A survey of general dentists regarding orthodontic retention procedures

Habegger, Michael; Renkema, Anne-Marie; Bronkhorst, Ewald M.; Fudalej, Piotr; Katsaros, Christos

doi:10.1093/ejo/cjw011

Cited by 23 publications

(38 citation statements)

References 28 publications

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“…7 For the patient and dental professional, the cleaning of this retainer type is easier. 26 fibre reinforced fixed retainers contradict findings in more recent studies. 30,31 Although aesthetic in appearance, compared with SS wires, they are susceptible to a higher risk of failure.…”

Section: Cq1b Which Retainer Is Best For Retaining the Lower Arch?contrasting

confidence: 72%

“…An alternative choice is a retainer only bonded to the lower canines . For the patient and dental professional, the cleaning of this retainer type is easier . Patients should, however, be informed about the risk of changes in alignment when retainers are only bonded to the lower canines.…”

Section: Discussionmentioning

confidence: 99%

“…However, in cases of poor oral hygiene the use of a wire only bonded to the canines should be considered . In comparison with a wire bonded to all lower front teeth, a wire only bonded to the canines is easier to clean for both the patient and the dental professional …”

Section: Discussionmentioning

confidence: 99%

“…7 In comparison with a wire bonded to all lower front teeth, a wire only bonded to the canines is easier to clean for both the patient and the dental professional. 26 When the wire is only bonded to the canines, rather than using a tick twisted multi-strand SS wire, a thick single-strand SS wire should be used. This is because a thick single-strand wire is more comfortable for the tongue and less plaque sensitive.…”

Section: Cq1d Which Design and Wire Materials Are Best For Lower Fixmentioning

confidence: 99%

“…8,37,42 Clear communication between the orthodontist and dentist about all aspects of OR is necessary in order to transfer the responsibility to the dentist. 26 It is not only important to request the dentist take over aftercare, but also necessary for agreements to be made between the orthodontist and dentist about repair and replacement of retainers. The dentist should be aware that despite the presence of retainers, changes in the position of the teeth and unwanted side effects may occur.…”

Section: Cq3mentioning

confidence: 99%

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Development of a clinical practice guideline for orthodontic retention

Wouters

Lamberts

Kuijpers-Jagtman

et al. 2019

Orthod Craniofacial Res

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Structured AbstractObjectivesTo develop a clinical practice guideline (CPG) for orthodontic retention (OR).Materials and MethodsThe CPG was developed according to the AGREE II instrument and EBRO (Dutch methodology for evidence‐based guideline development). Reporting was done according the RIGHT statement. A Task Force developed clinical questions regarding OR. To answer these questions, a systematic literature search in PubMed and EMBASE was performed. Two independent researchers identified and selected studies, assessed risk of bias using Cochrane RoB tool and rated quality of evidence using GRADE. The Task Force formulated considerations and recommendations after discussing the evidence. The concept CPG was sent for commentary to all relevant stakeholders.ResultOne systematic review—with 15 studies—met the inclusion criteria. In case of low evidence and lack of outcome measures, expert‐based considerations were developed. Over four meetings, the Task Force reached consensus on considerations and recommendations, after which the concept CPG was ready for the commentary phase. After processing the comments, the CPG was presented to the Dutch Association of Orthodontists, whereafter authorization followed.LimitationsThe paucity of evidence‐based studies concerning OR and the reporting of measurable patient outcomes.ConclusionThis CPG offers practitioner recommendations for best practice regarding OR, may reduce variation between practices and assists with patient aftercare. A carefully chosen retention procedure for individual patients, combined with clear information and communication between orthodontist, dentist and patient will contribute to long‐term maintenance of orthodontic treatment results.

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Section: Cq1b Which Retainer Is Best For Retaining the Lower Arch?contrasting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Cq1d Which Design and Wire Materials Are Best For Lower Fixmentioning

confidence: 99%