Complete Clinical Orthodontics: Treatment Mechanics: Part 1

Treatment mechanics has always been of tremendous interest for all practicing orthodontists. Since the beginning of the specialty, orthodontists have looked for the best, fastest, more consistent, and easiest way to achieve the orthodontic correction for our patients. This continuous quest has allowed emerging technologies to integrate, although slowly sometimes, with everyday practice until they […]
Complete Clinical Orthodontics: Treatment Mechanics: Part 2

In part 1 of this three-article series, we reviewed the core concepts of the Complete Clinical Orthodontics (CCO) system, how we integrated the straightwire appliance (SWA) with self-ligation to improve control and efficiency, and the rationale for the recently developed CCO prescription, as well as the three stages of treatment mechanics. Specifically, we reviewed the […]
CCO Secchi Case Study 4

14:9 yo Male with Class I, Anterior Open Bite malocclusion. His vertical pattern is mildly high, his sagittal pattern is mildly Class II and his transverse dimension is normal. His anterior open bite was due a thumb sucking habit he had as a child. Due to his protruded lips,lack of mental sulcus definition and lower […]
CCO Secchi Case Study 3

12:6 yo Female, Class I late mixed dentition with a localized cross bite (upper right canine), which causes the mandible to shift. Midlines off. Based on the lat ceph and PA ceph, she presents with a normal sagittal, vertical and transverse dimensions.
CCO Secchi Case Study 2

12:4 yo Male with a Class II division 1 malocclusion. He is low angle with a good mandibular body as well as ramus height. Excessive proclination of upper incisors with a deep curve of Spee. Skeletal transverse dimension is normal (Mx-Mx 62mm, Ag-Ag 76mm).
CCO Secchi Case Study 1

13:6 yo Female with a Pseudo Class III malocclusion. Her vertical as well as her transverse dimension were normal. It is important to notice the distal tip of her upper canines, the uneven maxillary occlusal plane and the spaces behind the canines in the lower arch.
Complete Clinical Orthodntics: Treatment Mechanics: Part 3

Anchorage management, specifically in extraction cases, is an important concept in clinical orthodontics. Therefore, the main objective of this article is to summarize the specific strategies within the Complete Clinical Orthodontic (CCO) System1 to manage space closure in different anchorage situations. Although the type of anchorage required and used should be determined before treatment starts, […]
NYDJ, Transverse Dimension

Rapid maxillary expansion (RME) is an orthodontic treatment commonly used in children to correct skeletal transverse problems of the maxilla. This clinical report introduces an effective way to diagnose and treat skeletal transverse problems achieving an orthopedic response, therby reducing dental tipping and the need to overcorrect. Two clinical cases are used to illustrate an […]
Six keys to effectively using alveolar corticotomy: A different perspective on surgically assisted tooth movement

Alveolar decortication (corticotomy) has long been used with orthodontic treatment in order to accelerate orthodontic tooth movement (OTM) while reducing the undesired effects of root resorption, loss of vitality, periodontal problems and relapse of the corrections. The acceleration of tooth movement should shorten the therapy. However, the scientific and clinical assumptions of the early days […]
The Truth About Self-ligating Bracket Systems

As self-ligating bracket technology advances, many systems claim to deliver some aspect of increased performance. Yet without a solid benchmark, or a way to quantify performance, these claims always suffer from a point-of-reference bias. Better only has meaning when you’ve got some empirical way to compare it to the competition.