Ordinary Orthodontics: Starting with the End in Mind
نویسنده
چکیده
THIS ARTICLE MAY BE REPRODUCED OR TRANSMITTED IN ANY FORM WITHOUT WRITTEN PERMISSION FROM THE PUBLISHER. 45 One of the most popular self-help books in the United States today is The Seven Habits of Highly Effective People by Stephen R. Covey.1 In this best seller, Covey presents a principle-centered approach for solving personal and professional problems. One of his admonitions is to “begin with the end in mind.” According to Covey, “To begin with the end in mind means to start with a clear understanding of your destination. It means to know where you’re going so that you better understand where you are now and so that the steps that you take are always in the right direction.” Covey’s approach to life in general can be directly applied to routine orthodontic treatment with fixed appliances, in that the clinician should have a clear understanding of the sequence of events that will lead to an excellent clinical result. A personal examination of 30 years of transfer cases seen in private practice, however, reveals that not all clinicians share the same vision as to the sequence of events that should occur, even in relatively routine treatments. Nor do all clinicians prepare a patient for fixed appliance therapy in the same manner, as is evidenced by the wide variation observed in band and bond positions. This variation in bracket position occurs so frequently that, when accepting a transfer patient, many clinicians simply remove the existing appliances and replace them not only with their own specific prescription, but also place the brackets in position according to their own preference. Radical changes in treatment plan often occur as well. Most times, the details of appliance manipulation are as important as the original diagnosis and treatment plan in achieving an excellent orthodontic result. This article discusses many of those details.
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