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Definition:: Retention

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tirathram
This document discusses orthodontic retention, which involves holding teeth in their corrected positions after active treatment. It defines retention and explains that it is necessary to allow time for tissues to reorganize and establish a balanced occlusion. Retention typically involves full-time wear of removable retainers for the first 3-4 months, followed by part-time wear for at least 12 months. The document also describes different types of retainers, including removable, fixed, and active retainers, as well as factors to consider in retention planning and ways to prevent relapse.

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68 views39 pages

Definition:: Retention

Uploaded by

tirathram
This document discusses orthodontic retention, which involves holding teeth in their corrected positions after active treatment. It defines retention and explains that it is necessary to allow time for tissues to reorganize and establish a balanced occlusion. Retention typically involves full-time wear of removable retainers for the first 3-4 months, followed by part-time wear for at least 12 months. The document also describes different types of retainers, including removable, fixed, and active retainers, as well as factors to consider in retention planning and ways to prevent relapse.

Copyright:

Attribution Non-Commercial (BY-NC)
Download as PPT, PDF, TXT or read online from Scribd
Download as ppt, pdf, or txt
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Retention

1. Definition:
The holding of teeth which had
been moved at orthodontic
treatment in ideal esthetic and
functional positions.
Retention

Orthodontic treatment

Active treatment Retention


Retention

When the appliances are removed,


an important stage lies ahead.
That is Retention.
Retention

2.Why is retention necessary ?


Why is retention necessary

1. The balance of muscle forces


of Oral-Maxilla system have
not been achieved.
Why is retention necessary

2. Reorganization of the
Periodontal and Gingival tissues.
Why is retention necessary

3. Occlusion balance has not


been established.
Why is retention necessary

4. Oral habits have not been


corrected.
Why is retention necessary

5. Occlusion changes related


to growth.
Retention

3. Planning of Retention:
• Essentially full-time for the first 3 to 4
months.
• Continued on a part-time basis for at least
12 months, to allow time for remodeling of
gingival tissues.
• If significant growth remains, continued
part-time until completion of growth.
Retention

3. Planning of Retention(continuous):
• Permanent retention is justified in
patients with cleft lip or palate
A prosthesis may be used as a retainer
Planning of Retention

Factors important in the planning


of retention:
1. Original malocclusion and patient’s
growth pattern.
2. The type of treatment performed.
3. Type of retainer.
4. Duration of retention.
Retention

4. Retainer
Retainer

The kinds of Retainer:


1. Removable Retainers
2. Fixed Retainers
3. Active Retainers
Retainer

Removable Retainers:
1. Hawley Retainers
2. Modified Hawley Retainers
3. Wraparound Retainers
4. Positioners as Retainers
Retainer

Removable Retainers:
1. Hawley Retainers
2. Modified Hawley Retainers
3. Wraparound Retainers
4. Positioners as Retainers
Retainer

Removable Retainers:
1. Hawley Retainers
2. Modified Hawley Retainers
3. Wraparound Retainers
4. Positioners as Retainers
Retainer

Fixed Retainers:
1. Fixed canine to canine Retainer
2. Fixed lingual Retainer
Retainer

Active Retainers:
1. Spring Retainers
Realignment of irregular incisors
2. Modified Functional Appliances
Correction of occlusal discrepancies
Retainer

Active Retainers:
1. Spring Retainers
Realignment of irregular incisors
2. Modified Functional Appliances
Correction of occlusal discrepancies
Retention

5. Prevent of relapse
Prevent of relapse

1. Elimination of the cause of


malocclusion will prevent relapse
Prevent of relapse

2. Malocclusion should be
overcorrected as a safety factor.
Prevent of relapse

3. Proper occlusion is a potent factor


in hold teeth in their corrected
positions.
Prevent of relapse

4. Bone and adjacent tissues must be


allowed time to reorganize around
newly positioned teeth.
Prevent of relapse

5. Corrections carried out during


periods of growth are less likely to
relapse.
Prevent of relapse

6. The further teeth have been moved ,


the less likelihood there is of relapse.
Prevent of relapse

7. Extraction of the third molar.


As the eruption of the third molars,
a force push forwards will result in
relapse.
The End

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