Ortodontik Tedavi Sonrası Uygulanan Sabit Retansiyon Prosedürlerinde Güncel Yaklaşımlar

Yıl 2019, Cilt: 10 Sayı: 37, 58 - 64, 06.10.2019

Gökay Üstdal , Eyüp Burak Küçük , Fundagül Bilgiç

https://doi.org/10.17944/mkutfd.379488

Öz

Bitirme ve retansiyon, ortodontik
tedavinin birbirini takip eden iki önemli fazıdır. Optimum bitirme
kriterlerinin sağlanmış olması ve tedavi edilmiş dentisyonun ve onu etkileyen
çevresel etkenlerin iyi değerlendirilmesi, uygun retansiyon prosedürünün
belirlenmesi açısından kritik öneme sahiptir. Ortodontik tedavinin retansiyon
aşamasında, sabit lingual retainerların kullanımı günümüzde sıklıkla tercih
edilmektedir. Sabit retansiyonda daha çok tercih edilen iki tip tel vardır. Kalın
retainer teli mandibuler kanin-kanin arası sadece kanin dişlere bondlanarak
kullanılır, ince çok sarımlı tel ise retansiyonu istenen alandaki bütün dişlere
bondlanarak kullanılır. Lingual retainera ek olarak bazı spesifik durumlar için
kısa labial sabit retainer kullanımı da uzun dönem tedavi sonuçlarını
iyileştirebilir. Sabit retainer kullanımı köprü protezi veya implant boşluğunun
korunmasında da iyi bir seçimdir. Sabit retainerlarla ilgili uzun dönem tecrübeler
memnun edicidir. Bu apareylerin ağızda tutulma süresi hastalar tarafından
sıklıkla merak edilen bir konudur. Eğer uygulanan retainer teli stabilse,
tedavi sonuçları korunuyor ve hasta hijyen prosedürlerini uyguluyorsa, sabit
retainer teli diş yüzeylerinden çıkartılmamalıdır.

Anahtar Kelimeler

Retansiyon, relaps, ortodontik tedavi

Current Approaches in Fixed Retention Procedures Applied After Orthodontic Treatment

Öz

Finishing and retention are two successive
phases of orthodontic treatment. The provision of optimal finishing criteria
and a good assessment of the treated dentition and the environmental factors
affecting it are critical to determine the appropriate retention procedure. The
use of fixed lingual retainers in the retention phase is now frequently
preferred. There are usually two types of wires required at fixed retention. The thick wire is used for a mandibular canine-canine
retainer bonded only to the canines, whereas the thin multistranded wire is
used for retainers in which all teeth in a segment are bonded. In
addition to lingual fixed retainers, the use of short labial fixed retainers
for certain specific conditions can also improve long-term results. The use of
fixed retainers is also a good choice for the protection of bridge prothesis or
implant space. Long-term experience with fixed retainers is satisfactory. The duration of these appliances in the
mouth is often a matter of concern for patients. If the applied retainer
wire is stabil, the treatment results are maintained and the patient is
performing hygiene procedures, there is no valid reason to remove the fixed
retainer wire.

Anahtar Kelimeler

Retention, relapse, orthodontic treatment

Kaynakça

• 1. Kharbanda OP. Orthodontics: Diagnosis and Management of Malocclusion and Dentofacial Deformities 1st Ed., Haryana: Elsevier; 2009: 473.
• 2. Proffit WR, Fields HW, Sarver DM. Contemporary Orthodontics 5th Ed., St.Louis: Elsevier Health Sciences,; 2014: 606-620.
• 3. Melrose C, Millet DT. Toward a Perspective on Orthodontic Retention? Am J Orthod Dentofacial Orthop 1998; 113: 507-14.
• 4. Gill DS, Naini FB. Orthodontics: Principles and Practice. First Ed., West Sussex: Wiley-Blackwell; 2011, 348-354.
• 5. Keim RG, Gottlieb EL, Nelson AH, Vogels DS. Study of Orthodontic Diagnosis and Treatment Procedures, Part 1: Results and Trends. J Clin Orthod 2002;36:553-68.
• 6. Knierim RW. Invisible Lower Cuspid to Cuspid Retainer. Angle Orthod 1973;43:218-9.
• 7. Zachrisson BU. Long-Term Experience with Direct-Bonded Retainers: Update and Clinical Advice. J Clin Orthod 2007;41:728.
• 8. Renkema AM, Renkema A, Bronkhorst E, Katsaros C. Long-term Effectiveness of Canine-to-canine Bonded Flexible Spiral Wire Lingual Retainers. Am J Orthod Dentofacial Orthop 2011;139:614-21.
• 9. Rubenstein BM. A Direct Bond Maxillary Retainer. J Clin Orthod 1976;10:43.
• 10. Carter RN. Simplified Direct-bonded Retainer. J Clin Orthod 1978;12:221.
• 11. Lubit EC. The Bonded Lingual Retainer. J Clin Orthod 1979;13:311.
• 12. Zachrisson BU. Clinical Experience with Direct-bonded Orthodontic Retainers. Am J Orthod 1977;71:440-8.
• 13. Zachrisson BU. The Bonded Lingual Retainer and Multiple Spacing of Anterior Teeth. Swed Dent J Suppl 1981;15:247-55.
• 14. Årtun J. Caries and Periodontal Reactions Associated with Long-term Use of Different Types of Bonded Lingual Retainers. Am J Orthod 1984;86:112-8.
• 15. Dahl EH, Zachrisson BU. Long-term Experience with Direct-bonded Lingual Retainers. J Clin Orthod 1991;25:619-30.
• 16. Bantleon H, Droschi H. A Precise and Time-saving Method of Setting up an Indirectly Bonded Retainer. Am J Orthod Dentofacial Orthop 1988;93:78-82.
• 17. Artun J, Spadafora AT, Shapiro PA, McNeill RW, Chapko MK. Hygiene Status Associated with Different Types of Bonded Orthodontic Canine to Canine Retainers. J Clin Periodontol 1987;14:89-94.
• 18. Axelsson S, Zachrisson BU. Clinical Experience with Direct Bonded Labial Retainers. J Clin Orthod 1992;26:480-90.
• 19. Wolfson J, Servoss JM. Bandless But Fixed Retention. Am J Orthod 1974;66:431-4.
• 20. Becker A, Goultschin J. The Multistrand Retainer and Splint. Am J Orthod 1984;85:470-4.
• 21. Sheridan JJ. Incremental Removal of Bonded Lingual Retainers. J Clin Orthod 1988;22:116.
• 22. Tacken MP, Cosyn J, De Wilde P, Aerts J, Govaerts E. Glass Fibre Reinforced Versus Multistranded Bonded Orthodontic Retainers: A 2-year Prospectivemulti-centrestudy. Eur J Orthod 2010;32:117-23.
• 23. Zachrisson BU, Büyükyılmaz T. Bonding in Orthodontics. In: Graber LW, Vanarsdall RL, Vig KW, editors. Orthodontics: Current Principles and Techniques. 4th ed., St Louis: Elsevier Mosby; 2005, 579-659.
• 24. Bearn DR. Bonded Orthodontic Retainers: A Review. Am J Orthod Dentofac Orthop 1995;108:207-13.
• 25. Zachrisson BU. Multistranded Wire Bonded Retainers: From Start to Success. Am J Orthod Dentofacial Orthop 2015;148:724-7.
• 26. Katsaros C, Livas C, Renkema AM. Unexpected Complications of Bonded Mandibular Lingual Retainers. Am J Orthod Dentofacial Orthop 2007;132:838-41.
• 27. Pazera P, Fudalej P, Katsaros C. Severe Complication of A Bonded Mandibular Lingual Retainer. Am J Orthod Dentofacial Orthop 2012;142:406-9.
• 28. Kucera J, Marek I, Hanzelka T, Kaminek M. Undesirable Side Effects of Orthodontic Retainers. Systematic review. Ortodoncie 2015;24:22-35.
• 29. Lee RT. The Lower Incisor Bonded Retainer In Clinical Practice: A Three Year Study. Br J Orthod 1981;8:15-8.
• 30. Zachrisson BU, Büyükyılmaz T. Bonded Retainers. In: Graber LW, Vanarsdall RL, Vig KW, editors. Orthodontics: Current Principles and Techniques. 5th ed., Philadelphia: Elsevier Mosby; 2012:756-784.
• 31. Oesterle LJ, Shellhart WC, Henderson S. Enhancing Wire-composite Bond Strength of Bonded Retainers with Wire Surface Treatment. Am J Orthod Dentofacial Orthop 2001;119:625-31.
• 32. Segner D, Heinrici B. Bonded Retainers Clinical Reliability. J Orofac Orthop 2000;61:352-8.
• 33. Artun J, Marstrander PB. Clinical Efficiency of Two Different Types of Direct Bonded Space Maintainers. ASDC J Dent Child 1983;50:197-204.
• 34. Wong P. Freer TJ. Patients’ Attitudes Towards Compliance with Retainer Wear. Austral Orthod J 2005;21:45-53.
• 35. Behrents RG. The Consequences of Adult Craniofacial Growth, in Orthodontics in an Aging Society, Craniofacial Growth Series, Monograph 22, Ann Arbor, MI,: Needham Press; 1989:53-99.
• 36. Gorman JC, Smith RJ. Comparison of Treatment Effects with Labial and Lingual Fixed Appliances. Am J Orthod Dentofacial Orthop 1991;99:202-9.
• 37. Sadowsky C. Schneider BJ, BeGole EA, Tahir E. Long-term Stability After Orthodontic Treatment: Non extraction with prolonged retention. Am J Orthod Dentofacial Orthop 1994;106:243-9.
• 38. Zachrisson BU. Important Aspects of Long-term Stability. J Clin Orthod 1997;31:562-83.
• 39. Iseri H, Solow B. Continued Eruption of Maxillary Incisors and First Molars in Girls from 9 to 25 Years, Studied by The Implant Method. Eur J Orthod 1996;18:245-56.
• 40. Lai C, Grossen JM, Renkema AM, Bronkhorst E, Fudalej PS, Katsaros C. Orthodontic Retention Procedures in Switzerland. Swiss Dent J 2014;124:655–61.
• 41. Valiathan M, Hughes E. Results of a Survey-based Study to Identify Common Retention Practices in the United States. Am J Orthod Dentofacial Orthop 2010;137:170-7.