Atlas of Orthodontics A Guide to Clinical Efficiency by Anothony D. Viazis DDS MS

By Anothony D. Viazis DDS MS

B. Saunders. sensible, colour photographic atlas of orthodontics, for, graduate and undergraduate scholars, basic dentistry practitioners, and orthodontists. provides a step by step method of diagnostic and remedy strategies.

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Division 2 — the upper central incisors are retroclined. The overjet is usually minimal but may be increased. • Class III. The lower incisor edges lie anterior to the cingulum plateau of the upper central incisors. The overjet is reduced or reversed. The centre line should be measured by placing a ruler down the patient's facial mid-line and measuring how far away from this the centre lines deviate (Fig. 4). This can then be marked in the notes as shown in Figure 5. The buccal occlusion is assessed next, particularly the molar relationship.

1,2 In these studies as many as 50% of cases treated with removable appliances were either not improved or worse than at the start of treatment. When faced with evidence such as this, one might be justified in discarding removable appliances completely. 4810872 © British Dental Journal 2004; 196: 9–18 • • • • • • Thumb deterrent Tipping teeth Block movements Overbite reduction Space maintenance Retention BRITISH DENTAL JOURNAL VOLUME 196 NO. 1 JANUARY 10 2004 Thumb deterrent Digit sucking habits which persist into the teenage years can sometimes be hard to break and may result in either a posterior buccal cross bite or an anterior open bite with proclination of the upper and retroclination of the lower incisors.

12a, b Pre treatment photographs of a patient with palatally impacted canine, a buccal cross bite, an increased overjet and crowding in both arches Figs 12f,g Once initial alignment of the teeth is produced progressively thicker, stiffer wires are employed. Because these fit the bracket slot more closely they control tooth position more precisely than the thinner aligning wires Fig. 12d A tri-helix was used to expand the upper arch and a sectional fixed appliance used to pull the canine into the line of the arch Fig.

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