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• W2050795161 abstract "IT IS virtually impossihlc to find any recent paper 011 orthodontic treatment’ 1 or to listen to any discussion of orthodont,ic problems which does not a.t least mention growth and de~:elopment. And, if any appliance or system of appliances is advocated, to hear claimed for it the advantage of adapt,ability to the biological a&poach or the ability to cause physiologic& tooth mocement. At times one cannot help but wonder if these terms are much more than just terms, or if they really convey a great deal to the minds of many. Also that perhaps Hellman is not so far from correct when he states : “The term biology has come t,o be used rather widely. But what it stands for, I am afraid, is little understood. In its present implications, it seems to be linked with the use and effect of certain mechanical devices. Just like the inference of some that by means of certain Angle appliances it is possible to carry out ‘physiological treatment, ’ others imagine that by means of the lingual appliance it is possible to practice ‘biologic orthodontia,’ “So far, some of us have learned to talk about development, but most of us have not yet overcome the impulse to do things which oft interfere with it.” Granting that every recognized appliance or system of appliances has its advantages, disadvantages, indications, and contraindications, let us devote our thoughts to their consideration as a. whole and attempt to evolve a philosophy which may lead to some definite conclusions. Our approach to the mechanics of orthodontics must be realistic and rooted in ethical concepts. As pointed out by Woodbury,’ “If, lacking fundamental knowledge, we undertake a treatment on an empirical basis, let us recognize it as such, rather than attempting to justify it on spurious grounds of pseudoscience. To consciously distinguish what we know from what we do not know is often difficult, but it is fundamental. Only in such an atmosphere will research flourish and consistent progress be possible.” Almost everyone seems to agree that simplicity is desirable and claim it as a virtue in the construction or operation of his particular appliance. If complexity is admitted, it is with the statement that when simplicity interferes wit11 efficiency, simplicity must be sacrificed. But is it not too often abandoned needlessly and to the detriment of the patient? The limitations in the use of complex appliances are further expressed by Woodbury in a paper on “Orthodontic Suppositions” as follows : “A supposition of a different order and one that tends to limit our usefulness is that proper orthodontic service can be rendered only through the use of complex appliances and the application of a very exacting technique. A recent textbook takes this attitude. The author assesses the suitability of the" @default.
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• W2050795161 date "1938-11-01" @default.
• W2050795161 modified "2023-09-26" @default.
• W2050795161 title "A plea for simplicity in orthodontic mechanism" @default.
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• W2050795161 doi "https://doi.org/10.1016/s0096-6347(38)90088-2" @default.
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