Pre-debonding evaluation, orthodontic retention, long-term stability and relapse
Abstract
The question of long-term retention and stability of occlusion after orthodontic treatment has always engaged the attention of the profession. Evaluation of satisfactory and unsatisfactory orthodontic treatment has tested our theories, personal biases and our clinical convictions. In clinical practice, and even in teaching programs, clinical dogma exists regarding particular treatment strategies and specific dental relationships that should be strived for, in an effort to enhance stability after orthodontic treatment. This clinical course deals with an assessment of orthodontic outcome, principles involved in individualized retention, long-term stability, and relapse.
LEARNING OBJECTIVES
Participants will be able to:
Assess all parameters prior to fixed appliance removal
Understand the principles of retention.
Manage patients during the retention phase.
Incorporate all parameters required for long-term stability.
Individualize retention protocol.
OUTLINE
Pre-debonding evaluation
Understanding difficulties / problems encountered during finishing and methods to correct them
Debonding and post-debonding procedures
Review patient records and exercises brought by the participants
Materials and instrumentation
Orthodontic retention
- Principles of retention
- Retainers
- Types
- Clinical management
Problems encountered during retention and their solutions
Treatment stability and relapse
Orthodontic mechanics
- Fine-tuning dentition
- Construction of retainers and their placement
Hands-on Sessions:
Pre-debonding evaluation [checking various finishing goals
Fine-tuning occlusion before the appliance approval
Construction and placement of bondable lingual retainer
Construction of removable retainer
