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Related Experiment Videos

[Permanent retention: a justified orthodontic compromise?].

P De Wilde, J Kleutghen

    Revue Belge De Medecine Dentaire
    |January 1, 1989
    PubMed
    Summary

    Achieving stable orthodontic results requires careful case selection for permanent retention, especially in adults with complex malocclusions. This study introduces a new, durable meshflex retainer to address limitations of current lingual retention systems.

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    Area of Science:

    • Orthodontics
    • Dental Materials Science
    • Biomaterials

    Background:

    • Orthodontic treatment aims for long-term stability and self-retention of results.
    • Permanent retention is indicated for specific malocclusions where ideal stability principles are challenging to achieve.
    • Adult patients and those with functional deviations often require specialized retention strategies.

    Purpose of the Study:

    • To discuss conditions for optimal orthodontic case stability and self-retention.
    • To identify indications for permanent retention, particularly in challenging cases.
    • To evaluate the evolution, drawbacks, and responsibilities associated with permanent lingual retention, introducing a novel solution.

    Main Methods:

    • Review of conditions for stable orthodontic outcomes.
    • Analysis of indications for permanent lingual retention in adults and functional deviations.
    • Evaluation of permanent lingual retention disadvantages and practitioner responsibility.
    • Presentation of a new, durable flexible wire system (meshflex retainer) with case examples.

    Main Results:

    • Permanent lingual retention presents challenges and disadvantages, particularly concerning practitioner responsibility.
    • A new 'meshflex retainer' modification of the flexible wire system offers improved durability.
    • Case studies demonstrate the application and potential benefits of the meshflex retainer.

    Conclusions:

    • Careful consideration of orthodontic case conditions is crucial for achieving stable, self-retaining results.
    • Permanent lingual retention, while necessary in some cases, has limitations that necessitate improved solutions.
    • The novel meshflex retainer shows promise as a more durable and potentially advantageous option for long-term orthodontic retention.

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