clients in active orthodontic treatment should have what type of re-care interval

What is the importance of retention after orthodontic treatment?

The importance of retention after orthodontic treatment is well recognized.1,2 In 1934, Oppenheim3 stated “Retention is a problem in orthodontic treatment, in fact, it is the problem.” Retention is the final phase of active orthodontic therapy, and the clinical goal is to maintain teeth in a healthy, functional and esthetic position.

What are my options for orthodontics?

Your treatment plan includes all your options and then it’s up to you/your parents to decide on proceeding with the treatment. The types of treatment include ceramic, metal, standard, or lingual braces on both arches or just one and an option of clear aligners when indicated.

How often do Orthodontists check up retainers?

Most of the orthodontists checked up retainers three times during the first year (fixed ones—by 42.0%; removable ones—by 30.0%) and once per year after the 1-year retention period (fixed ones—by 44.4%; removable ones—by 40.7%). All orthodontists gave instructions for taking care of an orthodontic retainer.

Why do we need orthodontic Records?

Orthodontic records are required for an orthodontic diagnosis and treatment plan [1], [2]. Although records are mainly used for these purposes, monitoring facial growth and development with or without orthodontic treatment also plays an important role in research and clinical audit [3].

What is orthodontic retreatment?

Retreatment. If you've suffered a more significant relapse, we may recommend retreatment with braces or aligners. As an adult, you might balk at the idea of dealing with traditional braces again, but we're able to offer a wide variety of treatment options to correct your relapse.

What is the most common orthodontic appliance worn during active orthodontic treatment?

They serve various purposes, from active treatment to maintenance. Some of the most commonly used orthodontic appliances include: Braces/Aligners – either fixed or removable; used to gently reposition the teeth into better alignment. Retainers – used to prevent teeth from shifting to a prior position.

What happens in the active stage of braces?

The second phase of orthodontic treatment is called the active phase. The active phase refers to the time period where dental appliances are actually being worn or used by the patient. There are a variety of possible dental appliances that can be used.

What are the three phases of orthodontic treatment?

Here is a general overview of the three major stages of treatment:Phase 1 – The Planning Stage. The orthodontist makes an exact diagnosis in order to realign the teeth in the most effective and expedient way. ... Phase 2 – The Active Phase. ... Phase 3: The Retention Phase.

What is a passive appliance in orthodontics?

According to their mode of action, removable orthodontic appliances are divided into three main groups: 1-Active removable appliances: These appliances are capable of exerting pressure and perform tooth movement. 2-Passive removable appliances: These appliances remain passive in the mouth and exert no active pressure.

What are the different types of orthodontic appliances?

Types of Orthodontic AppliancesElastics (Rubber Bands) Wearing elastics (or rubber bands) improves the fit of your upper and lower teeth. ... Forsus™ ... Headgear. ... Herbst® Appliance. ... Palatal Expander. ... Positioners. ... Retainers.

How long is the active stage of braces?

Fitting It All Together. The next portion of the treatment is the longer portion of your treatment and can take anywhere from 12 to 18 months to complete. It involves correcting your bite so that your aligned teeth now fit together.

How long does the active stage of braces last?

Usually worn for between 2 and 6 months, patient-elastics guide the teeth in to the best possible biting position and help achieve the best possible result in the quickest time. Usually worn in the second half of treatment they can be worn throughout (especially with Invisalign).

What does it mean to activate braces?

When it's placed on your teeth, the wire is activated by the heat of your mouth. Once you get a bit further into the treatment process, the twist wire will be replaced with one that's more flexible, usually made of a nickel-titanium alloy. This wire is also activated by your body heat, causing it to become stiff.

How many phases are there in orthodontics?

In total, orthodontics has 7 phases : a zero phase in which a study is conducted and another 6 phases of active orthodontics.

What are the 5 stages of braces?

Five Stages of an Orthodontic TreatmentConsultation Stage. ... Bonding/Banding Stage. ... Regular Adjustments Stage. ... Debanding Stage. ... Retainer Stage. ... If you are currently suffering from any of the cases mentioned earlier, your dentist will most certainly refer you to an orthodontist.

What is preventive orthodontics?

Orthodontists specialize in treatments to prevent or reduce the severity of developing malocclusions by maintaining the quality of an otherwise healthy developing oral structure.

What is retention after orthodontic treatment?

The importance of retention after orthodontic treatment is well recognized.1,2 In 1934, Oppenheim3 stated “Retention is a problem in orthodontic treatment, in fact, it is the problem.” Retention is the final phase of active orthodontic therapy, and the clinical goal is to maintain teeth in a healthy, functional and esthetic position. In orthodontics, planning for retention begins with proper diagnosis, treatment planning, sound biomechanical principles, and placing the teeth in optimal functional occlusion. It is considered inevitable that for the majority of treated cases, some degree of relapse will occur, either with or without retention.4

What is retention requirement?

Retention requirements are determined by the characteristics of the original malocclusion and effects of orthodontic treatment. The method of retention is best selected at the outset of treatment and incorporated in the treatment plan for that particular case.

What is rigid mandibular retainer?

Rigid mandibular canine-to-canine retainer bars with bonding pads at the terminals are available in different sizes through various vendors. These can be used canine to canine or on two adjacent incisors to maintain closure of a diastema (Figure 2). They are excellent for maintaining inter-canine width, but less so in preventing individual tooth rotations, as they are attached only to the canines. Movement of the lower incisors can occur if the wire is not attached to them, but bonded only on the terminal teeth (the canines), especially if the wire is not intimately contacting the teeth on their entire lingual surfaces. Although bonding to all incisors remedies this problem, it can lead to bond failure at the adhesive/​wire interface. This occurs as there is a natural tendency of teeth to move from the periodontal ligament (PDL), and the wire’s rigidity does not allow this. If the adhesive is applied across the entire width of the tooth and interproximally (rather than spot locations on the teeth), rigidity is improved — but the splinting of teeth does not allow physiological movement and bond failures will occur. Figure 3 shows a custom, laboratory-made lingual retainer, with bonding pads on all six anterior teeth and accessible interproximal spaces.

What is the plan for retention?

In orthodontics, planning for retention begins with proper diagnosis, treatment planning, sound biomechanical principles, and placing the teeth in optimal functional occlusion. It is considered inevitable that for the majority of treated cases, some degree of relapse will occur, either with or without retention.4.

Can a lingual arch be placed directly?

It can be directly placed, and adaptation to the tooth surfaces is excellent, as it naturally forms to the lingual arch curvature and lays flat against the teeth. It also offers good mechanical retention of the adhesive and low failure rates due to “flex linkage” of the chain. FIGURE 4.

Can you use retainers directly in your mouth?

Several types of fixed retainers are available. Some can be fabricated directly in the mouth, if desired, while others are best fabricated indirectly on a stone model.

Is a retainer good for maxillary anterior teeth?

These devices are electropolished to a smooth surface and the retainer’s edges are rounded for comfort. Due to the small dimensions and contoured custom fit, this may be a good choice for maxillary anterior teeth.

What Is the Shortest Time Periods for Braces?

Orthodontic treatment adults prefer are usually the ones that take as little time as possible. Most adults lead busy lives, and some professionals have to make presentations and speeches often. So, adults want their teeth straightened in a matter of months instead of waiting a year or a year and a half to get the smile they want.

What Are the Benefits of Getting Braces As an Adult?

Traditional metal braces are often the go-to treatment, but there are other ways to straighten your teeth.

What Are the Side Effects of Adult Braces?

There are some side effect to be aware of if you’re considering braces as an adult. Teeth and gum pain are common, especially when your mouth is getting used to the braces. Temporomandibular dysfunction or TMD is also a common side effect of having braces. Root resorption can occur as a result of wearing braces.

What Is the Cost of Braces?

Braces are also a viable option as an adult because you’ll actually be able to afford treatment. Braces don’t cost as much as possible think. If you need braces for reasons other than aesthetics, such as lowering your chances of tooth decay or improving the way you talk or eat, dental insurance could help cover the cost of braces.

When Is It Too Late to Get Braces?

Most orthodontists agree that it’s never really too late to get braces. While it’s ideal to get braces when you’re younger and your jaws and gums are in good condition, you can get braces at any age. You can get conventional bracket braces and change the colors of your rubber bands each time you visit the orthodontist.

What is orthodontic treatment?

Orthodontic treatment is a step by step system. While every orthodontic case is different to the next, the journey patients take is quite similar. Here we will walk you through the three phases of orthodontic treatment so you know what to expect at each stage.

How long do you have to wear retainers after braces?

You will need to wear your retainers full time for at least three months while your teeth and gums settle down.

What type of x-ray is needed for orthodontics?

If the x-ray reveals any trapped teeth in the jaw or jaw joint problems, you may need a more complex 3-D x-ray, such as a cone beam scan. You can read more about x-rays and your orthodontic treatment here .

What is the best way to speed up tooth root treatment?

Depending on your treatment plan, we’ll use elastics, springs or implants to speed up the treatment time and achieve the best final result. Some patients may need another set of x-rays taken to check on the position of their teeth roots and to assist with any repositioning of any brackets.

Do you need a retainer for your bottom arch?

Depending on the treatment you had, your orthodontist may recommend a fixed retainer for the bottom arch (or both arches) to ensure your teeth stay in their desired position. You can read more about retainers after braces here. We fit the fixed retainer in place on the day your braces come off.

Do braces hurt when you put them on?

It’s time to apply your braces! You should take some short-term pain relief, before arriving at the clinic. While it doesn’t hurt when we apply your braces, within a couple of hours your teeth might feel sore, so it’s best to have had some pain relief.

Can expanders be used for orthodontics?

For some (usually younger) patients, the orthodontist may recommend your orthodontic treatment starts with expanders . Suitable only for patients whose palate hasn’t yet fused, expanders allow us to widen the jaw, so the teeth have more room to fit in the bigger jaw. Without the use of an expander, the patient will most likely need some teeth removed to help with their overcrowding issue.

What is the most common retainer used in orthodontics?

A combination of fixed and removable retainers was the most often used in the orthodontic retention. The Hawley appliance was a predominant removable retainer. The bonded wire from canine to canine was the most frequent fixed retainer. Evidence-based guidelines are desired for a common retention protocol.

How many appointments are required for retainers?

The orthodontists recommended three appointments during the first year for inspection of retainers (fixed ones—by 42.0%; removable ones—by 30.0%) and once per year after the 1-year retention period (fixed ones—by 44.4%; removable ones—by 40.7%).

How long should you wear removable retainers?

Thirty seven percent of the orthodontists in total noted that the removable retainers should be worn for 5 years and more after the completion of an active tooth movement, while others (34.6%) recommended to wear removable retainers for 1–2 years.

How long is the retention period?

The duration of the retention period. The duration of the retention period was from 1 month to the entire life, and 1 year was the most frequently mentioned as the first retention period by the orthodontists (30.9%).

How many orthodontists are there in Lithuania?

A total of 74 orthodontists were trained in Lithuania (56.8% at the Lithuanian University of Health Sciences, 43.2% at the Vilnius University), and the remaining 7 orthodontists were trained in other countries.

What is part 3 of the dental bonding?

Part 3 referred to the most often used fixed retainers and the details of commonly used fixed retainers (material, type, form, and diameter) and examined which teeth were used for bonding in the upper and lower dental arches and the methods and contraindications of bonding a fixed retainer in finished cases.

Which teeth do you bond a retainer to?

The most preferred fixed retainer was the retainer bonded to all anterior teeth (canine to canine). 80.2% of respondents bonded a fixed retainer in the lower jaw to all six anterior teeth, and 71.6% of them did it in the upper jaw (Table 3 ).

Abstract and Figures

The traditional education of a dentist has placed greater emphasis on developing highly competent diagnostician or clinicians and has often left a noticeable void in the area of practice management. As dentistry enters the 21st century, it faces an ever changing population and concepts.

References (36)

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Device Selection

Clinical Alternatives

Conclusion

Key Takeaways

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