Patient Experience and Satisfaction of Orthodontic Retention after Treatment in Saudi Arabia

Background: Orthodontics treatment aimed to make patient satisfied about treatment result starting from appearance to the function. Orthodontic retention is consider as important stage to stabilize the result of orthodontic treatment and avoid relapse that caused by normal age changes. Methods: A cross-sectional study performed through patient questionnaires. A total of 450 patients were included in the study. The questionnaire included 19 questions. The questionnaire consisted of question about socio-demographic status of the respondents such as age, gender, also included question about the type of retainer fixed or removable retainers that were used, duration of wearing retainer and Retention protocol. Result: In our study majority of the participants were females (87.3%), and 55.3% belonged to the 20-25 years age group. The fixed orthodontic related history showed 59.8% had undergone the treatment for 1 to 3 years and 31.6% of the participants reported that they had removed the fixed braces for more than five years. Among these participants, 89.5% (n=34) reported that the fascia (space) closed between the upper frontal teeth after Frenectomy, and 65.8% (n=25) agreed that spaced between the two upper front teeth still closed after removing the retainer. Conclusion: The study findings showed that the majority of the participants were aware of the frequency and duration of wearing retainers but didn't completely adhere to the instructions given by the orthodontists and/or dentists. The major reason for not using retainers was difficulty in speaking or uncomfortableness.

A Case Report of Caries Incident in a Patient Wearing an Essix Type Retainer.

This report presents a rare case of multiple Cl.VI carious lesions developed in a young female patient due to full-time wearing of an Essix retainer combined with poor oral hygiene and high acidic intake. The demineralization during orthodontic retention and the hygiene instructions, including the retainer cleaning protocol, are highlighted.

What causes failure of fixed orthodontic retention? – systematic review and meta-analysis of clinical studies

Background Orthodontic retention aims to maintain optimal teeth positions after active treatment. The stability is affected by numerous factors, including patients’ individual features, thus retention should be adjusted in the most optimal way. Bonding a retainer makes retention less dependent on patient’s compliance. Questions arise What wire or fiber splint type provides the best treatment stability? What materials should be used to bond the wire or fiber splint? Should be the bonding procedure be direct or indirect? The aim of the study is to assess and synthesize available controlled trials investigating failures of fixed retainers. Methods Literature searches of free text and MeSH terms were performed in Scopus, Web of Science, Embase and PubMed Central in order to find studies, referring to failures of fixed retention (12th February 2021). The keywords were: (“orthodontic retainers AND failure AND wire”). The framework of this systematic review according to PICO was: Population: orthodontic patients; Intervention: fixed orthodontic retainer bonding; Comparison: Different protocols of fixed orthodontic retention applied; Outcomes: failure rate, survival rate. Three different specific scales from the Cochrane Collaboration Handbook were used, according to each study type. Additionally, a meta-analysis was conducted to compare the effectiveness of retention using fiber reinforced composite and multistranded steel wire. Results The search identified 177 potential articles: 114 from PubMed, 41 from Scopus, 20 from Web of Science and 2 from Embase. After excluding studies inconsistent with selection criteria, 21 studies were included and subjected to qualitative analysis. The main outcome investigated was failure rate. This systematic review has some potential limitations due to the heterogeneity of design between included studies. Conclusions No retainer is proved to guarantee a perfect stability of dental alignment. The retainer should be bonded to all adherent teeth, preferably with additional use of bonding resin. No wire or fiber splint present superior characteristics concerning failure rate. Fiber reinforced composite retention is more sensitive to operator skills, and with imperfect bonding technique, failure rate is much higher. During the first 6 months after bonding retainer the patient should be under frequent control. The study protocol was registered in PROSPERO database with the number CRD42021233406.

PERCEPTION OF PEOPLE FOR POST- ORTHODONTIC RETENTION, NORTH GUJARAT POPULATION A QUESTIONNAIRE-BASED SURVEY

Summary Objective: This transverse study aimed to know the level of knowledge and expectations amoung people for future orthodontic treatment have about post-orthodontic retention and to investigate the inuence of sociocultural characteristics. Material and methods: A total of 220 successive people participated in the study (as patient, parent, or legal guardian) for a prospective orthodontic treatment (mean age:17.7 years; 37.3 per cent male) received a questionnaire to assess their knowledge and expectations about postorthodontic retention before their rst appointment. Data were analysed descriptively, whereas predictors were identied with logistic regressions at Pvalue of less than or equal to 0.05. Results: Among the 220 responders, 54.09 per cent knew that retention appliances are used after orthodontic treatment and 45 per cent (n = 99) believed perfect results can guarantee stability, whereas at the same time, 48.8per cent (n = 106) knew that teeth can move on their own without any orthodontic appliances. The 35 per cent considered stability of the orthodontic result is important , some patient preferred removabl retainers (67.27 per cent; n = 148),some believed that the general dentist to be primarily responsible for a stable result (47.73 per cent; n = 105), and found it appropriate to charge for recall visits (59.55 per cent; n = 131). Participants’of the studys gender, age, education, nationality, and past orthodontic experiences within the close family signicantly inuenced answers. Limitations: a single-centred survey conducted in single university intense to conclude the interpretation of the results. Conclusions: Although stability of orthodontic treatment results is important to people deciding about a prospective orthodontic treatment, knowledge regarding the need for postorthodontic retention varies and may at times be contradictious for the ortho treatment. cultural factors seem to inuence the level of knowledge and the expectations on post-orthodontic retention.