The effect of different bonded retainer wires on tooth mobility immediately after orthodontic treatment. 2022

Josef Kučera, and Ivo Marek, and Simon J Littlewood
Department of Orthodontics, Clinic of Dental Medicine, First Medical Faculty, Charles University, Prague, Czech Republic.

This study aimed to compare the immediate influence of four commonly used retainer wires on tooth mobility following orthodontic treatment with fixed appliances. Eighty patients after orthodontic treatment were assigned to four study groups (n = 20 in each group). Groups were provided with directly bonded fixed retainers-0.0150″ (group A), 0.0175″ (group B), 0.016 × 0.022″ (group C), and 0.0215″ (group D). Tooth mobility was measured using the Periotest device at two times-after removal of fixed appliance (T1) and after bonding of the retainer (T2). Values of tooth mobility, 'Periotest values', were analysed between groups and compared with the physiologic tooth mobility in a control group of untreated patients (n = 65). Kruskal-Wallis H, Mann-Whitney U, Dunn's test, Fisher's exact test, and binary logistic regression tests were used to analyze the data. Tooth mobility after orthodontic treatment was significantly increased. While canines remained within normal range of tooth mobility, values for incisors increased on average to the first degree of tooth mobility (slight mobility). Logistic regression analysis identified age as a significant predictor for increased tooth mobility (P = 0.032) with odds ratio 1.065 (95% CI 1.005-1.128), with mobility increasing with age. After bonding of the retainer in all four groups, the tooth mobility was reduced to values which were not significantly different form normal physiological values found in the control group (P > 0.05). There were no differences in the amount of change or in tooth mobility values at T2 between the different types of bonded retainers. Age of subjects in the control group was significantly higher than that in the study groups. An alternation method was used instead of randomization to distribute the four different types of retainers. All of the retainer wires were able to successfully reduce the increased tooth mobility caused by orthodontic treatment to normal levels. The values of tooth mobility after placement of retainers were within the range of physiologic tooth mobility.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077744 Orthodontic Appliances, Fixed ORTHODONTIC APPLIANCES attached to the teeth by adhesive material which cannot be removed from the mouth by the patient. These devices apply force to the teeth and supporting structures, thereby producing changes which control their growth and development. Bonded Retainer,Fixed Appliances,Fixed Functional Appliances,Fixed Retainer,Permanent Retainer,Appliance, Fixed,Appliance, Fixed Functional,Appliance, Fixed Orthodontic,Appliances, Fixed,Appliances, Fixed Functional,Appliances, Fixed Orthodontic,Bonded Retainers,Fixed Appliance,Fixed Functional Appliance,Fixed Orthodontic Appliance,Fixed Orthodontic Appliances,Fixed Retainers,Functional Appliance, Fixed,Functional Appliances, Fixed,Orthodontic Appliance, Fixed,Permanent Retainers,Retainer, Bonded,Retainer, Fixed,Retainer, Permanent,Retainers, Bonded,Retainers, Fixed,Retainers, Permanent
D014086 Tooth Mobility Horizontal and, to a lesser degree, axial movement of a tooth in response to normal forces, as in occlusion. It refers also to the movability of a tooth resulting from loss of all or a portion of its attachment and supportive apparatus, as seen in periodontitis, occlusal trauma, and periodontosis. (From Jablonski, Dictionary of Dentistry, 1992, p507 & Boucher's Clinical Dental Terminology, 4th ed, p313) Mobilities, Tooth,Mobility, Tooth,Tooth Mobilities
D016382 Orthodontic Appliance Design The planning, calculation, and creation of an apparatus for the purpose of correcting the placement or straightening of teeth. Appliance Design, Orthodontic,Appliance Designs, Orthodontic,Design, Orthodontic Appliance,Designs, Orthodontic Appliance,Orthodontic Appliance Designs
D018704 Orthodontic Retainers Orthodontic appliances, fixed or removable, used to maintain teeth in corrected positions during the period of functional adaptation following corrective treatment. These appliances are also used to maintain the positions of the teeth and jaws gained by orthodontic procedures. (From Zwemer, Boucher's Clinical Dental Terminology, 4th ed, p263) Retainers, Orthodontic,Orthodontic Retainer,Retainer, Orthodontic

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