improved periodontal health. This approach provided a favorable outcome without the need for surgical intervention. The findings suggest that overhanging attachments on clear aligners can effectively correct gingival recession caused by labially positioned roots. Precise root torque control can promote bone remodeling and soft-tissue recovery, offering a minimally invasive alternative to traditional surgical procedures. Further research is warranted to explore this technique’s long-term stability and broader clinical applicability.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 5","pages":"Pages 455-462"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290126","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}
David Wiggins , Kierra M. Banks , Wanda I. Claro , Nathan R. Hamman , Antheunis Versluis
{"title":"How do bond strength, torsional strength, and mode of failure of stock and custom 3-dimensional-printed brackets compare with conventional-type metal and ceramic twin brackets?","authors":"David Wiggins , Kierra M. Banks , Wanda I. Claro , Nathan R. Hamman , Antheunis Versluis","doi":"10.1016/j.xaor.2025.08.001","DOIUrl":"10.1016/j.xaor.2025.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>This study assessed novel stock and custom 3-dimensional (3D) printed brackets by comparing their bond and bracket strengths with conventional metal and ceramic twin brackets.</div></div><div><h3>Methods</h3><div>Four types of brackets were bonded to 160 extracted noncarious premolars and tested either after 24 hours or after 5000 thermocycles that simulated 6 months of aging. The bonded brackets were tested in a universal testing machine by applying a shear force or torsional load at the central groove until the bond or bracket failed. Types of failure were indexed. Strengths (maximum force or maximum torque) among bracket types were compared using analysis of variance and pairwise comparisons. Failure types were analyzed with Kruskal-Wallis and Mann-Whitney pairwise comparisons. Significance level was 0.05.</div></div><div><h3>Results</h3><div>Bracket type and aging significantly affected shear bond strength (<em>P</em> ≤0.001), in which the bond strength of 3D-printed brackets was significantly lower than for metal or ceramic brackets. Maximum torque was only significantly affected by bracket type (<em>P</em> <0.001), with 3D-printed brackets significantly weaker than metal or ceramic brackets. The type of failure under shear force was not significantly affected by bracket type or aging (<em>P</em> = 0.767 and 0.578, respectively), but under torsion, the failure type differed significantly between metal (bond failure) and nonmetal brackets (wing fractures).</div></div><div><h3>Conclusions</h3><div>Bond and bracket strengths of stock and custom 3D-printed brackets were not significantly different, but both were significantly weaker than metal or ceramic brackets. Moreover, 3D printed bracket designs need considerable improvements before their bond and strength performance can match conventional bracket options.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 5","pages":"Pages 448-454"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290138","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}
Vanessa Paredes-Gallardo, Sara Camañes-Gonzalvo, Verónica García-Sanz
{"title":"Treatment of hyperdivergent Class II open bite in a periodontally compromised patient","authors":"Vanessa Paredes-Gallardo, Sara Camañes-Gonzalvo, Verónica García-Sanz","doi":"10.1016/j.xaor.2025.07.001","DOIUrl":"10.1016/j.xaor.2025.07.001","url":null,"abstract":"<div><div>The orthodontic treatment of periodontally compromised patients requires a multidisciplinary approach to ensure stability and long-term success. This case report presents a 59-year-old female with hyperdivergent Class II malocclusion, severe open bite, and mandibular retrusion who was treated using miniscrew-anchored molar intrusion as a camouflage approach. Orthodontic miniscrews were placed in the maxillary posterior segments to provide skeletal anchorage for molar intrusion, facilitating counterclockwise mandibular rotation and improving lower facial esthetics. After 2 years of retention, the patient maintained a well-aligned dentition, proper occlusion, and a balanced profile. This case report demonstrates that miniscrew-anchored posterior intrusion can effectively manage hyperdivergent Class II malocclusion and open bite in periodontally compromised patients, providing stable long-term outcomes.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 5","pages":"Pages 463-473"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290134","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":"A bright future for the American Journal of Orthodontics & Dentofacial Orthopedics and the American Journal of Orthodontics & Dentofacial Orthopedics Clinical Companion","authors":"Jae Hyun Park","doi":"10.1016/j.xaor.2025.06.005","DOIUrl":"10.1016/j.xaor.2025.06.005","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 4","pages":"Pages 347-349"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830247","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}
Paul Armbruster Program Director, Sercan Akyalcin Associate Editor for Residents’ Journal Review
{"title":"Articles from current orthodontic literature selected and reviewed by:","authors":"Paul Armbruster Program Director, Sercan Akyalcin Associate Editor for Residents’ Journal Review","doi":"10.1016/j.xaor.2025.06.002","DOIUrl":"10.1016/j.xaor.2025.06.002","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 4","pages":"Pages 350-352"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830248","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 role of orthodontics in a 13-year multidisciplinary treatment of cleft lip and palate","authors":"Wenying Kuang , Jie Zheng , Yanping Jiang , Wenjun Yuan","doi":"10.1016/j.xaor.2025.06.003","DOIUrl":"10.1016/j.xaor.2025.06.003","url":null,"abstract":"<div><div>A healthy 10-day-old male infant was diagnosed with a complete right-sided unilateral cleft of the lip, alveolus, and palate. Over 13 years, treatment coordinated by the orthodontist included presurgical nasoalveolar molding, lip and palate repair, facemask therapy, orthodontic preparation for alveolar bone grafting, alveolar bone grafting with recombinant human bone morphogenetic protein-2, postoperative orthodontics, and fixed appliance therapy. All interventions were timed according to craniofacial growth, with the orthodontist guiding the treatment sequence. The patient achieved maxillary arch symmetry, bilateral Class I occlusion, proper overbite and overjet, and acceptable esthetic outcomes without the need for orthognathic surgery. In conclusion, orthodontic treatment played a central role in coordinating timely, growth-guided interventions to support stable outcomes in long-term cleft care.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 4","pages":"Pages 374-381"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830252","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":"Three-dimensional printed J-hook headgear: Bridging traditional and contemporary orthodontic practices","authors":"Elie Amm , Lara Maalouf , Marwan Mansour , James Vaden","doi":"10.1016/j.xaor.2025.05.006","DOIUrl":"10.1016/j.xaor.2025.05.006","url":null,"abstract":"<div><div><span><span>The J-hook headgear, a once essential appliance in </span>orthodontic biomechanics<span>, has seen a marked decline in use because of the rise of temporary skeletal anchorage devices and shifting clinical preferences. Despite its historical success in managing Class II </span></span>malocclusions<span> and providing precise biomechanical control, limitations in availability have posed challenges for practitioners requiring noninvasive and effective alternatives. This study revisits the clinical utility of the J-hook headgear, evaluates its advantages and limitations compared with temporary skeletal anchorage devices, and introduces a novel solution through additive manufacturing. By leveraging 3-dimensional (3D) printing technology, a customizable and cost-effective design was developed using biocompatible materials. The proposed 3D-printed J-hook offers enhanced patient comfort and adaptability to various clinical needs and ensures the continued relevance of this appliance in contemporary orthodontic practice. Freely accessible 3D models are provided to encourage adoption, innovation, and further improvement. This approach highlights the potential of modern fabrication techniques in preserving valuable orthodontic tools while enhancing their clinical applicability.</span></div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 4","pages":"Pages 369-373"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830251","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}
Deise Caldas Kühlman , Rhita Cristina Cunha Almeida , Roberto Prado , Alexandre Hermolin , Felipe de Assis Ribeiro Carvalho
{"title":"Eight-year update on orthodontic-surgical correction of Class II malocclusion for iatrogenic complications","authors":"Deise Caldas Kühlman , Rhita Cristina Cunha Almeida , Roberto Prado , Alexandre Hermolin , Felipe de Assis Ribeiro Carvalho","doi":"10.1016/j.xaor.2025.05.001","DOIUrl":"10.1016/j.xaor.2025.05.001","url":null,"abstract":"<div><div><span><span>This report provides an 8-year follow-up on the surgical-orthodontic treatment of a 16-year-old male patient. The patient previously underwent iatrogenic orthodontic<span> intervention, which involved the use of headgear to correct his severe skeletal </span></span>Class II malocclusion<span> (ANB, 11.6°), resulting in excessive uncontrolled buccal root torque of the maxillary incisors<span>. The maxillary incisors were realigned and repositioned within the alveolar bone with the appropriate buccolingual torque. This intervention included the extraction of the </span></span></span>mandibular first premolars<span><span><span> to aid in uprighting the mandibular incisors and create an adequate overjet<span> necessary for the subsequent mandibular advancement surgery. Although the patient received </span></span>periodontal treatments<span>, including connective tissue manipulation and bone grafting, a minor recurrence of </span></span>gingival recession<span> was observed. Nonetheless, the patient has shown long-term stability and a proper occlusal relationship 8 years posttreatment.</span></span></div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 4","pages":"Pages 420-423"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830242","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}