Retrospective Study Regarding Orthodontic Retention Complications in Clinical Practice

Applied Sciences

Anamaria Bud¹  Eugen Silviu Bud¹  Alexandru Vlasa¹  Laszlo Barna Iantovics²  Sorana Maria Bucur³  Dorin Ioan Cocoș³ 

[1] Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 38 Gheorghe Marinescu Str., 540139 Targu Mures, Romania;Faculty of Engineering and Information Technology, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 38 Gheorghe Marinescu Str., 540139 Targu Mures, Romania;Faculty of Medicine, Dimitrie Cantemir University, 3-5 Bodoni Sandor Str., 540545 Targu Mures, Romania;

关键词: orthodontic retainer;    oral hygiene;    gingival recession;    patient compliance;   

DOI  :  10.3390/app12010273

来源: DOAJ

【 摘 要 】

At the end of any orthodontic treatment, retention is a necessary phase. Unfortunately, the current retention devices and the lack of proper oral hygiene on the part of patients lead to the accumulation of dental plaque, periodontal inflammation, and gingival retraction. Our retrospective study included 116 adult patients wearing various types of orthodontic retainers. To quantitatively determine the accumulation of dental plaque, we used the Quigley–Hein plaque index modified by Turesky and the Navy plaque index modified by Rustogi. Another studied parameter was related to the gingival recession associated with retention devices. We had investigated the correctness of patients’ dental hygiene, their preferences for auxiliary means of oral hygiene, the consistency with which they wear the mobile retainers, and respect the orthodontist’s instructions; we also investigated the inconveniences and the accidents that may occur during the retention period. Statistical analysis showed that plaque accumulation is significantly lower in the case of mobile retainer than fixed retainer wearers; the exception was the Hawley plate, where the interdental plaque was more than in all the other studied retainers. Periodontal recessions were more frequent in the case of fixed retainer wearing. Flossing was the most commonly used auxiliary mean for oral hygiene. The compliance of women in wearing vacuum-formed retainers was better than that of men. Patients with a class III history had more plaque accumulation, and class II/1 had the most problems related to detachment/damage of fixed retainers. Mobile retainers proved better results for oral hygiene, but fixed retainers cannot be waved.

【 授权许可】

Unknown