The Bonded Mandibular Lingual Retainer

1986 ◽  
Vol 13 (3) ◽  
pp. 159-163 ◽  
Author(s):  
Shabbir T. Adenwalla ◽  
Fereidoon Attarzadeh
Keyword(s):  
Orthodontic Treatment ◽  
Anterior Teeth ◽  
Lingual Retainer ◽  
Bonded Retainers

The lower fixed retainer from cuspid to cuspid has been one of the commonly used methods of retention at the end of the orthodontic treatment. Orthodontists mostly use the lingual wire soldered to cuspid bands for the fixed lower retainer. With the advent of the new effective bonding materials many orthodontists prefer to use cuspid-to-cuspid/biscuspid-to-biscuspid bonded retainers to obtain optimal retention of lower anterior teeth both functionally and aesthetically. After experimenting with a variety of previous methods, such as the use of rubber bands, elastic threads, cotton pliers, ligature wires and silastic trays for the accurate placement and immobilization of a lower lingual retainer during the bonding, we have found that the use of two 1 to 1½ inch pieces of 0·016 inch wires tack welded to lingual wire gives the best results. It is more accurate, simple, inexpensive and designed to save the orthodontist chair time.

scholarly journals Retainer Holding Clip

2020 ◽  
Vol 54 (2) ◽  
pp. 157-160
Author(s):  
Kshitij Gupta ◽  
Rajul Khare ◽  
Neeraj Agrawal ◽  
Ankur Chaukse ◽  
Neha Nigam Gupta
Keyword(s):  
Orthodontic Treatment ◽  
Retention Period ◽  
Innovative Method ◽  
Patient Cooperation ◽  
Lingual Retainer ◽  
Bonded Retainers

Retention period is the most important phase of orthodontic treatment, which is often neglected. Bonded retainers have advantages compared to conventional removable retainers in that they are invisible from the front, require less patient cooperation, and provide long-term (as long as 10 years) or even permanent retention. 1 Stabilization of bonded retainer prior to its bonding is of key importance. In the present paper, we have designed a more simple and innovative method of stabilizing the retainer wire by just holding the retainer with a prefabricated retainer holding clip, followed by the bonding procedure of lingual retainer.

scholarly journals Fixed Lingual Retainer Positioner: A narrative review

2020 ◽  
Vol 7 (2(S)) ◽  
pp. 2-5
Author(s):  
Medha Lakhanam ◽  
Kamna Srivastava ◽  
Raghavendr Singh
Keyword(s):  
Orthodontic Treatment ◽  
Bond Failure ◽  
Advantages And Disadvantages ◽  
Term Retention ◽  
Orthodontic Wire ◽  
Critical Phase ◽  
Long Term Retention ◽  
Lingual Retainer ◽  
Bonded Retainers

Retention is one of the most critical phase of Orthodontic treatment . Angle stated that "the problem involved in retention are greater  than the difficulties being encountered in the treatment, and tests the utmost skill of the operator. The various retention appliances available include Removable retainers and bonded retainers. Removable retainers have their own advantages and disadvantages, but they need patient’s compliance to wear them.Fixed retainers consist of a length of orthodontic wire that is bonded on the lingual aspect of tooth .The major advantages of bonded retainers includes invisibility, no patient compliance required and long term retention.   Bonding of a lingual retainer is a challenging and technique sensitive procedure because it requires long working time and has a risk of contamination from saliva and moisture, leading to bond failure as it is difficult to adaptation of the retainer wire and further stabilization of contoured retainer wire in the oral cavity during bonding. If retainer wire can be effectively stabilized over the lingual surface of tooth prior to bonding, bonding becomes a simple process. Various methods used to stabilize lingual retainer before bonding  involves use of separators (Kesling and elastomeric separators), materials like resin, memosil, glue etc or use of metal Stablizers in form of W,V or use of wires .   The objectives of this article is to compile the different retention techniques used to stabilize the lingual retainer wire for bonding altogether at one place.   Keywords: Retainers, lingual aspect, Bonding, Stablization

scholarly journals Stability of aligned maxillary anterior teeth after orthodontic treatment: amount of changes with different retention methods and without retention

2021 ◽  
Author(s):  
◽  
Sasan Naraghi
Keyword(s):  
Orthodontic Treatment ◽  
Contact Point ◽  
Clinical Results ◽  
Post Treatment ◽  
Short Term ◽  
Retention Capacity ◽  
Anterior Teeth ◽  
Retention Group ◽  
One Year ◽  
Bonded Retainers

Well-aligned anterior teeth are the major reason for the patients seeking orthodontic treatment, and keeping teeth aligned and stable afterwards is a goal for the orthodontist and the patient. Relapse after treatment is a common problem, and it is defined as when teeth go back to their previous positions. Removable or fixed retainers have been used to avoid relapse after treatment. It has been common practice to use removable retention to retain anterior teeth in the maxilla. However, in recent decades, it has become increasingly common to retain with bonded retainers. Almost all previous studies on retention devices in the maxilla were based on removable retainers. Consequently, there existed knowledge gaps and lack of short-term and long-term studies on the capability to maintain the stability of the maxillary anterior teeth with bonded retainers. Hence, the reason for the papers in this study. In addition, it is not known if retentionis needed in all orthodontic patients or if there are patients, based on their initial malocclusion and individual variations, who may not need retention after treatment. The research questions addressed in this thesis thus originate from knowledgegaps and clinical needs concerning retention strategies after orthodontic treatments. To provide strong clinical evidence, randomised controlled trials (RCT) as well as intention to treat (ITT) methodology has been assessed. The results are expected to be beneficial for the patients who will be offered the most effective retention strategy for maxillary anterior teeth based on patients’ preferences. In Paper I and II, 45 and 27 adolescents’ patients were collected from the Orthodontic Clinic in Mariestad, Sweden. At the time when Paper Iand II were conducted, there were no studies that had evaluated the longterm effect of bonded retainers in the maxilla. In two RCTs, Paper III and IV, 90 and 63 adolescents’ patients were collected from the Orthodontic Clinic in Växjö, Region Kronoberg, Sweden. Paper I: The aim was to investigate the amount and pattern of relapse of maxillary anterior teeth previously retained with a bonded retainer. Paper II: The aim was to investigate the amount and pattern of changes of maxillary anterior teeth seven years post-retention, which previously were retained with a bonded retainer. Paper III: The aim was to evaluate post-treatment changes in the irregularity of the maxillary six anterior teeth and single tooth Contact Point Discrepancy (CPD) of three different retention methods. Paper IV: The aim was to evaluate whether retention is needed after orthodontic treatment for impacted maxillary canines and with moderate pre-treatment irregularity in the maxilla. Key findings in Paper I • The contact relationship between the laterals and the centrals is the most unstable contact. Canines are the most stable teeth. • There was no difference in the relapse pattern between rotational displacements and labiolingual displacement. Key findings in Paper II • There was a strong correlation between irregularity at one- and seven-years post-retention. Stable cases one-year post-retention were stable and unstable cases deteriorated with time. Key findings in Paper III • All three retention methods showed equally effective retention capacity and all the changes found in the three groups were small and considered clinically insignificant. Thus, the null hypothesis was confirmed. All three methods can be recommended. Key findings in Paper IV • Changes between the retention and the non-retention group were statistically but not clinically significant. Since satisfactory clinical results one-year post-treatment were found in the non-retention group, retention does not appear always to be needed. • Most of the changes occur within the first 10-week period after treatment with no retention. Key conclusions and clinical implications Both removable and bonded retainers are effective for holding teeth inposition and can be used for preventing the relapse. It can be enough toretain with bonded retainer 12-22 instead of 13-23. It might be possibleto avoid retention in selected cases in the short-term, but a longer evaluationperiod is needed.

Management of Patient with Aggressive Periodontitis by Orthodontic and Prosthodontic Collaboration

DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 80
Author(s):  
Chaterina Diyah Nanik K ◽  
Anindita Apsari
Keyword(s):  
Orthodontic Treatment ◽  
Young Patients ◽  
Interdisciplinary Approach ◽  
Aggressive Periodontitis ◽  
Definitive Treatment ◽  
Dental Arch ◽  
Preliminary Treatment ◽  
Young Adult Patient ◽  
Anterior Teeth ◽  
Long Span Bridge

<p><strong><em>Background:</em></strong><em> One of the most common inflammation disease in the oral cavity for the past few years is the aggressive form of periodontitis. Common signs of aggressive periodontitis is the mobility of teeth especially in incisive and first molars, and occuring mostly in young patient. Young patients whose losing her anterior teeth, are a real challenge for dentist and prosthodontist. Prosthodontist need to consider both functional and esthetic aspects. <strong>Objective:</strong> Rehabilitation of young adult patient with aggressive periodontitis by an interdisciplinary approach of orthodontist and prosthodontist. <strong>Case Description:</strong> A young woman, suffered from aggressive periodontitis with major complain of her teeth mobility, especially incisive and first molar in mandible. She had undergone periodontal treatment, but the result was failed. The anterior teeth in mandible need to be extracted, therefore patient wished not to be in edentulous state. As preliminary treatment, we choose immediate denture to replace the anterior mandible teeth. We faced difficulties in mandible, because her right canine weren’t in the proper dental arch. So we asked orthodontist to place fixed orthodontics in mandible, to get the canine back in the proper arch. We’ve chosen orthodontic treatment,because we didn’t want to extract the canine teeth. We evaluated in six months and after the canine back in the proper arch, we proceed to long span bridge in mandible as our definitive treatment. <strong>Conclusion:</strong> By not extracting the canine teeth, we got some advantages, especially patient psychically was happier with her own teeth. The collaboration with another dentistry field, provides us better treatment for patient. After treatment, patient had no complaints and was happy with her new smile.</em></p><p><strong><em>Keywords:</em></strong><em>  Prosthodontic rehabilitation, aggressive periodontitis, orthodontic treatment, esthetic</em><em>.</em></p><strong><em>Correspondence:</em></strong><em> Chaterina Diyah Nanik. K; Department of Prostodontitics, Faculty of Dentistry, Hang Tuah University, Arif Rahman Hakim 150, Surabaya; Phone 031-5912191, Email: </em><a href="mailto:[email protected]"><em>[email protected]</em></a>

scholarly journals Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Qiannan Sun ◽  
Wenhsuan Lu ◽  
Yunfan Zhang ◽  
Liying Peng ◽  
Si Chen ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Morphological Changes ◽  
Strong Positive Correlation ◽  
Anterior Teeth ◽  
Bone Width ◽  
Lateral Cephalograms ◽  
Labial Side ◽  
Incisor Retraction ◽  
Maxilla And Mandible

Abstract Backgroud To analyze the morphological changes of the anterior alveolar bone after the retraction of incisors in premolar extraction cases and the relationship between incisor retraction and remodeling of the alveolar base represented by points A and B displacements. Methods Pre- (T0) and post-treatment (T1) lateral cephalograms of 308 subjects in the maxilla and 154 subjects in the mandible who underwent the orthodontic treatment with extraction of 2 premolars in upper or lower arches were included. Alveolar bone width and height in both the maxillary and mandible incisor area were measured at T0 and T1 respectively. By superimposing the T0 and T1 cephalometric tracings, changes of points A and B, and the movement of the incisors were also measured. Then the correlation between incisor movement and the displacements of points A and B was analyzed. Results The alveolar bone width (ABW) showed a significant decrease in both maxilla and mandible (P < 0.001) except the labial side of the mandible (P > 0.05). The alveolar bone height (ABH) showed a significant increase in the labial side of maxilla and a significant decrease in the lingual side of maxilla and mandible. A strong positive correlation was verified between incisor movement and position changes of points A and B in both horizontal and vertical directions. Conclusions Anterior alveolar bone width and height generally decreased after orthodontic treatment. Incisor retraction led to significant position changes of points A and B. The decrease of anterior alveolar bone due to significant incisor retraction should be taken into account in treatment planning.

A Modification of Andresen Appliance Therapy

1974 ◽  
Vol 1 (3) ◽  
pp. 103-104
Author(s):  
A. B. Hewitt
Keyword(s):  
Orthodontic Treatment ◽  
Virtual Absence ◽  
Anterior Teeth ◽  
Points Of Interest ◽  
Oral Screen

A modification of Andresen appliance therapy has been described with the incorporation of an anterior oral screen which isolates the anterior teeth from the vestibular musculature. The main points of interest are the rate of overjet reduction, the simplicity of construction and virtual absence of adjustment which rendered this appliance suitable in areas where orthodontic treatment was severely limited.

scholarly journals Lingual bonded retainers: A case series of complications and resolutions

2020 ◽  
Vol 10 ◽  
pp. 3-11
Author(s):  
Tae-Kyung Kim ◽  
Seung-Hak Baek
Keyword(s):  
Case Series ◽  
Gingival Recession ◽  
Black Triangle ◽  
Anterior Teeth ◽  
Combined Use ◽  
Management Of Complications ◽  
Bonding Failure ◽  
Transfer Method ◽  
Transverse Position ◽  
Bonded Retainers

Objective: The objective of the study was to describe the types, causes, and recommendations for the prevention/ management of complications related with lingual bonded retainers (LBRs) during the retention period. Materials and Methods: The retention protocol was a combined use of the LBRs made from 0.0175 multistrand wire and bonded on the maxillary and mandibular anterior teeth by DuraLay resin transfer method and a removable retainer at both arches for nighttime wear. Nine cases, which did not show bonding failure or fracture of LBR, were described to explain the complications including unexpected tooth movements and gingival problems. Results: The types of complications were spacing, loss of alignment, change in transverse position, angulation or torque of the crown, gingival recession, and black triangle. There are three possible causes for these complications: (1) Active force generated by LBR, which was not passively fabricated or bonded, (2) deformation of LBR induced by heavy biting force or traumatic occlusion, and (3) untwisting force of strand in round flexible multistrand wire. These complications can be prevented or managed by (1) fabrication of LBR on a working model to make it passive, (2) use of a jig to position LBR during bonding to avoid deformation by finger pressure, (3) supplemental use of a removable retainer for nighttime wear, (4) early detection of bonding failure, deformation, or fracture of LBR, and (5) immediate removal of LBR and use of a new removable retainer for resolution of complications. Conclusion: Clinicians should check the existence of these complications from the start of retention and inform the patient of the possibility of retreatment.

scholarly journals An Innovative Lingual Retainer Wire Stabilizer

2020 ◽  
Vol 54 (4) ◽  
pp. 382-383
Author(s):  
Tivanani Venkata Durga Mahendra ◽  
Vyshnavi Mulakala
Keyword(s):  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Critical Step ◽  
Stable Position ◽  
Custom Made ◽  
Iatrogenic Damage ◽  
Lingual Retainer

One of the means of maintaining the incisor alignment after orthodontic treatment is by fixed lingual retainer. Over the decade’s various techniques have been advocated for bonding a lingual retainer wire. The most critical step to the orthodontist is stabilization of retainer wire in its stable position to prevent relapse. The purpose of this study is to introduce a custom-made device which is easy to fabricate and stabilizes the retainer wire to the contours of the palatal surface of the teeth without causing any iatrogenic damage to the adjacent soft tissues while bonding.

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