Seminars in Orthodontics RSS feed: Current Issue. Each issue provides up-to-date, state-of-the-art information on a single topic in orthodontics. Readers are kept abreast of the latest innovations, research findings, clinical applications and clinical methods. Collection of the issues will provide invaluable reference material for present and future review.http://www.semortho.com/?rss=yesElsevier Inc.en © 2009 Published by Elsevier Inc. All rights reserved. Seminars in Orthodontics1073-8746154December 2009 © 2009 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.semortho.com/article/PIIS1073874609000619/abstract?rss=yesEditorial Board10.1053/S1073-8746(09)00061-9Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8iihttp://www.semortho.com/article/PIIS1073874609000620/abstract?rss=yesTable of Contents10.1053/S1073-8746(09)00062-0Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8iiiihttp://www.semortho.com/article/PIIS1073874609000425/abstract?rss=yesIt is both a privilege and a pleasure to write a brief history of Craniofacial Orthodontics, its evolution and approval as a formal postresidency fellowship training program of dentistry and orthodontics in the United States of America.IntroductionPedro E. Santiago, Barry H. Grayson10.1053/j.sodo.2009.07.005Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8219220http://www.semortho.com/article/PIIS1073874609000449/abstract?rss=yesThis is a brief personal history of craniofacial orthodontics as reported by Dr Joseph G. McCarthy, Professor of Plastic Surgery and Director of the Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, New York. He describes early collaborations with research orthodontists who were, at the time, studying the development in patients experiencing severe anomalies of craniofacial growth. From these early collaborations came an appreciation for the role of orthodontists in the interdisciplinary treatment team that was caring for patients with complex craniofacial problems as well as those patients who presented with cleft lip and palate. Both the distraction osteogenesis of the craniofacial skeleton and nasoalveolar molding are clinical innovations that came forth from the close collaboration of surgeon and orthodontist at New York University Medical Center. The story of this collaboration is described with attention to clinical and laboratory research, multidisciplinary team practice, and the development of a Fellowship in Craniofacial Orthodontics. This short history of how a Fellowship in Craniofacial Orthodontics came about at the New York University Langone Medical Center is fitting in its now-timely relationship to the action of the American Dental Association and the American Association of Orthodontics and Dentofacial Orthopedics to recognize standards for fellowships in Craniofacial and Special Needs Orthodontics.Development of Craniofacial Orthodontics as a Subspecialty at New York University Medical CenterJoseph G. McCarthy10.1053/j.sodo.2009.07.003Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8221224http://www.semortho.com/article/PIIS1073874609000450/abstract?rss=yesPatients born with a craniofacial deformity and their families experience significant psychosocial effect as they deal with physical appearance that has been esthetically and functionally compromised. The deformity usually involves skeletal and soft-tissue elements, which often affect facial symmetry and esthetics. As the dentition is directly related to the jaw structures, a wide variety of malocclusions may result. As patients with craniofacial anomalies present with multiple dental and medical conditions, an interdisciplinary team approach is highly recommended to accurately diagnose and to properly customize a treatment plan. Craniofacial Orthodontics is the area of orthodontics that treats patients with congenital and acquired deformities of the integument and its underlying musculoskeletal system within the craniofacial area and associated structures. As part of the craniofacial and cleft teams, the craniofacial orthodontist is involved in data collection, clinical examination, diagnosis, treatment planning, and orthopedic or orthodontic treatment of the craniofacial disorder. The craniofacial orthodontist has been shown to play an intrinsic role in the care of patients with craniofacial anomalies and cleft lip and palate.Role of the Craniofacial Orthodontist on the Craniofacial and Cleft Lip and Palate TeamPedro E. Santiago, Barry H. Grayson10.1053/j.sodo.2009.07.004Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8225243http://www.semortho.com/article/PIIS1073874609000401/abstract?rss=yesDistraction osteogenesis has become an alternative treatment to treat severe craniofacial skeletal dysplasias. A rigid external distraction device has been successfully used to advance the maxilla as well as the maxillary, orbital, and forehead complex (monobloc) in children as young as 2 years, adolescents, and adults. This approach has provided reduced morbidity, and predictable and stable results in this challenging group of patients. With the experience gained, the technique has been successfully applied to patients with isolated dentofacial deformities. Distraction techniques can be applied by themselves or as an adjunct to conventional orthognathic and craniofacial surgical procedures.Management of Severe Cleft and Syndromic Midface HypoplasiaAlvaro A. Figueroa, John W. Polley10.1053/j.sodo.2009.07.001Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8244256http://www.semortho.com/article/PIIS1073874609000437/abstract?rss=yesManagement of a wide alveolar cleft and alveolar bone graft failure is among the most difficult tasks for both surgeon and orthodontist. This article aims to introduce the techniques of intraoral distraction of segmental osteotomy for solving a wide alveolar cleft, and orthodontic management with miniscrews for solving alveolar bone graft failure; and also to evaluate the feasibility and clinical results of moving teeth into alveolar clefts. Interdental distraction osteogenesis was performed to minimize the alveolar cleft before alveolar bone grafting in 21 patients whose alveolar cleft was wider than a maxillary canine. All clefts were successfully approximated, and the 4- to 5-year results were shown to be stable. In addition, orthodontic protraction of the buccal teeth by using miniscrews as a temporary anchorage device was performed in 13 cases to minimize and/or eliminate the residual bony bridge or alveolar cleft after the previous failure of an alveolar bone graft. The buccal teeth were protracted with intermittent light continuous force. The results revealed that the residual bony bridges or alveolar clefts were minimized and that the space of the cleft was completely closed. The periodontal apparatus of the teeth that were moved into the residual bony bridge or alveolar cleft remained similar before and after the treatment. The orthodontic tooth movement into a residual alveolar cleft is clinically feasible in certain circumstances. However, the long-term status of the periodontal apparatus of the teeth that were moved into the alveolar cleft should be monitored.Intraoral Distraction of Segmental Osteotomies and Miniscrews in Management of Alveolar CleftEric J.W. Liou, Philip K.T. Chen10.1053/j.sodo.2009.07.002Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8257267http://www.semortho.com/article/PIIS1073874609000413/abstract?rss=yesThe management of a mandibular asymmetry requires a combined surgical and orthodontic approach. Orthodontic and orthopedic management in a growing patient can sometimes fully correct an emerging minor mandibular asymmetry. Moderate to severe asymmetries can usually be minimized but not fully corrected with early orthodontic and orthopedic intervention. Sometimes the severity of associated dysfunction or the presence of developmental compensations that are occurring with growth require early surgical intervention. Early surgical asymmetry correction (during growth), as well as surgical treatment at growth cessation, has the same requirements with respect to selecting the proper treatment approach. Ideally, the selected treatment should optimize symmetry, while minimizing morbidity and treatment duration and maximizing long-term predictability.Surgical/Orthodontic Treatment of Mandibular AsymmetriesPamela R. Hanson, Michael B. Melugin10.1053/j.sodo.2009.07.006Seminars in Orthodontics 15, 4 (2009)2009-12-01Seminars in Orthodontics2009-12-01154S1073-8746(09)X0005-8268278