Orthodontist and periodontist’s knowledge, attitudes and aspects of clinical practice, regarding fixed lower orthodontic retainers

Abstract

Objective: This study aimed to assess the knowledge, attitudes, and aspects of the clinical practice of orthodontists and periodontists, regarding lower fixed orthodontic retainers. Methods: The orthodontists (n=502) and periodontists (n=269) who participated in this cross-sectional observational study received, via e-mail, questions related to the type of lower fixed retainer, dental biofilm accumulation, oral hygiene, and potential periodontal changes. The data were subjected to chi-square and Fisher’s exact tests, at 5% significance level. Results: Both orthodontists (72.3%) and periodontists (58.7%) reported that hygienic retainers accumulate more dental biofilm (p< 0.05), and 64.1% of orthodontists and 58.7% of periodontists considered that modified retainers may lead to periodontal changes (p< 0.05). There was no significant difference between the dental specialties, regarding the type of lower fixed retainer considered the easiest for the patient to perform hygiene (p> 0.05), whereas 48.6% of professionals chose the modified type. Conclusion: The modified retainer accumulates a greater amount of dental biofilm and, in the perception of orthodontists and periodontists, it may cause periodontal changes.

Mechanical Properties of 3D Printed Orthodontic Retainers

“…Different shapes and sizes of anterior retainers can result in different degrees of plaque accumulation. Modified multi-loop fixed retainers cause more periodontal changes than simple arch shapes [6]. The use of prefabricated universal fibreglass retainers causes a higher risk of failure due to the fact that it is a technique that depends on the operator's skills [7].…”