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

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


Скачать книгу

      

The Alexander Discipline

      Library of Congress Cataloging-in-Publication Data

       Alexander, R. G.

      The Alexander discipline / R.G. “Wick” Alexander.

      p.; cm.

      Includes bibliographical references and index.

      9780867155419

      1. Orthodontics. I. Title.

      [DNLM: 1. Orthodontics--methods. 2. Patient Care--methods. WU 400 A377a 2007]

      RK521.A439 2007

      617.6’43--dc22

      2007010518

e9780867155419_i0002.jpg

      © 2011 Quintessence Publishing Co, Inc

       Quintessence Publishing Co, Inc

      4350 Chandler Drive

      Hanover Park, IL 60133

      www.quintpub.com

       All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.

       Editor: Leah Huffman

      Cover design: Ted Pereda

      Internal design: Patrick Penney

      Production: Sue Robinson, Patrick Penney

       Printed in Canada

      Table of Contents

       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

      Dedication

      It is mind-boggling to think about how treatment mechanics have changed over the length of my career. The change in efficiency between the start of my career and today is incredible.

      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.

      At this time, many orthodontists were still “pinching” bands. Preformed bands were just arriving into the market, preformed archwires were nonexistent, and everything was stainless steel. But times were changing!

      Two West Texas orthodontists who had a tremendous influence upon my and others’ orthodontic careers were Jim Reynolds and Jay Barnett. They were the first to talk about efficiency and delegation in orthodontics. Their contribution to our profession should be better recognized; they considerably changed the way orthodontic treatment is delivered.

      When I opened my private practice in 1964, we were controlling torque, angulation, and off-sets by bends into the stainless steel rectangular archwires. During the next decade, Larry Andrews showed how these archwire bends could be transferred to the bracket. This was a huge change, the beginning of straight-wire mechanics.

      With the evolution of bonding, bracket design, and new archwire alloys, a single practitioner can now have a quality practice by starting and finishing one patient a day!

      To future generations:

      When I graduated from orthodontics school, I thought that I had been given a lifetime of discovery on a silver platter. My predecessors spent their lives searching, discovering, and then sharing. What a difference they made in my life and in the lives of so many others. Little did I realize how much additional change would take place in my generation. Although battles continue regarding extractions, stability, and particular techniques in orthodontics, and although much focus has been on quantity rather than quality of treatment, you don’t have to make a choice between quality results and financial success. A good orthodontist can achieve financial success while producing high-quality results in his or her patients.

      Preface

      A n old adage says that we all learn from our mistakes. We do something that goes against our education and even though we were taught otherwise, we simply must find out for ourselves. As children we were told not to touch the stove, yet we had to test it and burn our fingers to find out for ourselves.

      Having written two book chapters on stability, having seen many former patients return with relatively stable results, and having lectured extensively on the subject, I began to believe that I had solved the problem of long-term stability until a former patient returned 14 years posttreatment showing relapse. Together let us analyze this patient—her diagnosis, treatment plan, and results—and evaluate our treatment and her stability.

      Overview

      Although there are exceptions to every rule, my clinical advice is to not extract mandibular primary canines to make space for the incisors. Keep them as long as possible because they maintain the intercanine width and the alveolar bone in this region.

      Examination and diagnosis

      In


Скачать книгу