The 20 Principles of the Alexander Discipline, Volume 3. R.G. "Wick" Alexander
patient’s treatment chart did not mention up-anddown elastics or reverse curves of Spee in the archwires to close the open bite; however, it is assumed that these mechanics were used.
Discussion
Long-term observation showed remarkable anterior overbite stability (Figs 1-8r to 1-8z). Also, the mandibular anterior teeth were stable; only minor rotations recurred in the maxillary lateral incisors.
Table 1-7 | Archwire sequence |
Archwire | Duration (months) |
---|---|
Maxillary | |
0.016 multistrand | 2 |
0.016 SS | 14 |
17 × 25 SS | 7 |
Active treatment time: | 23 months |
Mandibular | |
0.0176 multistrand | 2 |
0.016 SS | 7 |
17 × 25 SS | 5 |
Active treatment time: | 14 months |
Table 1-8 | Individualized forces |
Force | Duration (months) |
---|---|
RPE | 6 |
Elastics | |
Class III | 1 |
Midline | 1 |
Box | 4 |
Case 1-3
Figs 1-8a to 1-8c Pretreatment facial views. The profile is Class III retrognathic.
Figs 1-8d to 1-8f Pretreatment intraoral views. The patient has a 5-mm open bite.
Fig 1-8g Pretreatment periapical radiographs.
Fig 1-8h Pretreatment cephalometric tracing.
Figs 1-8i to 1-8k Final facial views after 23 months of treatment.
Figs 1-8l to 1-8n Final intraoral views.
Fig 1-8o Posttreatment panoramic radiograph.
Fig 1-8p Posttreatment cephalometric tracing.
Fig 1-8q Composite tracing.
Figs 1-8r to 1-8t Facial views 18 years posttreatment.
Figs 1-8u to 1-8w Intraoral views 18 years posttreatment.
Figs 1-8x and 1-8y Occlusal views 18 years posttreatment.
Fig 1-8z Cephalometric tracing 18 years posttreatment.
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