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Bonded orthodontic retention: a practical guide
Robert Kirschen1, Simon J Littlewood2, Anna Blazewska-Amin3
1Retired Specialist in Orthodontics, Reigate, Surrey, UK.
British Dental Journal
|June 12, 2021
Summary
Bonded retainers are crucial for preventing tooth movement after orthodontic treatment. Proper planning, material selection, and technique are key to ensuring long-term, predictable fixed retention and minimizing failures.
Area of Science:
- Orthodontics
- Dental Materials Science
Background:
- Post-orthodontic tooth movement is a significant clinical concern.
- Established open-ended retention strategies necessitate careful planning for bonded retainers.
Purpose of the Study:
- To emphasize the importance of planning for bonded retention.
- To discuss principles for minimizing failure rates of bonded retainers.
Main Methods:
- Review of wire and adhesive options for bonded retainers.
- Discussion of preparation techniques for wires and teeth.
- Outline of bonding procedures and retainer design variations.
- Exploration of problem prevention and repair strategies.
Main Results:
- Key principles for minimizing bonded retainer failure rates are outlined.
- Various wire, adhesive, and design options are discussed.
- Strategies for predictable long-term fixed retention are presented.
Conclusions:
- Careful planning and execution are essential for successful bonded retention.
- Understanding material properties and application techniques improves retainer longevity.
- Proactive problem-solving and repair methods enhance treatment outcomes.
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