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Journal of Orthodontics, Vol. 29, No. 2, 153, June 2002
© 2002 British Orthodontic Society


Features Section

Systematized orthodontic treatment mechanics

Second Edition McLaughlin RP, Bennett JC, Trevisi H Mosby International Ltd., 2001 336 pp., Hardback, £115 ISBN 072343171X

J. Sandler

This book is an essential purchase for clinicians interested in high quality Straight Wire treatment. It clearly and concisely provides explanation of most aspects of this popular approach to appliance therapy. This text is a welcome addition to the first two authors' previous texts on this subject, published 4 and 8 years ago. The authors set themselves very high treatment goals and they achieve their objectives, as exemplified by the superbly treated and beautifully illustrated cases.

The book starts with a comprehensive overview of their treatment philosophy leading into a detailed description of the MBT appliance, the rationale of which is eminently sensible. All possible permutations of the appliance prescription are described with relevant examples of indications for each prescription. The introduction of a tube on lower premolars is one of many interesting developments that could solve a number of clinical problems.

Quite rightly, there is a great deal of emphasis on choosing the correct prescription and on bracket and band placement with a whole section devoted to arch form. Detailed descriptions are given as to how and when to alter the three archforms suggested, to optimize the result achieved.

Unlike the previous two books, there is a major shift to the use of Nickel Titanium archwires, which have by now been adopted by most proponents of the Straight Wire technique. Diagnostic decisions in Class II and Class III cases are discussed in great detail, presenting all the necessary considerations for formulating an ideal treatment plan.

Perhaps one of the most neglected aspects of clinical treatment is adequate finishing. It is refreshing to see a whole chapter devoted to techniques that demonstrate how these excellent clinicians get ‘the final 20%’ out of their orthodontic cases.

No review would really be complete without some criticism and there really were only a couple of minor faults. A few illustrations were slightly blurred and a couple showed multi-strand wire, which dates them somewhat, and finally an ungloved hand appeared in one figure.

The book is beautifully produced with chapters well laid out. The clinical documentation is superb, supplemented by very high quality line drawings. It covers all the important issues in Straight Wire therapy and, in my view, is a ‘must have’ for all clinical orthodontists. It is destined to become yet another bestseller for the McLaughlin & Bennett partnership.





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