Orthodontics
Multiple supernumerary teeth: a sign of an underlying syndrome?
Nima AminThe prevalence of supernumerary teeth is reported to range between 0.1% and 3%. They are more frequently found in males than females and more common in the permanent than deciduous dentition.3...
An unusual appliance: detrimental occlusal consequences of a lack of clinical monitoring
Philip J RadfordA 33-year-old male patient was referred by his GDP to the oral and maxillofacial surgery (OMFS) department of a district general hospital with a history of an increasing anterior open bite (AOB) that...
Common orthodontic indices and classification
Ashwini MohanOrthodontic indices are used to describe a rating or classification system that assigns a (alpha)numeric label to a person's (mal)occlusion.1.
Disappearing teeth. The story of infra-occlusion of primary molars: diagnosis, aetiology and management
Sean HamiltonA number of theories11 for the aetiology of infra-occlusion have been suggested. These include:.
A cautionary tale of two canines: a case report
Sophie HoareAn 11-year-old male patient of European origin was referred by a specialist orthodontic practice to the hospital orthodontic service. The patient's main concern was in relation to the appearance of...
Molar–incisor hypomineralization: paediatric and orthodontic considerations
Laura EwbankThe aetiology of MIH remains relatively unclear with multiple studies unable to achieve a consensus on the cause other than that it is likely to be multifactorial.9 Some suggest that childhood...
Multidisciplinary management of an enamel–dentine crown fracture with insufficient inter-occlusal restorative space: A case report
Matthew GiudiciA 20-year-old male patient presented complaining of a fractured upper central incisor, which had been traumatized playing football 3 years prior to the consultation. The patient had a history of...
Interceptive management of increased overjet in young children: a clinical protocol
Robert SD SmythFactors such as risk of trauma and psychosocial impact should be considered important for early intervention to correct an increased overjet. Patients must understand that this style of early...
Early extraction of first permanent molars: applying the evidence
Ian MurphyThis patient presented aged 9.5 years with a Class I incisor relationship, slightly spaced upper and lower arches and MIH affecting all four FPMs (Figure 1). As there was enough space to accommodate...
Vacuum-formed versus fixed orthodontic retainers
Cathal HeaveyAs discussed by Johnston et al in a 2015 British Dental Journal article, the risk of orthodontic relapse due to the age-related changes in the skeletal and soft tissues surrounding the teeth means...
A Spot of Bother: Orthodontic-associated White Spot Lesions
Ian MurphyFirst, any patient commencing fixed orthodontic appliance treatment must have an up-to-date assessment with their dentist, with excellent oral hygiene a prerequisite.14 Oral hygiene and...
Interceptive Management of Palatally Displaced Canines: Evidence-based Clinical Guidelines
Aslam AlkadhimiCalcification of the permanent maxillary canine begins at approximately 4–5 months of age between the roots of the first primary molar. As the primary teeth erupt, the canine crypt migrates forward in...
Orthodontic retainers: now you have finished your orthodontic treatment how do you manage long-term post-orthodontic retention?
Rupal ShahRetention following active orthodontic tooth movement is necessary for several reasons:.
The Seven-year Journey of an Ectopic Canine: Multidisciplinary Management of a Dentigerous Cyst in the Early Mixed Dentition
Thibault CollocA 7-year-old girl was referred to the hospital orthodontic service by her GDP due to non-eruption of the upper left central incisor and displaced position of the erupted upper left lateral incisor....
The twin-block appliance for correction of class II division 1 malocclusion
Erfan SalloumTBA treatment is only successful in well-motivated and growing children and adolescents, typically at 10–13 years in girls or 11–14 years in boys. In addition, the following features should be...