Light  Differential Force Mechanics

Treatment planning is an integral part of any treatment and especially when it is applied in orthodontics. So many factors such as hereditary blueprints, habits, growth, pre-existing conditions, clinical condition of teeth and jaw, type of appliance selection, amount of force, potential, chief complaint, age, clinician’s experience and lastly patient cooperation play a role in implementing proper orthodontic mechanics. Some of these factors can at best be predicted, some can be estimated and then controlled and some can't be controlled at all. We, as clinicians must do all we can to be accurate in our predictions, mechanics, and control. Therefore, we must have a goal to achieve and work toward it. This goal is partially interdependent from patient's complaint, but is not limited to; however, it does give clinicians a direction. Patient's complaint is quite generalized such as "My teeth are crooked,” "I have buck teeth" or "I don't like spaces between my front teeth.” I have yet to come across a patient who has demanded to take his teeth back by 3 mm. Our patients just assume that we, the professionals know what to do and exactly where to place those teeth so that in the end, they will have beautifully arranged teeth. 

Well, easier said than done. We know that orthodontics is a lot more than arranging teeth and we must have a plan. This plan must address to begin with esthetic expectations of our patient followed by re-arrangement of teeth and jaws in a stable relationship. So then, we must define a "final" position that is esthetic, stable, and functionally sound. We will then work our treatment plan so that this final position can be achieved. Our treatment plan will take into account this final position, patient's complaint, potential related to age, growth, gender, race, skeletal relationship, and enamel excess. This esthetic final position is also an anatomically correct position with teeth over their apical bases, parallel to each other with Class I cuspid relationship.                                                                                             Read More

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Light Differential Orthodontic Mechanics (LDOM)                                     International Journal of Orthodontics:  Volume 14. Number 2.Summer 2003
E-mail: drkale@clinicalorthodontic.com

              
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