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Extrusion Articles
Sequencing of Periodontal Procedures and Orthodontic Treatment

Sequencing of Periodontal Procedures and Orthodontic Treatment
Severe cases of periodontal disease often require periodontal surgery and realignment of teeth. Surgical techniques have been developed that attempt to minimize post-surgical gingival recession and compromise the interdental papillae. A case report is presented in which reversal and correction of a deteriorating maxillary frontal dentition were effectively achieved through combined use of periodontal and orthodontic principles. The treatment plan included the control of periodontal inflammation, restoration of lost attachment apparatus, realignment of anterior dentition, stabilization of occlusion, and minor periodontal plastic surgery. The anticipated loss of a maxillary lateral incisor was avoided. Restoration of a pleasant smile with nicely aligned teeth and esthetic gingival contours was achieved. The correct sequencing of the procedures involved was considered a key factor for the long-term esthetic outcome.

Author(s): Cobi J Landsberg, DMD;Ofer Sarne, DMD
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Esthetic Rehabilitation of the Periodontally Compromised Dentition - A Novel Interdisciplinary Approach Using Orthodontic Extrusion and Dental Implants

Esthetic Rehabilitation of the Periodontally Compromised Dentition - A Novel Interdisciplinary Approach Using Orthodontic Extrusion and Dental Implants
Rehabilitation of esthetics in advanced periodontal cases presents a major challenge in dentistry today. Patients with advanced disease affecting teeth in the esthetic zone, where significant asymmetrical bone loss and tissue recession are present, constitute a challenging treatment-planning dilemma when choosing the optimum therapeutic option for long-term maintenance. This article reviews a novel interdisciplinary approach for vertical augmentation of bone and soft tissues by means of orthodontic extrusion of severely periodontally compromised teeth, facilitating the restoration of esthetics with improved bone and soft tissue volume around immediate implants.

Author(s): Tidu Mankoo, BDS
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Splints Are Not Just for TMD Therapy

Splints Are Not Just for TMD Therapy
Properly made and well-adjusted occlusal splints can help control parafunctional stresses that are applied by the patient to their natural teeth and the restorations that dentists fabricate for them.

Author(s): Edward A. McLaren, DDS, MDC;Greg J Vigoren, DDS
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Guidelines for Esthetic Restorative Options

Guidelines for Esthetic Restorative Options
The patient with hopeless, fractured, or missing teeth within the aesthetic zone has posed a tremendous challenge for today's clinician. This article discusses "diagnostic indicators" involved during the evaluation of questionalbe teeth or edentulous spans prior to treatment planning, as well as the potential adjunctive role of orthodontics for the development of an easthetic restorative recipient site. The utilization of orthodontic extrusion in combination with atraumatic extraction and immediate…

Author(s): David Garber, DMD;Maurice Salama, DMD;Henry Salama, DMD
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Invisalign Articles
Adjunctive Orchestrated Orthodontic Therapy

Adjunctive Orchestrated Orthodontic Therapy
The altruistic goal of any cosmetic dental rehabilitation is the re-establishment of a healthy maintainable aesthetic functional interface from an otherwise damaged dentition. To this end, a multi-disciplinary treatment plan is necessary to fulfill the periodontal, orthodontic, maxillofacial and cosmetic requirements for a healthy, stable dentition that has a favorable long-term prognosis. This comprehensive treatment approach strives for the constituent components of the dentition to have a proper…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gene Witkin, DDS
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Adult Orthodontic Articles
Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico

Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico
En nuestra clinica observamos un aumento de pacientes adultos con problemas esqueletales, compromiso periodontal y necesidades protesicas. Debemos recurrir a la interconsulta con el periodoncista, protesista y cirujano maxilofacial, para la correccion del caso, prestando especial atencion al componente dentario, esqueletal y los tejidos blandos faciales del paciente. La cirugia ortognatica, que generalmente la realizamos luego de una preparacion ortodoncica, permite corregir discrepancias en el adulto y restaurar la funcion y estetica en los tres planos del espacio. Realizada la correccion oclusal, procedemos a sustituir dientes ausentes, mediante implantes y protesis fijas. El Periodoncista, mantiene un control constante de la salud de los tejidos de soporte, durante todas las fases de la terapia multidisciplinaria.

Author(s): Miguel Hirschhaut, DDS;Jorge Ravelo, DDS
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Evaluation of Enamel Micro-Cracks Characteristics After Removal of Metal Brackets in Adult Patients

Evaluation of Enamel Micro-Cracks Characteristics After Removal of Metal Brackets in Adult Patients
The purpose of this study was to evaluate and compare enamel micro-crack characteristics of adult patients before and after removal of metal brackets. After the examination with scanning electron microscopy (SEM), 45 extracted human teeth were divided into three groups of equal size. The length and width of the longest enamel micro-crack were measured for all the teeth before and after removal of metal brackets. The changes in the location of the micro-cracks were also evaluated. New enamel micro-cracks were found in 6 of 15 (40 per cent) examined teeth. Greatest changes in the width of enamel micro-cracks after debonding procedure appear in the cervical third of the tooth. On the basis of this result, the dentist must pay extra care and attention to this specific area of enamel during removal of metal brackets in adult patients.

Author(s): Tomas Linkevicius, DDS, Dip Pros, PhD;Irma Dumbryte; Laura Linkeviciene; Mangirdas Malinauskas; Vytaute Peciuliene; Kristupas Tikuisis
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Non-surgical Orthodontic Treatment of Anterior Open Bite in an Adult Patient

Non-surgical Orthodontic Treatment of Anterior Open Bite in an Adult Patient
Caucasian female, 20 years old accepted treatment in the Orthodontics department, White Clinic in February of 2008 with a chief complaint of problems in chewing food and also esthetics, and wanted orthodontic treatment. She had no relevant medical history and no previous history of orthodontic treatment. She had a tongue thrust swallowing pattern and from history taking, she used the pacifier until the age of 6.

Author(s): Miguel Stanley, DDS
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Diagnosis and Treatment Planning for Predictable Gingival Correction of Passive Eruption

Diagnosis and Treatment Planning for Predictable Gingival Correction of Passive Eruption
While the need to maintain a dry operative field has traditionally caused complications during various soft tissue surgical procedures, the use of bipolar electrosurgical techniques can eliminate the need to maintain a dry field, thus increasing the clinician's ability to deliver predictable, long-term results. This case presentation describes how to determine the presence of passive eruption, treatment plan its correction, and surgically alter the gingiva to provide a more aesthetic smile. Upon…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kurtzman, DDS
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Other Orthodontics Articles
Are Contemporary Occlusion Concepts Valid In An Asymmetric World?

Are Contemporary Occlusion Concepts Valid In An Asymmetric World?
This study is focused on the statistical analysis of orthodontic symmetry based on pre-treatment evaluation of 121 randomly selected orthodontic patients using Anatomage 3D cephalometric Analysis of full volume (FFOV) CBCT images. Cephalometric measurements, linear and angular, were obtained from anthropologically recognized anatomical bilateral paired landmarks. Hub 3D diagnostic services performed 3D cephalometric analysis using for the study.

Author(s): Paul L Ouellette, DDS, MS;Jason P. Ouellette, DDS; Jonathan P. Ouellette, DMD
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Orthodontic Caries Control and Bleaching

Orthodontic Caries Control and Bleaching
Oral hygiene during orthodontic treatment can be facilitated by applying bleaching materials to elevate the pH of the mouth during the course of treatment. Fabrication of thermoplastic bleaching trays directly in the mouth over the braces without impressions affords a reasonable technique for the multiple trays required during the orthodontic changes.

Author(s): Van B. Haywood, DMD
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Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique

Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique
The purpose of this article is to describe the clinical surgical procedures that comprise the PAOO procedure.

Author(s): Kevin George Murphy, DDS, MS;M. Thomas Wilcko, DMD; William M. Wilcko, DMD, MS; Donald J. Ferguson, DMD, MSD
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Canine Impactions: Incidence and Management

Canine Impactions: Incidence and Management
Impacted teeth, especially canines, can cause many problems during orthodontic treatment.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Jason Cooke, DDS
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Prescription Articles
Canine Impactions: Incidence and Management

Canine Impactions: Incidence and Management
Impacted teeth, especially canines, can cause many problems during orthodontic treatment.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Jason Cooke, DDS
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