R. G. Alexander

In the specialty of orthodontics, patient 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 and identification 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, such as the patient's growth and habits, the treatment technique, the application of forces, and patient compliance, 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 several case studies from the author's practice that not only present the treatment plan, demonstrate the mechanics at work, and show the results of treatment, but also show the long-term stability of the treatment with 5- to 40-year posttreatment records. Also included are exceptions to each guideline and an entire chapter on what to do when the treatment is not stable in the long term. A must-have for the practicing orthodontist.

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