Orthodontics
Case report: transpalatal arch resulting in soft tissue damage of the tongue 3 years post-orthodontic treatment
Joe NoarA transpalatal arch is a fixed orthodontic appliance used to reinforce posterior anchorage during orthodontic treatment. It consists of bands cemented to the upper first permanent molars and 1.0 mm...
Vacuum-formed retainers: an overview
Maurice J MeadeSeveral studies have compared the effectiveness of VFRs with other retainer types.6,17,18,19,20,21,22,23,25,26,28,31,33,34,37,38,39,47 Prospective randomized controlled trials (RCTs) are considered...
Management of patients with non-syndromic clefts of the lip and/or palate part 3: from age 10 until adulthood
Grant T McIntyreJust as at age 5, a series of audit records are undertaken at age 10 (Table 3, Part 1) including an assessment of speech, hearing and psychology, with parent and patient satisfaction and the outcome...
Management of patients with non-syndromic clefts of the lip and/or palate part 1: from antenatal diagnosis to primary surgery
Grant T McIntyreGlobally, the incidence of cleft lip and palate is approximately 1.35 in every 1000 live births,1,2 meaning that a baby with a cleft is born somewhere in the world every 3.6 minutes. There is,...
Smile analysis: what to measure
Waeil BatwaGenerally, there are two types of the smile, the posed and the spontaneous smile.3,4 The posed smile is a voluntary smile that is not elicited or accompanied by emotions; it is unstrained and static...
Midline diastema and its aetiology – a review
Reji AbrahamsA major problem for the dentist in dealing with the midline diastema is the decision to intervene or not to intervene during the early mixed dentition period. As it is widely stated and presumed that...
Anterior tooth alignment – recommendations for stability
Raman AulakhThe true value of all pre-restorative orthodontics is to reduce the amount of invasive dentistry required and increase the longevity of any restorative work planned. The success of alignment and...
TADs: an evolutionary road to success
Audrey PaceSuccessful skeletal anchorage is the main biological concept behind these devices and this offers two possibilities:.
The long and winding road part 2. the CLP patient's journey, 0–21 years
Paul Jonathan SandlerJames was born on 15 July 1989 and was diagnosed with a bilateral cleft lip and palate. There was no family history of clefting and no predisposing factors were identified within the history..
The long and winding road – the journey of a cleft lip and palate patient part 1
Arun K MadaharIn 1995, the Department of Health asked the Clinical Standards Advisory Group (CSAG) to investigate cleft care provision in the UK and, following their extensive investigation, they published a number...
Guidelines for the assessment of the impacted maxillary canine
Kate CounihanCanine development commences at 4–5 months of age, high in the maxilla, lateral to the piriform fossa, and has the longest path of eruption at 22 mm.6 Crown calcification starts at 1 year, between the...
Invisible orthodontics part 3: aesthetic orthodontic brackets
David T WaringThe majority of aesthetic brackets are ceramic, composed from an aluminium oxide material. Originally, plastic brackets constructed from acrylic and later polycarbonate were introduced to improve the...
Interceptive orthodontics – current evidence-based best practice
Felicity R BorrieAnterior crossbite occurs when one, or more, lower incisor teeth occlude anterior to the upper incisor teeth. If left untreated, it may cause attrition to the labial surface of the upper incisor,...
Reducing white spot lesion incidence during fixed appliance therapy
LE GreeneWhite spot lesions occur as a consequence of repeated episodes of mineral loss from the enamel into the surrounding saliva and plaque. The mineral is initially lost from the enamel surface, however,...