Orthodontic retention: what's on the horizon?

Abstract

Orthodontic retention remains one of the great challenges in orthodontics. In this article, we discuss what is on the horizon to help address this challenge, including biological approaches to reduce relapse, treating patients without using retainers, technological developments, personalised medicine and the impact of COVID-19 on approaches to orthodontic retention.

Orthodontic Retainers—A Critical Review

“…Following the conclusion of active orthodontic treatment, it is equally important to prevent relapse of malocclusion [1,2]. Nevertheless, the preservation of the therapeutic effect remains controversial in clinical orthodontic practice [3][4][5][6].…”

Calcium Phosphate Delivery Systems for Regeneration and Biomineralization of Mineralized Tissues of the Craniofacial Complex

“…Thus, the combination of preventing solution precipitation and kinetically favored intrafibrillar delivery of ACP-PILPs by high MW PASP is favorable for periodontal ligament tissues. This finding may help guide future applications of PILP mineralization for periodontal applications that suffer from demineralization like periodontal disease and orthodontic relapse. , …”

“…This finding may help guide future applications of PILP mineralization for periodontal applications that suffer from demineralization like periodontal disease and orthodontic relapse. 91,92 PILP mineralization methods showcase a promising approach for treating diseases exacerbated by a lack of mineral by delivering amorphous precursors that can subsequently become crystalline HAP in the intrafibrillar compartment of 90 20−30 nm 90 collagen. Most PILP research is on artificial in vitro systems allowing for mechanistic work underpinning how these nanodroplets form, prevent solution mineralization, and direct intrafibrillar mineralization.…”

Orthodontic retreatment of an adult patient with periodontal disease using aligners with digital progress monitoring – a case report

“…Most Polish orthodontists believe that they are able to maintain the effect of orthodontic treatment, provided that the patient cooperates well during this stage of treatment (9). Lack of proper patient cooperation, early abandonment of the use of removable retention appliances, as well as the lack of standardization of procedures in the retention phase contribute to undesirable tooth movements (10). Unwanted tooth movement may also occur as a result of aging-related changes (11).…”

“…Większość polskich ortodontów uważa, że są w stanie utrzymać efekty leczenia ortodontycznego, pod warunkiem dobrej współpracy ze strony pacjenta (9). Brak właściwego współdziałania, szybkie odstawienie zdejmowanych aparatów retencyjnych, ale też brak standardów postępowania w fazie retencyjnej przyczyniają się do powstawania niepożądanych przesunięć zębów (10). Niechciany ruch zęba może również wystąpić w wyniku zmian związanych ze starzeniem się (11).…”