The 20 Principles of the Alexander Discipline, Volume 3. R.G. "Wick" Alexander

The 20 Principles of the Alexander Discipline, Volume 3 - R.G.


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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

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      Figs 1-8d to 1-8f Pretreatment intraoral views. The patient has a 5-mm open bite.

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      Fig 1-8g Pretreatment periapical radiographs.

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      Figs 1-8l to 1-8n Final intraoral views.

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      Fig 1-8o Posttreatment panoramic radiograph.

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      Fig 1-8p Posttreatment cephalometric tracing.

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      Figs 1-8u to 1-8w Intraoral views 18 years posttreatment.

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      Figs 1-8x and 1-8y Occlusal views 18 years posttreatment.

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