CC310. Focus on teaching : Tips for space closing

Beauty is in the eye of the beholder.

This edition’s cover is rather unusual for an Orthodontic journal, isn’t it?
Following a recent lecture in Spain, I was invited to visit a famous art gallery, where I became absolutely fascinated by the uniqueness of the great Spanish artist Luis Bolumar, whose work is featured on the cover. The first things that attracted me were the unconventional eye shape and “Avatar” skin color, and also that the artist had quite unusually painted teeth, with a very fine smile arc.

Accompanied by a fellow professional, Dr. Fernando, our conversation soon turned to dentistry and I remarked that the lips were too protrusive, but could be easily remedied by extracting 4 bicuspids, in order to retract the front teeth and to reposition the lips. “No, no, no, no!” replied my Spanish friend. “We love sexy lips!” This was not the first time I have heard Caucasian doctors talking about sexy lips and this has always had me slightly confused.

I also met the famous speaker Dr. Ramon in Spain, who had recently been invited to speak about lip profile in Shanghai. Prior to his lecture he visited a night market and noticed many thick protrusive lips (in need of 4 bicuspid extractions) and he realised that none of his case reports actually covered this and was concerned that his topic would not be appropriate for oriental doctors and their patients. Obviously different races have different profiles and esthetics.

Both these stories have given me a deeper understanding of cultural and physical differences and the need to think about how different people perceive these. It’s very subjective!

Most of the cases presented in IJOI are Asian patients being treated by Asian doctors, based on Asian esthetics. Most orthodontic literature is based on Caucasian cases, so as the publisher, I sincerely hope that IJOI can add to the orthodontic database and help bridge this cultural divide and allow a better understanding for all cultures.

I hope that readers of and contributors to IJOI can relate to this and join us as we continue on our path to glory.

Chris Chang DDS, PhD, Publisher of IJOI.

[ndkfhdisbf]

My doctor made me take out a tooth for my braces journey and now he’s saying I have to put an implant cuz he’s not closing the gap. Like wtfff he didn’t even mention this when he ask me to take it off

[pops]

Hi how long did this take for the gaps to close I also had protruding lips and had 4 teeth removed now I'm getting impatient with the treatment

[bt]

This represents std sp closure with ac. The problem is if the aw isn't extending distal of the tube, the friction or physical resistance from the end contacting the inside of the tube prevents the teeth from sliding. Putting a stop prevents the aw from sliding around and from going inside the tube on one side and out on the other.

[michaelhuynh]

I am confused. First slide 'do not cut the wire at the 2nd molar' the next slide it is cut off. I saw the addition composite added but what happened there?

[Bhiladpy-upuy]

how long approximately does it take to move the teeth forward after amissing first molar? to move molars 2 and 3 forwards?

[JS-vlgd]

My lower mandible has the exact same problem. I have a similar gap in between two teeth, but, for the love of Christ, can someone explain what is being recommended here? Or is it supposed to be only for orthodontists...the lay person can learn a lot when a good explanation is presented along with a good video.

[ShyamPadaManna-dy]

Sir i am 21 years old, 🙏 🙏 my upper jaw of 2nd molar teeth was removed due to bacterial infection and dr. was saying when my 3rf molar teeth will be coming that gap will be fill up. So now my 3rd molar is coming now, can i move it in 2nd molar position.

[Afra_]

Does pairing this distance between the teeth make the jaw move and move back?
And what method to use only to correct this tooth gap
can
Thank you for helping me

[sophia-elisepant]

can anyone tell me whether the pits in the molars are cavities?

[arasharcher]

Thank you for sharing this case but I am not sure that I understood the purpose of placing the composite mesial and distal to the bracket of LR1.

[surabhimehta]

U can get someone to explain everything rather than such musical videos

[stolbobo]

Can someone explain why my orthodontist decided to close the gap but she also told me that i need to have my lower tooth removed? Its completely healthy, why would u pull out another tooth if im only missing one?

[perilili]

Eh it's like my braces, they dont put the brackets till the very last molar on my left side of mouth. Is it normal?

[ernestosalasblanca]

Thank you for sharing. But I didn't quite understand what exactly did you do with the explorer?

[rosalindaangulo]

Yo estoy en esta etapa 😬
Cuanto dura este proceso ?

[khouilael]

I have an implant vis but it moves always what i m gonna do ?

[vinjapuridivyasree]

Does the lower teeth gaps really will they close? Plz anyone give me the answer bcz am little bit scared Abt my lower teeth gaps

[Hanihanidar]

So i just got my second braces a month ago. The first braces i got it for 2 and a half years, but this dentist didn't really change my teeth only a slight difference and she didn't extract my teeth, throughout the time it changes and became crooked. So this time i got braces again to fix it. But the problem is i only have 3 months to get my teeth fixed because I'm planning to move to another country in august. Therefore the dentist speed up the treatment by giving me appointments in every 2 weeks. And the thing i concern the most is the dentist extracted my first premolar of the lower teeth, and is it possible to close the gap of the extracted tooth on time (in early august)?

[RuweiWeiwei]

How much time it takes to fill extraction gaps?

[lisadominguez]

how does it's take to close the space? 1 year?