Orthodontics

Use of Elastics in Orthodontics

The force level presented on the packaging by manufacturers is standardized, and represents the force applied by the elastic when it is stretched to three times its resting diameter. In theory, the...

How COVID-19 has changed our Practice: Adapting to the New Normal

The emergence of the SARS-CoV-2 virus and the resulting COVID 19 pandemic led many governments to curtail the delivery of dental health services. Since June 2020, there has been remobilization of...

Lateral Cephalograms: Why Do We Take Them?

Use of the lateral skull radiograph should only be considered as an adjunct to a thorough clinical examination. Indications for cephalometry are outlined in current BOS guidance, where flowcharts are...

Coronal Resorption in Unerupted Anterior Permanent Teeth: Cases with Different Aetiologies? A Review

A medically fit and well 17-year-old female was referred to the orthodontic department at Royal Derby Hospital by her general dental practitioner (GDP) for assessment of missing UR2, UL2 and UR3. She...

Management of lower incisor extraction cases. Part 2: problems and solutions when choosing extraction

Extraction of a lower incisor results in loss of 5–7 mm of tooth tissue from the lower arch. This reduces the intercanine width and, therefore, affects the radial fit of the upper teeth around the...

Efficiency of Invisalign in contemporary orthodontic practice

This article has presented two cases that illustrate how clear aligners can provide a viable alternative to the ‘gold standard’ fixed appliances..

Orthodontic rescue of a case of bilaterally ectopic canines causing root resorption of central and lateral incisors

The patient presented at 14 years old, fit and well, taking no regular medications and had no known drug allergies. She was referred because neither of the maxillary canines had erupted. After...

Interceptive correction of a deranged occlusion

A 7-year-old girl was referred by her general dental practitioner to the orthodontic department with a submerging deciduous maxillary second molar. There was no family history of any dental anomalies...

Multidisciplinary management of a central giant cell lesion: a case report

A 9-year-old female was referred to the oral and maxillofacial surgery (OMFS) department at the Royal Derby Hospital by her general dental practitioner (GDP). Medically, the patient was fit and well,...

Orthodontic extractions: history and current trends

Within the UK, there remains a current trend towards fewer extractions to be prescribed compared to 10 years ago, reportedly driven by facial and smile aesthetics, as well as the increasing use of...

Management of Bilateral Horizontally Impacted and Dilacerated Maxillary Central Incisors at the Nasal Floor: A Multidisciplinary Specialist Approach

A 9-year-old girl was referred to a joint orthodontic–paediatric clinic for assessment of her impacted maxillary central incisors, and for advice on the comprehensive management of these teeth. The...

Management of Lower Incisor Extraction Cases. Part 1: Case Selection and Planning

This can present early in adolescence either with a severely displaced or excluded incisor, as shown in Figure 6. An incisor may also be associated with localized gingival recession. Extraction of two...

Unusual Case Report: Ectopic Canines, Resorption and Hypodontia in Monozygotic Twins

At age 14 years, Twin 1 was referred to the orthodontic department by his general dental practitioner (GDP) for the impacted UR3, retained LRE and non-vital UL2. Medically, he was fit and well,...

Does Orthodontic Treatment Provide Long-term Improvements in Patients' Self-esteem and Oral Health-related Quality of Life? A Literature Review

Objective clinician-based assessment of treatment need and outcome are being increasingly supplemented with subjective patient-based measures, which afford greater understanding of patient...

Clinical Psychology and its role in the Orthognathic Surgical Pathway

Clinical psychology is a branch of psychology that assesses, identifies and treats a wide range of mental and physical health problems, including addiction, anxiety, depression, learning difficulties...