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CONTENTS Editor’s Choice David L. Turpin, DDS, MSD, Editor-in-Chief New diagnostic tools in orthodontics Arthur J. Miller, Koutaro Maki, and David C. Hatcher This descriptive commentary introduces 3 articles that report on new tools that are coming online for orthodontic diagnosis and treatment planning. These tools will help orthodontists better understand the role of muscle function in human growth and development. As noted by Miller, “Normal muscle function is needed to maintain a normal face.” In the first article, Adams et al compare traditional 2-dimensional cephalometry with newer 3-dimensional computerized orthodontic therapy. The dental profes- sion is on the threshold of applying cone-beam com- puterized tomography analysis that complements other imaging approaches, which have been too expensive or too high in radiation exposure for routine application. In the second article, Nakano et al report on the use of microcomputed tomography to learn more about con- dylar changes in an asymmetrical, growing mandible using an animal model. In the third article, Usui et al explore what the field of advanced human robotics has to offer orthodontic treatment. This article emphasizes the effect of muscle tension on the mandible, evaluating many sites both buccally and lingually during simulated chewing. Take time to study the intriguing methods of mechanical engineering that are described in these articles. I agree with the summarizing statement of Miller et al: “We are on the threshold of a major change in orthodontics, as clinicians learn how to effectively use 3-dimensional imaging as a normal diagnostic method.” Delayed tooth eruption: pathogenesis, diagnosis, and treatment. A literature review Lokesh Suri, Eleni Gagari, and Heleni Vastardis You have delayed starting treatment for as long as possible in a 14-year-old girl, but several permanent teeth on the left side have still not erupted. Is delayed tooth eruption (DTE) a significant problem for the clinician or is this scenario unlikely to happen often? According to the authors of this comprehensive review, true and significant deviations from accepted norms of eruption time are often observed in clinical practice, and DTE is the most commonly encountered deviation. Unfortunately, accurate diagnosis of DTE is an important but complicated process. Many disorders are reportedly associated with DTE. Family information and information from affected patients about unusual variations should be investigated. Right-left variations in eruption timings are minimal in most patients, but significant deviations might be associated with tumors or hemifacial microsomia or macrosomia and should alert the clinician to perform further investigation. This article concludes by proposing a “diagnostic tree” that will enable the clinician to perform an accurate and thorough orthodontic diagnosis of the patient with DTE. ABO Case Report—Category 1: Interceptive or early treatment Lisa King If you are ready to complete the requirements of the ABO Phase III examination, you will want to look at how this case report has been prepared. This case is being published almost exactly as it was presented to the board by Dr Lisa King. Note the use of the board’s computerized forms, making it relatively easy to com- plete the text portion of the history/etiology, diagnosis, treatment plan, specific treatment objectives, appli- ances used, treatment progress, results achieved, reten- tion, and the final posttreatment evaluation. The last page shows how Dr King applied the ABO model grading system to the final casts and the panoramic radiograph for a total score of 14. (That is an excellent outcome score, by the way.) The 3 complete sets of records and the detailed superimposed tracings at- tracted the board’s attention as a standard for others to follow in future presentations. The transposition of the maxillary right canine and the first premolar created a clinical challenge for Dr King, who was eventually forced to make a difficult treatment decision. The outcome of the overall treatment plan speaks for itself. Congratulations, Dr King. Am J Orthod Dentofacial Orthop 2004;126:12A 0889-5406/$30.00 Copyright © 2004 by the American Association of Orthodontists. doi:10.1016/j.ajodo.2004.08.008 12A

Editor's choice

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Page 1: Editor's choice

CONTENTS

Editor’s ChoiceDavid L. Turpin, DDS, MSD, Editor-in-Chief

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New diagnostic tools in orthodonticsArthur J. Miller, Koutaro Maki, and David C. Hatcher

This descriptive commentary introduces 3 artithat report on new tools that are coming onlineorthodontic diagnosis and treatment planning. Ttools will help orthodontists better understand theof muscle function in human growth and developmAs noted by Miller, “Normal muscle function is needto maintain a normal face.”

In the first article, Adams et al compare traditio2-dimensional cephalometry with newer 3-dimensiocomputerized orthodontic therapy. The dental prosion is on the threshold of applying cone-beam cputerized tomography analysis that complements oimaging approaches, which have been too expensitoo high in radiation exposure for routine applicatIn the second article, Nakano et al report on the usmicrocomputed tomography to learn more aboutdylar changes in an asymmetrical, growing mandusing an animal model. In the third article, Usui eexplore what the field of advanced human roboticsto offer orthodontic treatment. This article emphasthe effect of muscle tension on the mandible, evaluamany sites both buccally and lingually during simulachewing.

Take time to study the intriguing methodsmechanical engineering that are described in tarticles. I agree with the summarizing statemenMiller et al: “We are on the threshold of a major chain orthodontics, as clinicians learn how to effectivuse 3-dimensional imaging as a normal diagnomethod.”

Delayed tooth eruption: pathogenesdiagnosis, and treatment. A literaturreviewLokesh Suri, Eleni Gagari, and Heleni Vastardis

You have delayed starting treatment for as lonpossible in a 14-year-old girl, but several perma

Am J Orthod Dentofacial Orthop 2004;126:12A0889-5406/$30.00Copyright © 2004 by the American Association of Orthodontists.doi:10.1016/j.ajodo.2004.08.008

12A

teeth on the left side have still not erupted. Is delatooth eruption (DTE) a significant problem for tclinician or is this scenario unlikely to happen ofteAccording to the authors of this comprehensive revtrue and significant deviations from accepted normeruption time are often observed in clinical practand DTE is the most commonly encountered devia

Unfortunately, accurate diagnosis of DTE isimportant but complicated process. Many disordersreportedly associated with DTE. Family informatand information from affected patients about unuvariations should be investigated. Right-left variatiin eruption timings are minimal in most patients,significant deviations might be associated with tumor hemifacial microsomia or macrosomia and shoalert the clinician to perform further investigation. Tarticle concludes by proposing a “diagnostic tree”will enable the clinician to perform an accuratethorough orthodontic diagnosis of the patient with DT

ABO Case Report—Category 1:Interceptive or early treatmentLisa King

If you are ready to complete the requirements oABO Phase III examination, you will want to lookhow this case report has been prepared. This cabeing published almost exactly as it was presentethe board by Dr Lisa King. Note the use of the boacomputerized forms, making it relatively easy to coplete the text portion of the history/etiology, diagnotreatment plan, specific treatment objectives, aances used, treatment progress, results achieved,tion, and the final posttreatment evaluation. Thepage shows how Dr King applied the ABO mograding system to the final casts and the panorradiograph for a total score of 14. (That is an exceoutcome score, by the way.) The 3 complete serecords and the detailed superimposed tracingtracted the board’s attention as a standard for othefollow in future presentations. The transposition ofmaxillary right canine and the first premolar createclinical challenge for Dr King, who was eventuaforced to make a difficult treatment decision. Toutcome of the overall treatment plan speaks for itCongratulations, Dr King.