PEKİŞTİRME TEDAVİLERİNDE GÜNCEL YAKLAŞIMLAR

Yıl 2020, Cilt: 47 Sayı: 1-3, 155 - 165, 31.12.2020

Nisa Yıldız Ayşe Altuğ Demiralp

Öz

Ortodontide retansiyon aşaması, ortodontik kuvvet uygulaması sona erdiğinde ve diş hareketleri tamamlandığında dişlerin mevcut konumunu korumayı amaçlayan ortodontik teda-vinin son aşamasıdır. Kullanılan geleneksel pekiştirme yöntemlerinin sınırlamaları; araştırmacıları hasta işbirliği gerektirmeyen, pekiştirme sürecini azaltan ve periodontal risk oluşturmayan daha etkili yöntemler aramaya yöneltmiştir. Bu derleme, yüz yıldan fazla bir süredir kullanılan geleneksel saklama yöntemlerinin sınırlamalarını vurgulamayı ve bu yöntemleri konuyla ilgili son yaklaşımlarla karşılaştırmayı amaçlamaktadır.

Anahtar Kelimeler

biyolojik retansiyon, nüks, pekiştirme

Recent Advances in Orthodontic Retention Protocols

Öz

Retention phase in orthodontics is the final phase of orthodontic treatment which aims to preserve the current position of the teeth when the orthodontic force application ends and tooth movements are completed. The limitations of the conventional reinforcement methods used, have led researchers to seek more effective methods that do not require patient cooperation, reduce the retention process, and do not pose a periodontal risk. This review aims to emphasize the limitations of the conventional retention methods that have been used for over a hundred years and compare these methods with the recent approaches on the subject. 

Anahtar Kelimeler

Retention, Biological Retention, Relapse

Kaynakça

• 1) Johnston, C. D., & Littlewood, S. J. (2015). Retention in orthodontics. British Dental Journal, 218(3), 119–122. doi:10.1038/sj.bdj.2015.47
• 2) Oppenheim A. The crisis in orthodontia. Part I. Tissue changes during retention. Int J Orthod 1934;6:639–644
• 3) Kingsley N. A Treatise on Oral Deformities as a Branch of Mechanical Surgery. New York: Appleton & Co, 1880.
• 4) Rogers AP. Making facial muscles our allies in treatment and retention. Dent Cosmos 1922;64:711–730.
• 5) Little RM. Clinical implications of the University of Washington post-retention studies. J Clin Orthod 2009;43:645–51.
• 6) Little RM, Riedel RA, Artun J. An evaluation of changes in mandibular anterior alignment from 10 to 20 years postretention. Am J Orthod Dentofacial Orthop 1988;93:423–428.
• 7) Ülgen M. Ortodontik Tedavi Prensipleri. Bölüm:17. 512-525
• 8) Rowland, Heidi et al. The effectiveness of Hawley and vacuum-formed retainers: A single-center randomized controlled trial. American Journal of Orthodontics and Dentofacial Orthopedics ,2017; Volume 132 , Issue 6 , 730 – 737
• 9) Ramazanzadeh B, Ahrari F, Hosseini ZS. The retention characteristics of Hawley and vacuum-formed retainers with different retention protocols. J Clin Exp Dent. 2018;10(3):e224-31.
• 10) Meade, M. J., & Millett, D. T. (2015). Vacuum-formed retainers: an overview. Dental Update, 42(1), 24–34.doi:10.12968/denu.2015.42.1.24
• 11) Pazera, P., Fudalej, P., & Katsaros, C. (2012). Severe complication of a bonded mandibular lingual retainer. American Journal of Orthodontics and Dentofacial Orthopedics, 142(3), 406–409.doi:10.1016/j.ajodo.2012.01.019
• 12) Edwards JG. A surgical procedure to eliminate rotational relapse. Am J Orthod. 1970;57(1):35-46
• 13) Möhlhenrich, S. C., Jäger, F., Jäger, A., Schumacher, P., Wolf, M., Fritz, U., & Bourauel, C. (2018). Biomechanical properties of CAD/CAM-individualized nickel-titanium lingual retainers: an in vitro study. Journal of Orofacial Orthopedics / Fortschritte Der Kieferorthopädie, 79(5), 309–319.doi:10.1007/s00056-018-0144-2
• 14) Liou, E. J. W., Chen, L. I. J., & Huang, C. S. (2001). Nickel-titanium mandibular bonded lingual 3-3 retainer: For permanent retention and solving relapse of mandibular anterior crowding. American Journal of Orthodontics and Dentofacial Orthopedics, 119(4), 443–449.doi:10.1067/mod.2001.111397
• 15) Tacken, M. P. E., Cosyn, J., De Wilde, P., Aerts, J., Govaerts, E., & Vannet, B. V. (2009). Glass fibre reinforced versus multistranded bonded orthodontic retainers: a 2 year prospective multi-centre study. The European Journal of Orthodontics, 32(2), 117–123.doi:10.1093/ejo/cjp100
• 16) Zhao NL, Kanzaki J, Ni H, Chen J, Liang Z, Liu WY. Local osteoprotegerin gene transfer inhibits relapse of orthodontic tooth movement. Am J Orthod Dentofacial Orthop 2012;141:30e40.
• 17) Zhao N., Liu Y., Kanzaki H., Liang W., Ni J., Lin J. Effects of local osteoprotegerin gene transfection on orthodontic root resorption during retention: an in vivo micro-CT analysis. Orthod Craniofac Res 2012;15:10–20 John Wiley & Sons A/S
• 18) Fernandez-Gonzalez FJ, Canigral A, Lopez-Caballo JL, et al. Recombinant osteoprotegerin effects during orthodontic movement in a rat model. Eur J Orthod 2016;38:379e85.
• 19) Kostenuik PJ. Osteoprotegerin and RANKL regulate bone resorption, density, geometry and strength. Curr Opin Pharmacol 2005;5:618e25.
• 20) Kostenuik PJ, Nguyen HQ, McCabe J, et al. Denosumab, a fully human monoclonal antibody to RANKL, inhibits bone resorption and increases BMD in knock-in mice that Express chimeric (murine/human) RANKL. J Bone Miner Res 2009;24:182e95
• 21) Fernandez-Gonzalez FJ, Lopez-Cabello JL, Canigral A, et al. Osteoprotegerin and zoledronate bone effects during orthodontic tooth movement. Orthod Craniofac Res 2016;19:54e64.
• 22) Lane N, Armitage GC, Loomer P, et al. Bisphosphonate therapy improves the outcome of conventional periodontal treatment: results of a 12-month, randomized, placebo-controlled study. J Periodontol 2005;76:1113e22.
• 23) Adachi H, Igarashi K, Mitani H, Shinoda H. Effects of topical administration of a bisphosphonate (risedronate) on orthodontic tooth movements in rats. J Dent Res 1994;73:1478e84.
• 24) Hassan AH, Al-Hubail A, Al-Fraidi AA. Bone inductive proteins to enhance postorthodontic stability. Angle Orthod 2010;80:1051e60.
• 25) Lee CT, Hum L, Chen YW. The effect of regenerative periodontal therapy in preventing periodontal defects after the extraction of third molars: a systematic review and meta-analysis. J Am Dent Assoc 2016;147:709e719.e4.
• 26) Dehghan F, Haerian BS, Muniandy S, Yusof A, Dragoo JL, Salleh N. The effect of relaxin on the musculoskeletal system. Scand J Med Sci Sports 2014;24:e220e9.
• 27) Hirate Y, Yamaguchi M, Kasai K. Effects Of Relaxin On Relapse And Periodontal Tissue Remodeling After Experimental Tooth Movement In Rats. Connect Tissue Res 2012;53:207e19.
• 28) Ruan F, Zheng Q, Wang J. Mechanisms of bone anabolism regulated by statins. Biosci Rep 2012;32:511e9.
• 29) Han G, Chen Y, Hou J, et al. Effects of simvastatin on relapse and remodeling of periodontal tissues after tooth movement in rats. Am J Orthod Dentofacial Orthop 2010;138:550.e1e7.
• 30) Stepan JJ. Strontium ranelate: in search for the mechanism of action. J Bone Miner Metab 2013;31:606e12
• 31) Al-Duliamy MJ, Ghaib NH, Kader OA, Abdullah BH. Enhancement of orthodontic anchorage and retention by the local injection of strontium: an experimental study in rats. Saudi Dent J 2015;27:22e9.
• 32) EuropeanMedicines Agency. EMA/258269/2013 - Recommendation to restrict the use of Protelos / Osseor (strontium ranelate) London, U.K.2013 [October 2017]