Orthodontic fixed retainer is widely used, as an orthodontic retention appliance, for nearly four decades. It answers the need for prolonged retention with minimum patient compliance. The effectiveness of fixed retainers was compared to other retention devices in several studies, and was found as effective as removable appliances. But, further high quality research is still needed. A bonded fixed retainer was suspected as an obstacle that impedes the patient's ability to keep satisfactory oral hygiene. But research failed to prove the influence of fixed retainers on periodontal health or white spot lesion occurrence as clinically significant. The definite downsides of fixed retainer are the risk of retainer breakage, and unwanted tooth movements. A typical tooth movement can appear even without a retainer breakage, including a change of torque of a mandibular incisor or skewing of the anterior mandibular arch segment. Both the dentist and the orthodontist are encouraged to be familiarized with these possible side effects, recognized them as soon as possible, and consider changing the retention protocol, when appropriate.
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Volumetric and tridimensional root resorption and alveolar bone changes in Class II malocclusion extraction protocol treated with clear aligners and fixed orthodontic appliances: A comparative study.
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Department of Orthodontics, Faculty of Dentistry, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. Electronic address:
Introduction: This study aimed to assess the root resorption and alveolar bone changes of maxillary incisors volumetrically and 3-dimensionally in patients with Class II Division 1 malocclusion who underwent treatments involving the extraction of 4 first premolars with conventional fixed appliances (FAs) vs clear aligners (CAs).
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Second Versus First Molar Extractions in Class II Division 1 Malocclusion Treatment: A Retrospective Longitudinal Outcome Study into Maxillary Canine, Premolar, and Molar Movement.
J Clin Med
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Radboudumc 3D Lab, Radboud Institute for Health Sciences, Radboud University Medical Center, P. O. Box 9101, 6500 HB Nijmegen, The Netherlands.
This retrospective longitudinal outcome study comparing orthodontic extraction modalities, including extraction of maxillary first or second molars, aimed to compare the three-dimensional tooth movement of maxillary canines (C), premolars (P1, P2), and molars (M1, M2) in Class II division 1 malocclusion treatment with fixed appliances. A sample of 98 patients (mean age 13.20 ± 1.
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View Article and Find Full Text PDFThe Effect of Thermocycling on the Shear Bond Strength of Flash-free Brackets and Healing Dynamics of Enamel Microcracks: An Study.
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