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A brief history of orthodontics - ortodontia e ortopedia facial

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In 1860 Emerson C. Angell (1823 to 1903) was probably the first person to advocate the<br />

opening <strong>of</strong> the median suture to provide space in the maxillary arch, since he took a strong<br />

stand against extraction. 20 James D. White also perfected a removable vulcanite appliance with<br />

a hinge in a split palate (1860). 21<br />

O. A. Marvin (1828 to 1907), in 1866, outlined the objectives <strong>of</strong> orthodontic treatment:<br />

1st: the preservation <strong>of</strong> correct <strong>facial</strong> expression;<br />

2nd: the restoration <strong>of</strong> such expression;<br />

3rd: the proper articulation <strong>of</strong> the teeth for better mastication;<br />

4th: their orderly arrangement, with a view to preventing decay. 1<br />

As early as 1871 William E. Magill (1825 to 1896) had cemented bands on the teeth. 22<br />

It may be <strong>of</strong> interest to know that in 1864 George J. Underwood 23 <strong>of</strong> New York presented his<br />

graduation thesis at the Pennsylvania College <strong>of</strong> Dental Surgery (Philadelphia)<br />

entitled“Orthodontia.”<br />

American <strong>orthodontics</strong>, 1875 to 1900 TOP<br />

It was not until the latter part <strong>of</strong> the nineteenth century when a few dedicated dentists gave<br />

special attention and importance to this phase <strong>of</strong> dentistry, that our specialty began to emerge.<br />

Known in that time as orthodontia, it required special mechanical skills and knowledge in such<br />

basic sciences as anatomy, physiology, and pathology.<br />

The period <strong>of</strong> the last three decades <strong>of</strong> the nineteenth century is studied in the framework <strong>of</strong><br />

individual dentists and their contributions. Each practitioner developed his own theory and<br />

practice, some to a greater degree <strong>of</strong> excellence than others. Those to be discussed <strong>brief</strong>ly<br />

include John H. Farrar (1839 to 1913); Norman W. Kingsley (1829 to 1913); Alton H. Thompson<br />

(1849 to 1914); Issac B. Davenport (1854 to 1922); Henry A. Baker (1848 to 1934); Eugene S.<br />

Talbot (1847 to 1925); simeon H. Guilford (1841 to 1919); and W. G. A. Bonwill (1833 to 1899).<br />

John Farrar could be referred to as the Father <strong>of</strong> American Orthodontics. It was he who gave<br />

impetus to the scientific investigations that permitted the understanding <strong>of</strong> the theory and<br />

practice <strong>of</strong> <strong>orthodontics</strong>. He began his studies in 1875, during which time he investigated the<br />

physiologic and pathologic changes occurring in animals as the result <strong>of</strong> orthodontically induced<br />

tooth movement. As a result <strong>of</strong> his studies, he published a series <strong>of</strong> articles between 1881 and<br />

1887 in the Dental Cosmos, one <strong>of</strong> the leading dental journals, enunciating the principle that “in<br />

regulating teeth, the traction must be intermittent and must not exceed certain fixed limits.” 4 He<br />

also published Irregularities <strong>of</strong> the Teeth and Their Correction, Vol. 1 in 1888 and Vol. 2 in 1889,<br />

in which he demonstrated the many uses <strong>of</strong> the screw as the motivating attachment and the<br />

basis <strong>of</strong> what he referred to as a system <strong>of</strong> orthodontia. (Copies <strong>of</strong> these books are in the<br />

American Association <strong>of</strong> Orthodontists library in St. Louis, Mo.) (The jackscrew was originally<br />

introduced in 1849 by D. William Dwinelle. 24 ) He stressed the “importance <strong>of</strong> the observance <strong>of</strong><br />

the physiologic law which governs tissues, during movement <strong>of</strong> the teeth, the subject being to<br />

prevent pain.” 1 Farrar was the originator <strong>of</strong> the theory <strong>of</strong> intermittent force, and the first person<br />

to recommend root or bodily movement <strong>of</strong> the teeth.<br />

Norman W. Kingsley was a prominent dentist, artist, and orthodontist. As early as 1866, he<br />

experimented with appliances for the correction <strong>of</strong> cleft palate and is associated with a<br />

technique known as jumping the bite with the use <strong>of</strong> a bite plate. 25 It was the treatment for<br />

protrusion <strong>of</strong> the maxilla, not necessarily with extractions, shaping the dental arches to be in<br />

harmony with each other. He used vulcanite in conjunction with ligatures, elastic bands made <strong>of</strong><br />

rubber, jackscrews, and the chincap. In 1880 he published A Treatise on Oral Deformities,<br />

which remained a textbook for many years. He, too, emphasized the importance <strong>of</strong> the<br />

relationship between mechanics and biology as the principle on which <strong>orthodontics</strong> should be<br />

based. His book was the first to recommend that etiology, diagnosis, and treatment planning

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