“Through a radical reduction of the level of force, time of treatment, biological cost and financial cost for the patient, we achieve the therapeutic goals of professional quality and excellence with efficiency and efficacy through the principle of simplicity.” Dynamic Goals a) Articular dynamic goals í Develop comprehensive health for both the intra-and extra-capsule of the TMJ components by means of a dynamic joint that is synchronous with the resulting new occlusion. b) Occlusal Goal dynamics: í Develop a mutually protected dynamic occlusion, that is compatible with all the functionality and anatomy of the temporo-mandibular joints, cranio-cervical joints and neuro-muscular and ligamentous system in the sagittal, vertical and transverse dimensions. c) Neuromuscular Dynamic goals: í Develop proper load distribution with inter-occlusal and inter-proximal contacts that provide for proper muscle proprioception. The proprioception of the muscles, including both elevators and depressors of the jaw, are derived from the periodontal ligament, due to stimulating, clenching and chewing exercises. Fig. 6a-c: Final Retraction : Orthokinetics Archwires. The activation of the Orthokinetic archwires is made by the retraction systems by stretching the elastic module to 1/3 or 1/2 of its diameter until completing the space closure. Fig. 7a-c: Final introral photographs. Fig. 8a-c: Retention: Upper – removal; lower: 3x3 fix. www.orthodontics.com Spring 2016 35
Journal of the American Orthodontic Society Spring 2016: Page 35
