Saturday, October 14, 2006

THE PRINCIPLES OF THE ALEXANDER DISCIPLINE.

PRINCIPLE # 1 = Kiss. (Keep It Simple ,Sir).

PRINCIPLE # 2 = Increase bracket space and rotational control with unique bracket design.

· Increased interbracket space.
· wings for rotation correction then control.
· precision pre torqued slot.
· Precision base variation.

PRINCIPLE # 3 = Build treatment into bracket placement.

Precision bracket placement.
· Height. (Measure with gauge).
· Angle
· Mesio-distal position.

PRINCIPLE # 4 = Utilize a systematic approach to treatment.
· Step -by- step sequence.
· Anticipate future appointment.

PRINCIPLE # 5 = Obtain predictable orthopedic correction using facebow or facemask.
· Facebow.
· Facemask.

PRINCIPLE # 6 = In non extraction treatment, initiate treatment in the maxillary arch.
· Consolidate with power chains.

PRINCIPLE # 7 = In non extraction treatment, Control Lower Incisors by utilizing:
· 5 degrees torque - incisors,
· 6 degrees - 1st molars,
· flexible, rectangular arch wires.



PRINCIPLE # 8 = In extraction treatment, initiate treatment in the maxillary arch.
· Retract cuspids on .016 S.S. wire


PRINCIPLE # 9 = In extraction treatment, delay treatment in the mandibular arch
· “Driftodontics.


PRINCIPLE # 10 = In extraction treatment, initiate treatment in the mandibular arch.
· When cuspids are in class I relationship.

PRINCIPLE # 11 = When in doubt, tie back.
· Use omega loop.


PRINCIPLE # 12 = Consolidate arches early in treatment.
· In extraction case use closing loop.
· In non extraction case use power chain.

PRINCIPLE # 13 = Level arch and open bite with accentuated curve of Spee and reverse curve of spee.

PRINCIPLE # 14 = Get into finishing arch wire quickly and “let it cook”.

PRINCIPLE # 15 = Be in finishing archwires before initiating:
· Class II
· Midline elastics.

PRINCIPLE # 16 = Obtain complete bracket engagement.
Ligate finishing archwires with steel ligatures.
· .010
· .012
· .014

PRINCIPLE # 17 = Utilize specific retention plan incorporating.
· Retainer design.
· Time sequence.
· Resolution of wisdom teeth.

PRINCIPLE # 18 = “There are no little things”.


PRINCIPLE # 19 = Motivation.
· Love
· Firmness.
· From vertical to horizontal relationship.

Effort vs result.

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