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Teeth01:15

Teeth

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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.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
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Related Experiment Video

Updated: May 25, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
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Unintended Orthodontic Movements With Long-Term Fixed Retainers.

Frank Celenza1

  • 1Assistant Clinical Professor, Rutgers University School of Dental Medicine, Depts of Post-Graduate Periodontics and Orthodontics, Newark, New Jersey; Private Practice, New York, New York.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|February 26, 2025
PubMed
Summary
This summary is machine-generated.

Fixed lingual retainers are crucial for maintaining orthodontic outcomes but can cause unintended tooth movements. This article reviews problematic designs and proposes improved alternatives and corrective treatments for better long-term results.

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Area of Science:

  • Dentistry
  • Orthodontics
  • Biomaterials Science

Background:

  • Maintaining orthodontic treatment results is essential for long-term dental health.
  • Fixed lingual retainers are commonly used but present potential complications.
  • Understanding retainer design liabilities is key to preventing adverse outcomes.

Purpose of the Study:

  • To identify unintended tooth movements associated with specific fixed lingual retainer designs.
  • To propose alternative retainer designs that minimize adverse effects.
  • To outline corrective measures for managing unintended movements.

Main Methods:

  • Review of existing literature on fixed lingual retainer designs and their clinical outcomes.
  • Analysis of biomechanical principles influencing tooth movement with different retainer configurations.
  • Case study examples illustrating unintended side effects and their management.

Main Results:

  • Certain fixed lingual retainer designs can lead to undesirable mesial or distal tooth migrations.
  • Specific bonding protocols and wire configurations are implicated in adverse movements.
  • Alternative designs, such as those with improved flexibility or passive engagement, show promise.

Conclusions:

  • Clinicians must be aware of the potential liabilities of various fixed lingual retainer designs.
  • Careful selection of retainer design based on individual patient needs is recommended.
  • Further research into optimized retainer designs can improve long-term orthodontic stability.