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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Fall 2003
Volume 4 , Issue 3

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Class II Mechanics for Noncompliant Patients

Jimmy C. Boley, DDS, MS/Larry White, DDS, MSD, FACD

Pages: 206–214

Noncompliant patients have frustrated orthodontists since the inception of the specialty, and the problem only grows. It never diminishes. This has encouraged orthodontists to develop various and sundry appliances, both intraorally and extraorally, to overcome this reluctance in cooperation. Interestingly, the first of the apparatuses developed to enlist patients’ total cooperation was the Saif spring, but no study was ever published in widely read orthodontic literature regarding its use or effect. Class II Saif springs and Class II elastics work in a similar manner, and the study presented here shows that some of the common misconceptions about the harmful effects of Class II forces do not necessarily apply. Most of the risks of Class II elastic forces can be controlled by careful planning and sound biomechanics. World J Orthod 2003;4:206–214.

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