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Orthodontic Philosophy

Vertical control is the most important aspect of orthodontic therapy. Every decision made regarding a patient's treatment is based at least partially on the vertical needs of that particular patient. Variability of treatment response, especially in the vertical dimension, is displayed by most orthodontic patients. The potential different responses must be anticipated before treatment begins. Alternative plans must be discussed with the family before treatment begins. These plans may have to be implemented if the original plan is not producing the desired response. Careful diagnosis and treatment planning, as well as meticulous attention to detail will minimize unfavorable responses. Good pretreatment records help the practitioner determine TMJ and facial pain risk factors, the necessity of extractions, and the amount of cooperation the patient needs to achieve to insure success. Record keeping during treatment will help the practitioner recognize and deal with both favorable and unfavorable treatment responses. Communication with the patient and parents at every appointment helps the family understand areas of guarded prognosis, and helps keep family expectations in line with what can be delivered. Record keeping, proper informed consent, and good treatment mechanics are items that practitioners must continually evaluate and improve. If a practitioner always strives to improve in these areas, orthodontic results will be of very high quality.


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