Orthodontics
Management of the Palatally Displaced Maxillary Canine. Part 1: Extract, Align or Avoid?
Tom FrawleyThe Royal College of Surgeons of England (RCS Eng) guidelines on PDCs broadly categorize management into five treatment options5. Unfortunately, the evidence base underpinning several of these options...
Neurodiversity and Orthodontic Treatment
Maria DillonAutism is a developmental condition that affects the way a person communicates and interacts with the world around them.9 This is accompanied by restrictive or repetitive behaviours, resistance to...
Eating Disorders and Orthodontics
Amardeep Singh DhadwalBehaviours associated with eating disorders promote suboptimal dietary habits that can cause nutritional deficiencies. Poor nutrition can influence the integrity of the oral mucosa. Intra-orally, this...
Craniofacial Microsomia: Aetiology, Classification and Clinical Features. Part 1
Clara GibsonAfter cleft lip and palate, CFM is the most common craniofacial malformation, with the incidence reported as 1 in 3000 to 5000 live births.4 There is a slightly increased ratio of right-side incidence...
When Doing Nothing is an Option: Self-correction of an Impacted Mandibular Second Premolar
Nasreen YaqoobImpaction is defined as prevention of complete eruption into a normal functional position of one tooth by another. This can be due to development in an abnormal position, limited space within the...
Lateral Incisor Root Resorption: A Consequence of Ectopic Maxillary Canine Teeth
An ectopic impacted tooth is one that fails to erupt at its appropriate site in the dental arch within a normal period of growth, based on clinical and radiographic assessment.3 In the permanent...
Use of Elastics in Orthodontics
Jennifer VeseyThe 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?
Jennifer HaworthUse 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
Meeral MakwanaA 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
John ScholeyExtraction 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
Cara SandlerThis 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
Bhavin SolankiThe 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
Robert M ConvilleA 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
Niecoo TajmehrA 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,...