Orthodontic Tips April 29, 2014
What is the difference between the occlusally positioned gingival margins on the maxillary centrals in these two pictures?
The picture on the left shows tooth 1.1 with a lower than normal gingival margin. The reason for this is because the 1.1 has been worn away from occlusal wear and it has over-erupted.
Treatment for this is to orthodontically intrude the 1.1 to move the gingival margin apically and then restore the incisal edge to create a tooth of ideal length and gingival position.
The picture on the right shows both the 1.1 and 2.1 with a lower than normal gingival margin. The reason for this is thicker than normal alveolar bone on the Continue reading
Orthodontic Tips April 24, 2014
Facial asymmetry can be a distressing event. Often the asymmetry occurs after braces have been removed. The mandible is the last bone in the body to stop growing. If a patient is prognathic, the asymmetry can be pronounced.
The treatment is braces and Orthognathic surgery to re-establish the facial asymmetry.
Orthodontic Tips April 7, 2014
This is a new patient I saw today.
1. Notice the 31 is displaced labially in the dental arch in the picture on the left.
2. Notice the loss of attached gingival on the labial of the 31 in the picture on the right.
The history of this event is that the lingual wire was detached several years ago from the 31 and was rebonded without moving the 31 back to its proper position.
That’s why it lost labial bone and needs a gingival graft at this point. Continue reading
Peg Lateral incisors!
When I am doing the orthodontics for a case like this one, I like to have the peg lateral incisor temporarily bonded before the braces go on.
Then, I can be sure that I will please the restorative operator in the final positioning of the tooth for its permanent restoration.
Here is what I am looking for in the temporary bonding procedure. Continue reading