The 20 Principles of the Alexander Discipline, Volume 2

The 20 Principles of the Alexander Discipline, Volume 2
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Описание книги

In the specialty of orthodontics, treatment results depend on the clinician's knowledge, manual dexterity, philosophy, and effort. This book highlights the lack of common scientific guidelines in orthodontic practice, advocating for the recognition of such guidelines that work to place the teeth in positions that will produce the healthiest, most functional, most esthetic, and most stable results possible. With so many factors influencing long-term stability, this book consolidates the 20 principles of the Alexander Discipline outlined in volume one into 6 guidelines for approaching long-term stability in orthodontics, focusing on the periodontium, torque control, skeletal and transverse control, occlusion, and the soft tissue profile. Each guideline is presented with comprehensive case studies that follow from the treatment plan to the definitive result and that highlight long-term stability in 5- to 40-year posttreatment records. A must-have for the practicing orthodontist.

Оглавление

R.G. "Wick" Alexander. The 20 Principles of the Alexander Discipline, Volume 2

Table of Contents

Dedication

Preface

Overview

Examination and diagnosis

Treatment timing

Treatment plan

Discussion

Evaluation

Final analysis

Summary

Acknowledgments

Author’s Note

CHAPTER 1. Introduction: Begin with Stability in Mind

The Room of Truth

Six Guidelines to Building Facial Harmony and Stability

Conclusions

References

Case 1-1

Case 1-2

CHAPTER 2. Selective Literature Review on Long-Term Stability

History of Treating Malocclusion

Relapse

Diagnosis and Treatment Planning

Cephalometric Guides

Mandibular First Molar Position

Angulation (Artistic Positioning) of Mandibular Incisors

Active Treatment

Alexander Discipline Technique

Unique bracket selection and prescription

Unique arch form

Treatment mechanics

Long-term research studies

Summary

Acknowledgments

References

Case 2-1

Case 2-2

Case 2-3

CHAPTER 3. Special Considerations in Orthodontics

Periodontal Considerations

Potential periodontal problems during orthodontic treatment

Orthodontic correction of periodontal problems

Posttreatment care

Temporomandibular Joint Considerations

Pretreatment considerations

Diagnosis

Treatment planning

Splint therapy

Occlusal equilibration

Surgery

Orthodontic treatment

Balance

Acknowledgments

Case 3-1

Case 3-2

CHAPTER 4. Anterior Torque Control

Incisor Mandibular Plane Angle Position

Evidence

Mechanics

Exceptions

Nasolabial Angle

Evidence

Mechanics

Exceptions

Interincisal Angle

Evidence

Mechanics

Exceptions

Summary

References

Case 4-1

Case 4-2

Case 4-3

CHAPTER 5. Sagittal Skeletal Alteration and Vertical Skeletal Control

Growth

Sagittal Skeletal Control

Maxilla

Mandible

Evidence

Mechanics

Exceptions

Vertical Skeletal Control

Vertical Class II skeletal correction

Vertical Class III skeletal correction

Summary

References

Case 5-1

Case 5-2

CHAPTER 6. Transverse Skeletal Alteration

Mandibular Intercanine Width (3 × 3)

Evidence

Mechanics

Exceptions

Maxillary Intermolar Width

Evidence

Mechanics

Exceptions

Maxillary and Mandibular Arch Forms

Evidence

Mechanics

Exceptions

Discussion

Alexander arch form

References

Case 6-1

Case 6-2

CHAPTER 7. Functional Occlusion and Stability

Functional Occlusion

Mechanics

Soft tissue profile

Long-Term Stability Goals

Root positioning

Leveling the mandibular arch in deep bite treatment

References

Case 7-1

Discussion

Case 7-2

Case 7-3

Case 7-4

CHAPTER 8. The Smile and Facial Harmony

Facial and Dental Midlines

Tooth Size

Tooth Angulation

Cant of the Occlusal Plane

Smile Line

Vertical maxillary excess with excessive gingival exposure (nongrowing patients)

VME with inadequate gingival exposure (nongrowing patients)

VME with inadequate gingival exposure (growing patients)

VME with excessive gingival exposure (growing patients with full dentition)

Average skeletal pattern with excessive gingival exposure (growing patients)

Gingival Line

Buccal Corridors

Smile Arc

Finishing

Tooth Color

Conclusion

References

Case 8-1

Case 8-2

Treatment plan

Case 8-3

Case 8-4

CHAPTER 9. Factors Related to Relapse

Possible Sources of Relapse

Third molars

Dental memory

Mandibular intercanine width expansion

Mandibular intermolar width expansion

Reducing overjet and overbite

Interincisal angle

Irregularity index

Mandibular incisor position

Skeletal Stability

Mandible

Maxilla

Class II relapse

Muscular Suspects

Open bite

Myofunctional Therapy for Open Bite

Forces at work

Mouth breathing

Tongue thrust

Occlusal forces

Role of bracket system, archwires, and elastics

Neutral Zone

Bad habits

Retention

References

Case 9-1

Case 9-2. Overview

Case 9-3

Index

A

B

C

D

E

F

G

H

I

L

M

N

P

R

S

T

V

W

Отрывок из книги

Title Page Copyright Page Dedication Preface Acknowledgments Author’s Note CHAPTER 1 - Introduction: Begin with Stability in Mind CHAPTER 2 - Selective Literature Review on Long-Term Stability CHAPTER 3 - Special Considerations in Orthodontics CHAPTER 4 - Anterior Torque Control CHAPTER 5 - Sagittal Skeletal Alteration and Vertical Skeletal Control CHAPTER 6 - Transverse Skeletal Alteration CHAPTER 7 - Functional Occlusion and Stability CHAPTER 8 - The Smile and Facial Harmony CHAPTER 9 - Factors Related to Relapse Index

I clearly remember Dr Tweed’s words of advice, given to us University of Texas orthodontic graduate students in 1963: “If you start and finish one case a week, you will have a successful practice.” In other words, he was telling us that we could not control the treatment and produce quality results with a larger practice. He was recommending that each practitioner have around 100 active patients.

.....

Case 1-1

Figs 1-2a to 1-2c Pretreatment facial views of a 39-year-old woman. (a) Soft tissue profile shows balance. (b) Frontal view shows balance. (c) Smile shows slight asymmetry.

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