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Common Sense Mechanics: Tom Mulligan: Phoenix Orthodontist

Common Sense Mechanics: Tom Mulligan: Phoenix Orthodontist

 

 

 

phoenix orthodontist

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Summary

 

 

 

 

 

An understanding of mechanics, unlike what may have learned at other courses, will provide the opportunity to discover individualized solutions to patient problems without looking to the laboratory for the various “devices” that are so heavily advertised.

In summary, it will be discovered that what has been taught, regarding the use of full appliances, has placed severe limitations on mechanics applied at the clinical level. It is time to get rid of the idea that complex appliances are usually required for complex treatment. What is required is a thorough understanding of mechanics as it applies to any appliance in use by the operator
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#1. "Visualizing" Forces on Teeth"

·  The fallacy in this method

·  Why overbites worsen when we expect them to improve

·  Why teeth move in unexpected directions

·  The cause of crossbites that develop during treatment

·  A simple method for determining the actual forces present

#2: Prediction of Tooth Movement

·  Creating desirable response

·  Avoiding undesirable response

·  Altering response with simple bends

·  Easy-to-learn "memory rules"

#3: Minimize Patient Cooperation

·  Eliminate headgear for anchorage

·  Treat Class II's without headgear

·  Correct crossbites without elastics

·  Avoid up and down elastics in the treatment of most open bites

·  Eliminate headgear for anchorage

·  Avoid use of "cookbook" treatment

·  Minimize number of visits

·  Appointments less critical:

·  Schedule emergencies easily

·  Schedule treatment for any time of day

#4: Simplicity

·  No loops for tooth     movement

·  No tie-backs during treatment

·  No headgear

·  Standard brackets

·  Short appointments

·  Minimal banding/bonding

·  Minimize use of rectangular wire

·  Minimize stress on staff

·  Inexpensive archwires

·  No appliance change required

#5: Treatment of Specific Problems

·  Distal movement of molars

·  Class II correction

·  Increase arch length without expansion

·  Minimal appliance for deep overbites

·  Special bends for difficult crossbites

·  Asymmetical problems

·  Class II's extraction and nonextraction treatment

·  Occlusal planes

·  Midlines

·  Cossbites

#6: Creative Wire Bends

·  For anchorage

·  Paralleling roots

·  For stability in diastema closures

·  Correct molar displacements

·  Crossbites

·  Rotations

#7: Temporomandibular Joints

·  Conservative treatment

·  Eliminate lateral shifts

·  Light forces to teeth

·  Closure on centric arc

·  Occlusal planes & condylar path

#8: Special Situations

·  A simple device for minor crowding or relapses

·  Helpful device for openbite closure

·  A subsitute for diagnostic setups

#9: Keeping your life in Order

·  God

·  Family

·  Self



   
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