The Alexander discipline

  • R. G. 'Wick' Alexander
UK: Quintessence price £102.00; pp 208 ISBN 9780867154986 | ISBN: 978-0-8671-5498-6

This book follows the first volume The 20 principles of the Alexander Discipline in highlighting and illustrating long-term stability after orthodontic treatment and the factors which influence it. The Alexander Discipline was developed from the Tweed technique and is designed to promote function, aesthetics, stability and periodontal health. The approach includes selection of unique brackets, arch form, treatment mechanics and very importantly, stability.

The introductory chapter is entitled 'Begin with stability in mind' and this is indeed the focus of the entire book. Six guidelines are set out when approaching long-term stability using the Alexander Principle: periodontium, anterior torque control, skeletal and transverse control, occlusion and soft tissue profile. Each guideline is described and explained in relation to stability with references and the author's personal expertise. All guidelines are supported with case studies from the author's own practice and presented with numerous colour photographs, study models, radiographs and cephalometric tracings. Treatment plans are also evaluated and discussed and follow-ups of 5 to 40 years are included, which demonstrate their long-term stability. A separate chapter focuses on factors relating to relapse and possible treatment modalities which may help to prevent it.

This book is principally aimed at specialist orthodontists but can also be useful for postgraduate studies and dentists with a special interest in orthodontics. The numerous case studies which have benefited from long-term follow-up demonstrate without a doubt, the success of using the Alexander Discipline in achieving stability. Any clinician practising using this principle can use the book as a guide when considering long-term stability. Patients would also appreciate seeing the potential results of their orthodontic treatment with good co-operation and compliance.