Figure 8 (90% dento-alveolar) at an early age with transverse and vertical control. 17 The aforementioned protocols, along with the UAW controlled practice of serial guidance of the dentition, result in less than a 5% need of permanent teeth extractions in pediatric practice. The unconventional early treatment protocol has the potential to completely alter the orthodontic practitioner’s perspec-tive on early treatment. Whether the approach to orthodontic treatment is early or late, Andrews’s six keys to static normal occlusion and Roth’s functional occlusal scheme can be used for orthodontic objectives and goals in case finishing. 18 There is nothing more valuable to the success of the early treatment practice than a long term, dedicated, loyal, passionate, and determined staff. We must be able to delegate routine services while keeping up with technological advancements in all phases of dentistry. Remember: A smile is forever (Fig. 9). Figure 9 6. McNamara, J.A. “Maxillary Transverse Deficiency.” Am J Orthod Dentofacial Orthop , 2000, 167: 567–70. 7. Gianelly, A.A. “One-phase versus two-phases.” Am J Orthod , 1995 108: 556–9. 8. Tulloch, J.F., C. Phillips, and W.R. Proffit. “Benefit of Early Class II Treatment; Progress Report of a Two-phase randomized clinical trial.” Am J Orthod Dentofacial Orthop , 1998, 113: 40–50. 9. Carapezza, L.J. “To Whom Should We Listen? The Early Treatment Class II Controversy.” JAOS , Vol. 6, Issue 2, 2006. 10. Gandreault, Hendrocks, Korn. An unpublished study of frequency of variables. Tufts University School of Dental Medicine, May 2003. 11. Bjork, A. “Prediction of Mandibular Growth Rotation, Am J Orthod , June 1969. 12. Buschang, P.H., and H.B. Jacob. “Mandibular Rotation Revisited: What Makes it so Important?” Semin Orthod , 2014, 20: 299–315. 13. Carapezza, L.J. “Early Treatment of Malocclusion: Cephalometric Chevrons.” JAOS , Vol. 1, Issue 3, 2001. 14. “White, L., Interviews Lawrence F. Andrews, D.D.S. on The Straight-wire Appliance Update.” J Clin Orthod , August 1990. 15. Andrews, L.F. “Guest Editorial: The 6-Elements Orthodontic Philosophy: Treatment Goals, Classification and Rules for Treating.” Am J Orthod Dentofacial Orthop , December 2015, Vol. 148, Issue 6. 16. Gianelly A.A. “A Strategy for non-extraction Class II Treatment.” Semin Orthod , 1988, 4: 26–32. 17. Corbett, M.C. “Slow and Continuous Maxillary Expan-sion, Molars Rotation and Molar Distalization.” J Clin Orthod , 1997, 31: 253–263. 18. Roth, R. “Five Year Clinical Evaluation of The Andrews Straight-wire Appliance.” J Clin Orthod , 10, 1976: 836–850. References 1. Wolfson, E. “Legendary Locals of Wayland, MA Dr. Leonard Carapezza” (pg. 55) Arcadia Publishing , Charleston, SC 2015. 2. Andrews, L.F. “The Six Keys to Normal Occlusion.” Am J Orthod, 62, 1972: 296–309; and Andrews, L.F. “The Straight Wire Appliance.” J Clin Orthod 10(2-8) Feb -Aug, 1976. 3.Carapezza, L.J. “Early Treatment of Malocclusion: Serial Guidance.” JAOS, Vol. 4 Issue 2, 2004. 4. Brehm, W. Carapezza, L.J. “Space Age Pedodontics: The Use of the Utility Archwire Appliance.” J Pedod , Spring, 1987 11: 201-229. 5. Carapezz, L.J. “Objectifying Treatment of Malocclusion.” J Clin Pediatr Dent , Fall 1990, 15: 5–12; Carapezza, L.J. “Clini-cal Evidence of Arch Development: Primary-Early Mixed Dentition Study.” JAOS , Vol. 10, Issue 3, May/June 2010; and TUSDM C.E. Dr. Waldemar Brehm -Dr. Leonard J. Cara-pezza, Endowed Memorial Lectureship of the Early Treat-ment of Malocclusion in Pediatric Dentistry, 200–2025. www.orthodontics.com Summer 2025 25
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