You may have come across situations in which that last tooth in the patient’s arch, usually the second permanent molar, is there, looking beautiful, erupted in the oral cavity, and you have to make a decision: to include it in the orthodontic mechanics or not?

Cibele Albergaria and Priscila Ayub are exuberant women of the 21st century. Cibele is from Minas Gerais, living in Brasília and connected to her hometown of Ouro Preto. She is enthusiastic about creativity, innovation and entrepreneurship in the areas of pediatric dentistry and orthodontics, in which she specializes. She bridges the gap between the two specialties like no one else. She deeply values science, art and culture, bringing more color and joy to the field of children’s...

Introduction: Missing teeth due to loss or agenesis are common in Orthodontics and compromise aesthetics during and after treatment. One of the options for replacing missing teeth during and after treatment is the adaptation of a provisional to a orthodontic mini-implant inserted vertically in the edentulous region, with the aid of filled flowable composite. Conclusion: The provisional can serve as anchorage during orthodontic treatment and as retention until the ideal age for the definitive...

Introduction: Attention to the importance of pink esthetics, concerning the gingival exposure and contour, has increased the quality of esthetic orthodontic results. Within this context, it is important to understand the role of the gingival papilla, and the factors determining and/or influencing its presence and aspect should be properly diagnosed and interpreted. Objectives: To identify the changes in papillae and their possible solutions from both periodontal and orthodontic standpoints,...

Introduction: Some malocclusion treatments can be strategically carried out in two phases. The first phase consists of an interceptive approach to any dental or skeletal problems in the mixed dentition, with the aim of normalizing growth or tooth replacement. Among the existing problems, maxillary atresia is effectively corrected during mixed dentition with rapid maxillary expansion. However, even if the transversal problems are normalized at this stage, the possibility of other...

Introduction: Class II treatment without extractions is one of the most vibrant topics in modern orthodontics. The possibility of en masse distalization of upper teeth, using absolute anchorage, or in two stages, with the use of intraoral distalizers, using both tooth-borne and bone-borne anchorage, allows, when well-indicated, therapy without the extraction of healthy teeth. The Pendex, with various designs, is a versatile device that can be used in both mixed and permanent dentition, being...

Introduction: Prior assessment and mastery of the technique are very important for the success of orthopedic maxillary expansion in adults (OMEA). However, its effects and stability are also essential to obtain adequate occlusion. Objective: To discuss the main dental, skeletal and facial effects of MARPE (Miniscrew-assisted Rapid Palatal Expander) and SARPE (Surgically-Assisted Rapid Palatal Expansion) techniques. Methods: All effects and, mainly, the state of the art in the stability of these...

Introduction: Premature loss of primary maxillary second molars associated to ectopic eruption of the permanent first molar in childhood is a relatively common occurrence. In such cases, distalization aiming space recover is normally needed. Objective: To describe the manufacture of a Hybrid expander with an open compressed NiTi spring that allows continuous distalization, without the need for the orthodontist to perform periodic activations. Conclusion: The use of the expander prevents...

Introduction: Class III maxillomandibular discrepancy has a multifactorial etiology, and is characterized by mandibular prognathism and/or maxillary retrognathism. This condition results in skeletal/dental alterations that impact both behavioral and functional aspects, and can be treated either compensatorily or with orthodontic preparation for orthognathic surgery. Objective: The aim of this article is to present the 3D diagnosis and the mechanics with extended anchorage using miniplates in...

Objective: To report the clinical case of an adult patient with skeletal and dental Class II, crowding and posterior crossbite. Clinical case: After analyzing the clinical, photographic and radiographic diagnostic elements, a two-phase treatment was chosen: first phase with maxillary expansion using the MARPE appliance to correct the posterior crossbite and reduction of the wide buccal corridor; second phase with Invisalign aesthetic aligners to correct crowding and dental Class II. Results:...

Introduction: Alveolodental ankylosis is the predecessor of replacement tooth resorption. Objective: To clarify questions from clinicians about the treatment of alveolodental ankylosis and replacement resorption. Methods: Seven frequently asked questions about alveolodental ankylosis and replacement resorption will be discussed. Results and Conclusion: Alveolodental ankylosis and replacement resorption can be diagnosed by imaging, even in association with clinical signs. Deciduous and permanent...