Dentistry Commons^™

Long-Term Follow-Up Of Midface Hypoplasia In A Patient With Cleft Lip And Palate, Jui-Jen Fang, Hui-Ching Yu, Li-Ling Cheng, Yu-Jen Chang

Taiwanese Journal of Orthodontics

Introduction: Severe midface hypoplasia is a common craniofacial deformity in patients with cleft lip and palate (CLP), often linked to functional impairment and esthetic concerns. Although surgical and orthodontic advances have improved outcomes, long-term stability remains challenging. This report presents the management of a bilateral CLP patient and evaluates stability after more than 12 years of follow-up. Diagnosis: A 31-year-old male with bilateral CLP showed a concave facial profile, widened lip scars, reverse overjet of –30 mm, complete crossbite, and missing teeth (12, 22, 36). Palatally displaced premolars (15, 25) produced an hourglass-shaped arch. The diagnosis was skeletal Class III …

Treatment Of Skeletal Class Iii Malocclusion With Spaced Arch And Anterior Crossbite Using Low-Hysteresis Improved Super-Elastic Ti-Ni Alloy Wire (Isw), Szu-Ying Yu, Yuag-Hou Chen, Ching-Yu Yang, Jian-Hong Yu

Taiwanese Journal of Orthodontics

This article presents the orthodontic treatment of a non-surgical, non-growing skeletal Class III malocclusion using an Improved Super-elastic Ti-Ni Alloy Wire (ISW), developed by the Institute of Science Tokyo (formerly Tokyo Medical and Dental University). Teeth 28 and 48 were extracted, and ISW with long Class III intermaxillary elastics (L3–U6) was applied to eliminate anterior occlusal interference, retract the mandible, and induce a clockwise rotation of the mandibular plane. In addition to mandibular space closure, the deviated dental midline and chin asymmetry were corrected using elastic chains and intermaxillary elastics. Proper arch coordination, space management, and midline alignment were achieved, …

Orthodontic Space Closure And Third Molar Uprighting For Simultaneous Maxillary And Mandibular Molar Loss On The Same Side, Chun-Yi Huang, Yuan-Hou Chen, Ching-Yu Yang, Jian-Hong Yu

Taiwanese Journal of Orthodontics

This case report describes the successful non-surgical orthodontic management of a complex Class I malocclusion characterized by unilateral posterior tooth loss and functionally induced facial asymmetry. A 28-year-old male patient presented with a non-restorable maxillary first molar (#26) and a missing mandibular second molar (#37). The resulting occlusal discrepancy contributed to a mandibular functional shift and facial asymmetry. The patient declined prosthetic and surgical options, prompting a conservative orthodontic approach.

The treatment plan incorporated third molar protraction and upright to substitute for the missing second molar, combined with occlusal rehabilitation to correct the asymmetry. Space closure was achieved using elastic …

Nonsurgical Orthodontic Management Of A Severe Skeletal Class Ii Malocclusion Using A Modified Intrusive Arch, Ting-Wei Liu, Chun-Liang Kuo, Chun-Hsiu Yang

Taiwanese Journal of Orthodontics

Treating skeletal Class II malocclusion in non-growing patients remains a significant challenge in contemporary orthodontics. Treatment options range from dental camouflage, often involving extractions, to combined orthodontic–surgical approaches. In this case, orthodontic camouflage with extractions was selected to manage a severe skeletal Class II discrepancy in a 28-year-old female patient. A modified intrusive arch was employed to achieve simultaneous retraction and intrusion of the maxillary anterior teeth, effectively reducing excessive overjet. The biomechanical system of the modified intrusive arch generates an anterior intrusive force, a posterior extrusive force, and a posterior tip-back moment. The combined use of Tip-Edge Plus brackets …

In Memoriam: Dr. Marvin E. Pizer (1926-2025), Richard F. Roadcap Dds

Virginia Dental Journal

No abstract provided.

The Dental Oenophile, Zaneta Hamlin Dds

Virginia Dental Journal

No abstract provided.

Why Haven’T Annual Maximums In Dental Insurance Plans Kept Up With Inflation?, Chris Pyle

Virginia Dental Journal

This document discusses the challenges of increasing annual maximums in dental insurance plans amidst rising costs, network participation issues, and premium sensitivity. It highlights Delta Dental of Virginia's innovative solutions, including higher maximum plans and gradual coverage increases, while emphasizing the balance between affordability and coverage.

Dental Detective Series - Word Search, Zaneta Hamlin Dds

Virginia Dental Journal

No abstract provided.

Ethics In Dentistry Amid Local And Nationwide Dental Hygienist Shortage, David T. Marshall Dds

Virginia Dental Journal

This article discusses the ethical challenges and operational impacts of the nationwide dental hygienist shortage, with a focus on Virginia, which faces a significant deficit of over 1,000 full-time-equivalent hygienists. The shortage has led to increased workloads, reduced access to care, and pressure to compromise treatment standards. Dental professionals are urged to uphold ethical principles, including informed patient decision-making, transparency about staffing limitations, and adherence to legal scopes of practice. The article emphasizes the importance of collaborative, patient-centered solutions, such as reassessing scheduling models, supporting educational programs, and advocating for policy changes to address workforce shortages and improve access to …

Save The Date - 2026 Virginia Dental Showcase, Megan Wyman

Virginia Dental Journal

No abstract provided.

Vda Career Center Connects Employers With Premier Dental Professionals, Shannon Jacobs

Virginia Dental Journal

Leverage your VDA member benefits by using the VDA Career Center to find new talent for your practice.

Through The Looking Glass, Sarah Glass Dds

Virginia Dental Journal

Cases are presented by Ryan Abi Jomaa and Rahaf AlMatrook, fourth-year dental students at Virginia Commonwealth University School of Dentistry.

The Fulcrum Podcast, Shannon Jacobs

Virginia Dental Journal

In this issue we feature the latest episodes of The Fulcrum Podcast.

Vda Pac Update, Laura Givens

Virginia Dental Journal

No abstract provided.

Vda Advocacy And Your Membership, Frank Iuorno

Virginia Dental Journal

This article outlines the advocacy efforts by the Virginia Dental Association (VDA). It emphasizes the importance of membership to support legislative initiatives, outlines key issues affecting dental providers, and discusses the impact of ERISA exemptions on dental plans. Additionally, it details the ADA's federal advocacy actions to limit ERISA preemption and strengthen state regulatory authority over dental benefits.

How Are Oral Preventive Assistants Impacting Access To Dental Care In Other States?, Paul Logan

Virginia Dental Journal

Oral Preventive Assistants (OPAs), a type of Expanded Function Dental Assistant, are improving access to dental care in states like Kansas, Missouri, and through the Indian Health Service. Studies and pilot programs show increased patient access, enhanced workflow, and high satisfaction among patients and dental teams. OPAs support hygienists and dentists by performing preventive tasks, allowing specialists to focus on complex care, without replacing existing roles. These models address workforce gaps and bottlenecks in dental care delivery.

Virginia’S Dental Workforce Shortage: A Three-Step Solution To Strengthen The Preventative Dental Workforce And Expand Access To Care, Laura Givens

Virginia Dental Journal

Virginia faces a critical shortage of dental hygienists, particularly in rural and underserved areas, leading to delays in preventative care. The Virginia Dental Association (VDA) proposes a three-step solution: leveraging internationally educated dentists, expanding the role of dental assistants, and increasing funding for dental hygiene education programs. These measures aim to address workforce shortages, improve access to care, and alleviate the education bottleneck. The VDA is actively monitoring legislative developments and advocating for solutions to strengthen Virginia’s dental workforce.

Artificial Intelligence And Dentistry: The Emerging Landscape Of Legislation In Virginia And Nationwide, Paul Supan Dds, Munira Muluke Dmd, Ms, Rick Jackomis Dds, Jd

Virginia Dental Journal

This article focuses on the integration of artificial intelligence (AI) in dentistry and the evolving legislative landscape surrounding its use. AI enhances diagnostics, treatment planning, and clinical outcomes, but its adoption requires both federal and state-level regulatory approval. The document highlights key legislative trends, including transparency in AI-driven healthcare decisions, restrictions on AI usage to ensure patient welfare, and the need for human oversight in clinical decision-making. Examples of state-level AI-related healthcare legislation from Virginia, California, Maryland, and other states are provided, showcasing diverse approaches to regulating AI in healthcare.

The Drill, Ryan Dunn

Virginia Dental Journal

The Fulcrum Podcast's "The Drill" episodes explore key topics in Virginia dentistry. Episode 16 highlights legislative efforts to address workforce shortages, VDA Member Perks, professional development opportunities, and upcoming events like Dental Days at the Capitol. Episode 19 features Ryan Dunn and Paul Logan discussing advocacy strategies for the 2026 General Assembly, focusing on dental workforce programs, expedited licensure for international dentists, and preventative assistant roles. Both episodes emphasize active member participation in shaping the future of dentistry.

Moving Forward With Purpose: An Ada Leadership Update, James Mercer Dds

Virginia Dental Journal

The ADA Board of Trustees is advancing financial sustainability, enhancing membership systems, and shaping the future of dentistry through the Oral Health Strategy 2050 initiative. The ADA Credit Union was launched to provide tailored financial services for the dental community.