Straight Talk

Managing Multi-disciplinary Cases – Diminutive Maxillary Lateral Incisors

Diminutive maxillary incisors are commonly seen in orthodontic patients.  A recent article in the “American Journal of Orthodontics & Dentofacial Orthopedics” outlines treatment protocols we have utilized for many years.  The authors list the benefits of transitional restorations bonded during the early stages of orthodontic care.

As the article notes, extra space is created early in orthodontic treatment.  This allows for working room making it easier for restoration to appropriate dimensions and better access for margin adaptation.  This article does not mention sometimes it can be beneficial to recontour the gingival with a laser prior to placement of the restoration.  Utilizing this method increases efficiency (shorter treatment time); makes hygiene easier/greater comfort (coils no longer needed); improves tissue contour (around restored lateral); and allows greater flexibility in timing of the definitive restoration post orthodontics (i.e. veneer, crown) considering occlusal settling after braces, age of patient, gingival contours, bleaching, etc.

Any questions or comments, let us know.

Click here to read full article. (PDF)

Our next letter will review articles discussing the missing lower second bicuspid space – “To be or not to be” or options of space closure versus maintaining the primary molar.

By: T.J. Glupker, D.D.S.

Smiles Are Noticed

hbraces4An interesting article in USA Today was a survey of what desirable traits are considered in a potential date. Guess what was the top item on the list – oh yeah a beautiful smile!! That actually is not a surprise to us because many surveys have shown this fact. But, it is nice to know when we create a Signature Smile it does have lifelong benefits.

By the way, the second most important item was good grammar. Yes, that’s good grammar and don’t tell me it ain’t so!! So the take from this article is let us create a beautiful smile for you, others will notice and don’t fall asleep in English class – pay attention!

By: T.J. Glupker, D.D.S.

Glupker Orthodontics

  • Holland Office - 203 Riley St., Holland, MI 49424 Phone: 616-399-7110
  • Zeeland Office - 25 N. State St., Zeeland, MI 49464 Phone: 616-772-0470

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