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99
Techniques
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Techniques
100
Dr. Wick Alexander
The Alexander
Principles System
In the world of Evidenced Based Orthodontics,
few systems stand on the mountain of data that
supports the Alexander LTS System. For over
40 years the Alexander Principles have given
the doctor the tools to provide patients quick,
beautiful, and stable results. Today, the system
shows not only recent successfully treated
cases, but stability over decades.
Dr. Wick Alexander (center) with (from left to right)
Drs. Chuck (son), C. Moody (brother), Cliff (nephew),
and J. Moody (son) Alexander.
In the world of Evidenced Based Orthodontics,
few systems stand on the mountain of data that
s u p p o r t s t h e A l e x a n d e r LT S S y s t e m
LTS
101
A L E X A N D ER
T E R M
S T A B I L I T Y
the Alexander Principles System
Beautiful Finish
Just about anyone can fly a plane, but landing one…that’s a different story. Orthodontics is similar. Moving teeth isn’t complicated,
but proper alignment and occlusion is what separates orthodontists from their peers and makes them specialists.
The Alexander LTS System embraces the logic of biologically compatible forces, but does so without compromising control. This is
accomplished by using rectangular wire early in treatment while allowing inter-bracket distance to reduce the force. The result is
rapid tooth movement under the complete control of the orthodontist.
The proven Alexander technique allows for a beautiful finish with proper occlusion in minimal time.
Fast and Simple
While treatment outcomes must always come first; speed, simplicity, and efficiency are critical to the modern productive office. The
Alexander methodology once again proves advantageous. By customizing the treatment plan to each patient, the Alexander LTS
System allows the doctor to front load the hands-on treatment and “let it cook”.
Stable Finish
What should orthodontic patients expect from their doctor, lifetime retention or lifetime stability? While no one can truly offer
lifetime stability, the skilled orthodontist armed with the proper tools can build a stable foundation that lasts for decades.
The Alexander methodology builds stable results by building the smile on the lower anterior teeth as opposed to the upper “social
six.” By using the wings on the Alexander LTS Bracket, the doctor is able to fine-tune rotations, control labial flaring, separate the
lower incisal roots, and unravel the teeth quickly and precisely. Since the lower brackets are in place very early in treatment, they
settle and stabilize long before retention is even a consideration.
Evidence
Worldwide, millions of patients have been treated using the Alexander methodology. Evidence of its effectiveness is easy to find. For
the past 40 years, The Alexander Room of Truth has amassed 15,000 cases. From these, over 50 research studies have been conducted.
The Alexander LTS System
Maxillary
Torque
Angulation Rotation
Central
+15
+5
0
Lateral
+9
+9
0
Cuspid
-3
+10
0
1st Bicuspid
-6
0
0
2nd Bicuspid
-8
+4
0
1st Molar
-10
-6
13
2nd Molar
-10
0
10
Mandibular
Torque
Angulation Rotation
Central
-5
+2
0
Lateral
-5
+6
0
Cuspid
-7
+6
0
1st Bicuspid
-7
0
0
2nd Bicuspid
-9
0
0
1st Molar
-10
-6
0
2nd Molar
0
0
5
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Techniques
L O N G
Techniques
102
The LTS System includes Maximum Retention photo etched
bands, adding 41% more interior surface area to virtually
eliminate loose bands. The medium temper and highly
anatomical design create a tight fit every time, while reduced
interproximal heights minimize tissue impingement.
Rotation wings provide precise rotational control
through the activation, deactivation or removal of
individual wings.
Maximum interbracket distance allows engagement of
larger wires earlier in treatment for efficient leveling
and faster progression into final arch wires.
Rectangular wire used early in treatment, combined
with maximum interbracket distance provides
increased torque control, greater patient comfort, and
fewer appointments.
Brackets are color coded by quadrant
Think About It
The Alexander system is the only system providing different bracket architecture for different teeth. Twin
brackets are used on flatter teeth which benefit from additional control. Yet, small single brackets with wings
are used on teeth with more labial curvature where twin brackets are not as efficient. This unique concept lies
at the foundation of The Alexander Discipline: keep all aspects of treatment as simple as possible.
LTS
AL E X A N D E R
L O N G
T E R M
S T A B I L I T Y
American Orthodontics is proud to introduce the first monocrystaline Alexander prescription bracket. Every LTS Radiance bracket is a
polished jewel made from a single crystal of pure grown sapphire.
Each crystal is honed and then heat polished into a superbly smooth,
incredibly clear, and astoundingly strong bracket. Once bonded,
Radiance is nearly invisible on the tooth.
www.americanortho.com
LTS
103
A L E X A N D ER
T E R M
S T A B I L I T Y
the Alexander Principles System
Alexander LTS System Arch Wire Recommendations
SIZE
TYPE
TREATMENT PHASE
.017 x .025
Therma-Ti Lite
Initial treatment wire
.016
Force I NiTi
Initial treatment wire
.016 x .022
8 Stranded
OPTIONAL Initial treatment wire
.017 x .025
8 Stranded
OPTIONAL Initial treatment wire
.017 x .025
3 Stranded
OPTIONAL Initial treatment wire
.016
Stainless Steel
Transitional non-extract space closure
.016 x .022
Stainless Steel
Transitional arch leveling
.016 x .022
Force I NiTi
Transitional arch leveling
.017 x .017
Force I NiTi
Transitional arch leveling
.017 x .025
Force I NiTi
Transitional arch leveling
.017 x .025
Beta Titanium
Transitional arch leveling
.019 x .025
Beta Titanium
Transitional arch leveling -.022 slot
.017 x .025
Stainless Steel
Transitional Extraction Space Closure/Finishing
.019 x .025
Stainless Steel
Transitional Extraction Space Closure/Finishing - .022 slot
A comprehensive book, written by Dr.
Wick Alexander, details the 20 clinical
principles for effective orthodontic
treatment and long term case stability.
The Principles are well supported by
case studies, with many showing 25
to 30 years post-treatment data. An
excellent resource for anyone in the
field of orthodontics.
Part #3000
Arch wire shown close to actual size
With so many factors influencing long-term stability, such as
the patient’s growth and habits, treatment technique, application
of forces, and patient compliance, this book consolidates the 20
principles of the Alexander Discipline outlined in volume one
into 6 guidelines for approaching long-term stability in orthodontics. The guidelines presented in this book work to place
the teeth in positions that will produce the healthiest, most
functional, most aesthetic, and most stable results possible.
Part #3001
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Techniques
L O N G
Techniques
104
Dr. Anthony Gianelly
The Gianelly
Bidimensional System
The Gianelly Bidimensional prescription
incorporates vertically slotted .018 brackets on
the upper/lower centrals and laterals as well as
vertically slotted .022 brackets on the upper/
lower cuspids and premolars.
“Evidence is an absolutely essential ally
because it directs us to selecting correct
strategies for our patients”
B i d i m e n s i o n a l Sy ste m
Advantages of the Gianelly Bidimensional System
• Byusing.018slotbracketsontheanteriorteeth,archwireslotsareeasilyfilledwithrectangularwires,maximizing
the torque and angulation pre-programmed into the Gianelly System.
• Earlyuseofrectangularwiresinan.018slotallowsearlytorquecontrolofanteriorteethduringtheretraction
phase of treatment.
• Earlyuseofrectangularwiresinan.018slotprovidestorquecontrolformaintainingoverbiteandoverjetthroughout treatment.
• Using.022slotbracketsonthecuspidsandpremolarscombinedwithsmalldimensionalarchwires,allowforless
frictional resistance, resulting in efficient and predictable retraction and space closure.
• Wireslimitedbythe.018slotcapacityresultinlessforceandgreaterpatientcomfort.
• VerticalslotsbuiltintotheGianellySystemallowfortheuseofsingle-toothmechanicsauxiliaries,suchasrotation
springs, uprighting springs, and torquing springs. Power pins and power arms add to the versatility of the Gianelly
System, largely eliminating the need for hooks in the bracket prescription.
The Gianelly Bidimensional System
Maxillary
Torque
Angulation Rotation
Slot
Central
+12
+5
0
.018
Lateral
+8
+9
0
.018
Cuspid
0
+7
0
.022
1st & 2nd Premolars
0
0
0
.022
1st Molar
0
0
14
.022
2nd Molar
0
0
5
.022
Mandibular
Torque
Angulation Rotation
Slot
Anteriors
0
0
0
.018
Cuspid
0
+5
0
.022
1st & 2nd Premolars
0
0
0
.022
1st & 2nd Molar
0
0
0
.022
.018 slot
.022 slot
Bidimensional Technique
.018 slot brackets are placed on central and lateral incisors
.022 slot brackets/tubes are placed on cuspids, premolars, and molars
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Techniques
The Gianelly
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Techniques
106
®
Empower
Co nt ro l in yo ur ha n ds
Unprecedented Bidimensional versatility
Introducing the industry’s first vertical slot self ligating bracket system that empowers the orthodontist with the
versatility of both passive and interactive ligation clips - all in one unified system. Empower combines the modern
advantages of a self ligating bracket with the time-tested and proven Gianelly prescription and auxiliaries.
Anterior Teeth: .018 Interactive Clip
•Lowfrictionslidingmechanicsearlyintreatmentusingsmallwiredimensions
•Enhancedcontroloftorqueandrotationsduringfinishingphase
using larger rectangular wires
Posterior Teeth: .022 Passive Clip
•Lowfrictionslidingmechanicsattheposteriorthroughouttreatment
Dual Activation:
Combines interactive and passive clip designs for
anterior control with posterior sliding mechanics
Strong, durable clip for
dependable performance
Facial hole adds opening options
when clip tail is inaccessible
Extended tie wings for easy
tie-ability and differential tying
Smooth, rounded contours for
exceptional patient comfort
Compound-contoured Maximum
RetentionTM pads for worry-free
bond strength
.018 x .018
Vertical slot
Centered mesial-distally for traditional mechanics
using v-slot auxiliaries. See Self ligating section of
this catalog for part numbers.
www.americanortho.com
M I N I
master
TM
B i d i m e n s i o n a l Sy ste m
S E R I E S
Not all brackets are created equal
There is one vertically slotted system so technologically
advanced, it marches in harmony with your clinical expertise, allowing you to treat each patient to your standard
of excellence. The visually intuitive design of Master
Series, with its revolutionary combination of Diagonal
Torque and Diagonal Angulation, dramatically increases
bonding precision, which is so important in the Gianelly
System, leading directly to exceptional results with fewer
wire bends.
Revolutionary
Bonding Pad
Technology
Diagonal Torque reduces the
profile height of vertical slot
brackets, minimizing occlusal
interferences
Photo-chemically etched pockets
increase pad surface area by 41%,
creating a greater mechanical lock.
mr
TM
MAXIMUM RETENTION
80 gauge mesh provides up
to 40% greater shear bond
strength than 100 gauge mesh
using today’s macro-filled
resins. 1
.018 x .018 Vertical slot
Diagonal Torque
Mini Master Series brackets incorporate Diagonal Torque into their
design as opposed to torque machined into the face or wedged into
the base. Diagonal Torque keeps the center of the arch slot over the
center of the base providing a more predictable expression of torque,
while allowing for the lowest profile height possible.
Diagonal Angulation
Angulation is designed into each Mini Master Series
bracket and pad, not milled into the face of the bracket.
All horizontal components are parallel to the occlusal
plane, all vertical components are parallel to the long
axis of the tooth. These visual cues enhance your ability
to precisely bond each bracket in the ideal location.
1
S. Scott, E.M. Kudlick, and F.C. Eichmiller,
“Bond Strength of a Macrofilled Resin Utilizing
80/100 Gauged Bases”, Howard University
School of Dentistry, 1992.
See Metal Brackets section of this catalog for part numbers.
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Techniques
The Gianelly
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Techniques
108
Uprighting Spring - with Safety Hold
PowerPin (not for use with Empower brackets)
• Foruprightingteethusingaverticallyslottedbracket
• 10/pkg
• Universalrightorlefthookforusewithvertical
slot brackets
• Eliminatestheneedforhooksonbrackets
• Secureinbracketbybendingtailawayfromthe
direction of force
• 50/pkg
855-192
Right
855-193
Left
Closed Coil Adjustable Force - with Eyelet
•
•
•
.010diametertitaniummemorysuperelasticwire,.030ID
Eyeletsallowforeasyengagementtobrackethooks,
tubehooks,orpostedarchwirehooks
Werecommendthatyouplaceoneeyeletoverdistal
hookandgentlypullspringforwardtoengage
anterior hook
• 10/pkg
855-180
9 mm
855-181
12 mm
Surgical & Rectangular Arch Hooks
• Preventfailureofbracketattachmentstoteeth
• 2mmcastwithhook
• Useslidinghookcrimpingplierforstrongestcrimp
851-620C Surgical Hook
2 mm Slide on .018 x .025 inches
10/pkg
0.46 x 0.64 mm
851-632C Arch Hook
2 mm Slide on .018 x .025 inches
10/pkg
0.46 x 0.64 mm
www.americanortho.com
201-140
201-141
Long leg for use with Empower
Rotation Spring
• Efficientlyrotatesteethusingbidimensionalmechanics
• 10/pkg
855-190
Right
855-191
Left
Rectangular Stops
Weldable
• Weldedtoarchwirepriortoligation
851-610
Rectangular
Weldable
2 mm Stop
100/pkg
.018 x .025 inches
0.46 x 0.64 mm
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Techniques
Dr. Marcel Korn
Postural/Bidimensional/
Removable Anchorage
Orthodontics
Dr. Marcel Korn has dedicated a major portion
of his orthodontic career to the development of
a rationale of mechano-therapy termed simply,
“Postural Orthodontics.” His concept and treatment mechanics reposture the mandible, train
the musculature, and simultaneously mobilize
the dentition in children or adults. That concept
employs simplified “fixed-functional removable
appliances” which have been specifically designed to be effective, efficient, and comfortable
for the patient. Bidimensional fixed orthodontic
mechanics are employed simultaneous with
removable functional anchorage devices (RADS).
“Including the musculature in treatment planning and reposturing
the mandible are not new concepts; they are inherent in treatment
o u t c o m e s o f c r o w d i n g , d e e p o v e r b i t e , r e t r o - g n a t h i s m , T. M . D .
therapy and orthognathic surgical advancement ”
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Techniques
The “Postural Orthodontic” concept
Conceived and developed as a comprehensive treatment philosophy, Postural Orthodontics incorporates mandibular positional
and functional relationships in the management of malocclusion. Postural Orthodontics is employed during the vibrant and
dynamic mixed dentition eruptive period. It employs new concepts of eruption guidance. Postural Orthodontics is used to affect permanent dentition during craniofacial development. In adults, this concept integrates the analytical and clinical aspects
of fixed and functional philosophies to achieve not only a comfortable mandibular posture for the patient, but a stable and
functional orthodontic result as well.
Early Treatment
Adult Treatment and T.M.D.
Assumes that dental crowding, overbite,
dent-alveolar development, and mandibular
posture can be positively affected during the
growth and development period.
Considers the musculature, the skeletal, and
the dental components of the masticatory
system in treatment design.
Considers the effects of the musculature, the
skeletal and the dental components of the
masticatory system in treatment design.
It assumes that the adaptive changes in the
cranio mandibular system can occur over
time if the mandibular posture and function
are altered.
Employs new “mini” removable functional
anchorage devices (RADS) to take advantage
of the benefits of the well-established European functional treatment approaches.
Retrains the musculature and repostures the
mandible to a habitually developed relationship as an alternative to surgery or to traditional orthodontic mechano-therapy.
Assumes that hard and soft tissue adaptations can be altered over time with
functional treatment during the growth
and development period.
Assumes that a range of motion and varied
condylar positions exist, and questions the
uni-positional centric relation concept.
Marry European functional methods with
American fixed appliances in a harmonious treatment system.
UtilizesnewRemovableAnchorageDevices
(RAD) that help provide an alternative to
surgery or to traditional orthodontic
mechano-therapy.
Philosophy
Physiology
Function
Po s i t i o n
Mechanics
A.
Korn Lip Bumper
• Spacemaintainer
• Molarrotator
• Simulates“theFrankelEffect”
B. Korn Mandibular Advancer
Preformed functional appliance for
mandibular repositioning in Class II
and TMJ treatment
A
B
C
D
C. Mini Activator Posturer
(M.A.P. or anterior RAD) is effective in:
• TMDanteriorrepositioning
• Anterioranchorage
• Posteriorverticaldevelopment
• Anteriorreposturing
D.
Inter-Occlusal Appliance effectively used in:
• Anterioropenbitehighanglecases
• Maximumanchoragecases
• TMJreposturing
• Posteriorremovableanchorage
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