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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
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Updated: Jun 25, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
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The Risks Behind Fixed Retainers After Orthodontic Treatment.

Rafi Romano, Lihi Keren

    The International Journal of Periodontics & Restorative Dentistry
    |May 31, 2024
    PubMed
    Summary
    This summary is machine-generated.

    Bonded fixed retainers have risks and disadvantages. This study suggests a revised retention protocol using clear aligners for orthodontic relapse cases, offering an alternative to traditional fixed retainers.

    Keywords:
    clear alignersfixed retainersretentionstability

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    Area of Science:

    • Orthodontics and Dental Biomaterials
    • Clinical Dentistry and Oral Health

    Background:

    • Bonded fixed retainers are the primary retention method post-orthodontic treatment.
    • Long-term occlusal stability and minimal patient compliance drive the use of fixed retainers.
    • However, fixed retainers present significant disadvantages and potential risks.

    Purpose of the Study:

    • To analyze the failures and risks associated with bonded fixed retainers.
    • To describe a workflow for retreatment of orthodontic relapse despite fixed retainers.
    • To propose a revised retention protocol utilizing clear aligner technology.

    Main Methods:

    • Categorization and description of various bonded fixed retainer failures.
    • Presentation of three case studies involving orthodontic relapse (open bite, root movement, maxillomandibular protrusion).
    • Application of clear aligner treatment for relapse management in the presented cases.

    Main Results:

    • Fixed retainers can fail, leading to orthodontic relapse.
    • Clear aligners can be effectively used to manage relapse in patients with previous fixed retention.
    • The presented cases demonstrate successful outcomes with clear aligner retreatment.

    Conclusions:

    • Bonded fixed retainers are not without failure and associated risks.
    • A revised retention strategy incorporating clear aligners offers a viable alternative for managing relapse.
    • Further investigation into revised retention protocols is warranted for long-term orthodontic stability.