The 2nd Permanent Molars in Orthodontics: To Bond or Not to Bond?

Don’t Forget the Second Molars
“There is no excuse for failing to address the second molars in our treatment planning, especially considering the wealth of information available to the practicing orthodontist today. It is up to us to apply the therapeutic concepts that have already been developed for dealing with these challenging teeth, so that we can achieve the best possible long-term results for our patients.”

Back to Clinical Orthodontics, I would like to talk about the issue of including the second molars in fixed appliance treatment. The case for habitual bonding of the second permanent molars in orthodontic treatment with fixed appliances has been made on many occasions in orthodontic literature. however, it seems that -to date- many of us still overlook this vital step and do not perform it on a regular and consistent basis, thus loosing the potential benefits of such a measure. I, for one, have been guilty of this on many occasions in the past. Continue reading “The 2nd Permanent Molars in Orthodontics: To Bond or Not to Bond?”

Simplicity vs Complexity in Orthodontic Mechanics

“Knowledge is a process of piling up facts. Wisdom lies in their simplification.” ~ Martin Fischer

Retouching on the idea of productive simplicity in orthodontic treatment, I have decided to present in this post some examples of what I believe to be unnecessary over-complication of orthodontic appliances in treating certain types of orthodontic problems. Such cases often present at one’s practice seeking second opinions about their “lengthy” or “traumatic” experience with fixed appliance treatment in particular. Usually, at the first look inside the mouth, you clearly realize the problem; there are so many different attachments, elastics and wires of different sizes and designs inside the oral cavity that not only is it a playground for various complex contradictory mechanics and force vectors, but can also present a serious hazard to the patient’s safety and oral hygiene.

Continue reading “Simplicity vs Complexity in Orthodontic Mechanics”