scholarly journals Orthodontic Finishing: Ten Steps to Success*

2018 ◽  
Vol 8 ◽  
pp. 184-199 ◽  
Author(s):  
Jose Nelson Mucha

An excellent orthodontic finishing is essential and involves a series of procedures such as a good diagnosis, appropriate treatment plan, and implementing the treatment plan. However, the most critical phase corresponds to finish properly or closely to the appliance removal. It is not enough only to say that it was a good finish. Specifically why, or what details are needed to be observed and obtained, and in what order to conclude that a great orthodontic finishing was done. In this article, I intend to discuss and propose procedures considered indispensable for the excellence in orthodontic finish. The goals are results with excellent oral health; facial, dental and smile harmony; functional occlusion; and especially long-term stability. In this matter, it is important to follow a series of procedures that can be summarized in 10 steps: (1) define clearly your goals; (2) have a checklist; (3) improve bracket placement; (4) repositioning of brackets; (5) make adjustments in the archwires; (6) look at the face, teeth and smile, not the appliance; (7) improve the functional occlusion; (8) reshape teeth anatomically; (9) plan the retention; and (10) plan the appliance removal. The conclusions are that following this steps and keeping in mind that in clinical orthodontic practice is necessary to clearly define the objectives, to know the basic and have technical domain; the result will be inevitable: Success.

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
A. Giancotti ◽  
P. Mozzicato ◽  
G. Mampieri

Introduction. The concept of orthodontic retention is moving toward the idea that teeth will move unless retained indefinitely. However, permanent retention implies permanent supervision, and that is where reality clashes with stability. The cornerstone of Essix permanent retention is the complete delegation of responsibility to the patient. Essix retainers have nothing to adjust, but maximum collaboration of the patient is essential to achieve long-term stability. The purpose of this paper is to show the effectiveness of the thermoplastic appliance as a retainer, using a clinical case with a 10-year follow-up. Case Report. A 33-year-old male patient presented with a class II malocclusion division 2 and normal skeletal pattern. According to the patient’s desire, a treatment plan was proposed to obtain the aesthetic result of the smile, maintaining the molar and canine class II relationship. The orthodontic therapy was performed by using the Invisalign System. In this case, it was possible to appreciate a posterior occlusal stability after 10 years. Conclusion. Currently, among orthodontists, the use of removable plastic devices is gaining popularity thanks to their capability to encapsulate and retain both posterior and anterior teeth. In this article, the technical features of thermoformed retainers will be described and one clinical case with a 10-year follow-up will be presented to emphasize the effectiveness of these retainers.


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