Journal of Orthodontics

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Fundamentals of Orthodontic Treatment Mechanics Martyn Cobourne To cite this article: Martyn Cobourne (2016): Fundamentals of Orthodontic Treatment Mechanics, Journal of Orthodontics To link to this article:

Published online: 24 Feb 2016.

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Date: 16 March 2016, At: 12:59


Journal of Orthodontics, 2016, 1

Fundamentals of Orthodontic Treatment Mechanics

Downloaded by [University of Western Ontario] at 12:59 16 March 2016

John C. Bennett, Richard P. McLaughlin Le Grande Publishing. ISBN 978-0-9564555-2-9

This textbook builds upon an evolving treatment philosophy that has been articulated by the authors in a number of texts produced over a 30-year period. They suggest that this now completes the story and call it the McLaughlin Bennett System 4.0. At the heart of this philosophy is the concept of making orthodontic treatment as straightforward as possible, while ensuring that things are done right. Although this book will be of use to any practising orthodontist, it is perfect for the trainee and as the authors correctly state in their introduction, if you want to rise above mediocrity, then this is the book for you! It is an absolute must for those starting out in orthodontic specialist training. The book is broadly split into two halves, dealing with the pre-adjusted edgewise appliance itself and then © 2016 British Orthodontic Society

moving into treatment mechanics. As you might expect, there is a lot of detail on bracket design, with a definitive explanation of the philosophy behind the MBT prescription, but also a useful chapter on bracket variation. The use of indirect bonding is also championed, and there are further chapters on archwires and archform. The section on treatment mechanics begins with a chapter covering anchorage (including temporary anchorage devices) and then moves into a number of chapters that outline how to deal with specific cases, based upon whether they are non-extraction, first premolar or second premolar extraction cases. The text is completed with chapters on settling, appliance removal and of course, retention. The quality of treatment demonstrated by the selected cases is excellent and really showcases what can be achieved with this appliance system. It is difficult to criticise such a beautiful piece of work and I fully appreciate the time, effort and attention to detail that has gone into this textbook. The line drawings are fantastic and largely done by one of the authors in Adobe Illustrator® – no mean feat in itself. I would make two points. First, there is very little reference to any contemporary high-quality evidence. The philosophy is based on the authors’ many years (combined, I would estimate around 80!) of clinical experience and I appreciate this, but clinical excellence should also be informed by evidence-based medicine. There are references to only three RCTs and no systematic reviews throughout the entire text and I think this is an omission. The authors may not agree with some of the prospective evidence that is out there, but I think it should be highlighted and discussed. Second, while the standard of treatment is extremely high, the cases are generally fairly mild and it would be nice to see the addition of a few more challenging examples that I am sure the authors will have plenty of. However, these points should in no way detract from what is a major achievement. In an age of increasing self-promotion and unfounded claims of excellence within our specialty, this book is the real deal. A wonderfully documented demonstration of sustained clinical excellence and a clearly articulated philosophy to help you achieve it. Read it!

Martyn Cobourne [email protected] DOI:10.1080/14653125.2016.1143227

Fundamentals of Orthodontic Treatment Mechanics.

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