I once received a Class II, division 1 patientfor an orthodontic consultation that mademe rethink what we will be facing in thevery near future - or rather, what we arealready facing. During the first talk, thisclient self-diagnosed himself with a ClassII problem and mandibular deficiency, sincehis previous research on the Internet hadindicated this deformity, even though he hadnever had any records or seen an orthodontistfor diagnosis. The talk then, after the client’sprevious diagnosis,...

Ricardo Tesch graduated from the Federal University of Rio deJaneiro (UFRJ) in 1992. He obtained a degree as a Specialist inOrthodontics from the Campinas Association of Dental Surgeons,in 1999. After that, he followed an academic life and obtained aMaster’s in Medicine - Head and Neck Surgery from HigienópolisHospital, in São Paulo, and a PhD in General Medicine – Neurologyfrom UFRJ. He is an associate professor at Petropolis School ofMedicine (UNIFASE), where he also coordinates the...

INTRODUCTION: The increase in the number of adult patients hasbrought some important challenges for orthodontists. Periodontaland dental changes as missing teeth, bone loss, loss of papillae,disharmony in gingival contour and incisal wear are very frequent.The latter can have significant esthetic and functional consequences,requiring careful diagnosis and, in most cases, transdisciplinaryapproaches. OBJECTIVES: to analyze the types and characteristics ofincisal wear, their histological,...

INTRODUCTION: The combination of auxiliaries, suchas mini-implants, with aligners expands the range oftreatment options, especially for complex cases in whichanchorage is critical. Treating a case of Class II malocclusionwith extra-alveolar mini-implants and alignersseems to reduce treatment time and improve accuracy andpredictability than if only aligners are worn. OBJECTIVES:This study describes the biomechanics of extra-alveolarmini-implants in combination with aligners worn by apatient with...

INTRODUCTION: Aligners have been used for varioustreatments, including the more complex types.OBJECTIVE: The aim of the present article is to providea simplified explanation of what is necessary fororthodontists to control the torque of maxillary incisorswhile performing retraction with the use of aligners. Therelationship between the retraction force applied and thebinaries for controlling the effect of lingualization willbe discussed and illustrated. CONCLUSION: Apparentlythe tools...

INTRODUCTION: Bodily mesialization in the mandibularmolar is frequently performed in the orthodonticclinic, due to agenesis and premature loss of molars orpremolars. However, this orthodontic movement is difficultto perform because of the need to control rotation,angulation and the torque on these teeth during theirtranslation. This difficulty also results from the type ofbone found in the mandible, which has high densitycortical bone, and the quality of medullary bone isfrequently low. The...

The purpose of this article is to demonstrate the constructionof a device for removing orthodontic aligners.The manufacture of the device proves to be simple atlow cost, facilitating the removal of the aligners withoutcausing damage to the nails and enamel of the patients.

INTRODUCTION: Obstructive sleep apnea syndrome (OSAS)is defined by recurrent episodes of airway obstruction duringsleep. Its etiology is multifactorial and may be associatedwith exogenous, pathological, or anatomical factors in theupper airway. Clinical history, in addition to complementaryexaminations such as computed tomography and polysomnography(PSG), is decisive for making the definitivediagnosis. METHODS: The therapy was developed with theobjective of increasing the maxillary...

OBJECTIVE: The purpose of this study is to present thecase of an adult patient with severe maxillary atresiatreated with mini-implant assisted maxillary expansion.CASE REPORT: Female patient, 26 years of age, presentedto treatment with severe maxillary constriction and posteriorcrossbite. The patient presented an advanced stageof maturation of the midpalatal suture. The miniscrewassisted rapid palatal expansion (MARPE) was indicatedas treatment option. The MARPE expander used4 miniscrews...

INTRODUCTION: Mandibular deficiency is present in morethan 70% of cases of Class II malocclusion and some cases it isassociated to transverse maxillary deficiency that demandsboth appliances for mandibular advancement and maxillaryexpansion. DESCRIPTION: This case report aims to describethe treatment of a male patient aged 11 years 7 months withthe dental characteristics aforementioned and post-pubertalspurt stage, who was treated with an inclined plane of acrylicresin covered with a metal...

INTRODUCTION: Resorption by Substitution is slowerand occurs later when it involves enamel. OBJECTIVE:The aim of this study was to emphasize that the enamelcan be involved and be part of alveolodental ankylosisand tooth resorption by substitution, although thisis a more unusual occurrence in the clinical routine.Based on the principles of bone biopathology, thereis no biological need to remove the tooth involved,as it can be considered a normal bone structure, andan osseointegrated implant...