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Retention and relapse in clinical practice.

S J Littlewood1,2, S Kandasamy3,4,5, G Huang6

  • 1St Luke's Hospital, Little Horton Lane, Bradford, BD5 0NA, United Kingdom.

Australian Dental Journal
|March 16, 2017
PubMed
Summary
This summary is machine-generated.

Orthodontic relapse is common due to various factors. Long-term retainer wear is crucial for maintaining corrected tooth positions, requiring patient commitment and informed consent regarding potential tooth movement.

Keywords:
Fixed retainersincisor crowdingrelapseremovable retainersretainersretentionstability

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Area of Science:

  • Dentistry
  • Orthodontics
  • Dental Biomechanics

Background:

  • Post-orthodontic tooth movement, or relapse, is a significant challenge.
  • Factors contributing to relapse include periodontal, gingival, occlusal, and growth-related changes, as well as normal aging.
  • Predicting individual relapse risk and stability is currently not feasible in orthodontics.

Purpose of the Study:

  • To emphasize the necessity of long-term retention strategies in orthodontic treatment.
  • To highlight the importance of patient understanding and adherence to retention protocols.
  • To underscore the role of informed consent in managing patient expectations regarding relapse.

Main Methods:

  • This study is a review of current understanding and clinical practice regarding orthodontic retention.
  • It synthesizes information on the multifactorial nature of tooth relapse.
  • It discusses the implications for patient management and informed consent.

Main Results:

  • Clinicians must assume all patients are at risk of relapse and advocate for long-term retention.
  • Patient compliance with retainer wear is paramount in preventing relapse.
  • Informed consent must clearly communicate the risks of relapse and the patient's responsibilities.

Conclusions:

  • Long-term retention is essential for maintaining orthodontic treatment outcomes.
  • Effective patient education and commitment are vital for successful retention.
  • Further high-quality research is needed to establish optimal retention methods and regimens.