Predisposition to Tartar following Fixed Retainers in a Population with a Healthy Periodontium: A Prospective Study
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Keywords

Fixed orthodontic retainer
Healthy periodontium
Periodontal indices

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El hazzat W, Bilal A, Zaoui F, Bahije L. Predisposition to Tartar following Fixed Retainers in a Population with a Healthy Periodontium: A Prospective Study. Integr J Med Sci [Internet]. 2022 Jan. 27 [cited 2022 Aug. 13];9. Available from: https://www.mbmj.org/index.php/ijms/article/view/493

Abstract

Introduction: Fixed retainers are systematically used after the orthodontic treatment to avoid recurrence. The continued presence of retainers creates difficult areas to clean, which can lead to plaque build-up and the formation of tartar, which can lead to gum inflammation and even periodontal disease. The objective of our study is to follow the evolution of periodontal indices after wearing the fixed retainer in patients with healthy periodontium treated in a dental office in Rabat. Materials and Methods: This was a prospective descriptive-analytical study that targeted 38 patients with a wire-type retainer device bonded in the city of Rabat. During our survey, we used a questionnaire divided into two parts. The first part was reserved for the patient, who answered questions about oral hygiene habits and information about the retainer. The second part concerned the methods and materials used by the orthodontist. Moreover, a clinical card included periodontal data collected on anterior teeth with a fixed retainer and was filled out during a physical examination. Results: An accumulation of dental plaque is observed mainly in the mandible in a moderate way visible to the naked eye in 69% of patients; this accumulation of plaque increases with the age of the retainer, especially in the mandible. Gingival inflammation manifested by spontaneous or induced bleeding is seen moderately in the mandible in 62% of patients. Mild-to-moderate bleeding in the maxilla in 54% of patients, a deposit of supragingival tartar covering a maximum of one-third of the tooth surface, mainly at the mandibular incisors in 66% of patients, and no bone loss related to fixed retainers in the anterior area of the mandible and maxilla have been reported despite the age of the retainer. The comparison of periodontal indices over three different wearing times showed statistically significant deterioration of periodontal health over time, especially at the mandibular incisors. Conclusion: Given the significant impact on periodontal health, this study made us aware of the importance of regularly monitoring oral hygiene during the contention phase.

https://doi.org/10.15342/ijms.2022.493
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References

Keim RG, Gottlieb EL, Nelson AH, Vogels DS 3rd. study of orthodontic diagnosis and treatment procedures. Part 1. Results and trends. J Clin Orthod. 2002 Oct; 36(10):553-68.

Pratt MC, Kluemper GT, Hartsfield JK Jr, Fardo D, Nash DA. Evaluation of retention protocols among members of the American Association of Orthodontists in the United States. Am J Orthod Dentofacial Orthop. 2011 Oct; 140(4):520-6. https://doi.org/10.1016/j.ajodo.2010.10.023

Artun J. Caries and periodontal reactions associated with long term use of different types of bonded lingual retainers. Am J Orthod. 1984 Aug; 86(2):112-8. https://doi.org/10.1016/0002-9416(84)90302-6

Artun J, Spadafora AT, Shapiro PA. A 3-year follow-up study of various types of orthodontic canine-to-canine retainers. Eur J Orthod. 1997 Oct; 19(5):501-9. https://doi.org/10.1093/ejo/19.5.501

Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982 Feb; 81(2):93-8. https://doi.org/10.1016/0002-9416(82)90032-x

Corbett AI, Leggitt VL, Angelov N, Olson G, Caruso JM. Periodontal health of anterior teeth with two types of fixed retainers. Angle Orthod. 2015 Jul; 85(4):699-705. https://doi.org/10.2319/060314-398.1

Artun J, Spadafora AT, Shapiro PA, McNeill RW, Chapko MK. Hygiene status associated with different types of bonded, orthodontic canine-to-canine retainers. A clinical trial. J Clin Periodontol. 1987 Feb; 14(2):89-94. https://doi.org/10.1111/j.1600-051x.1987.tb00948.x

Shirasu BK. Hayacibara RM, Ramos AL. Comparação de parâmetros periodontais após utilização de contenção convencional 3x3 plana e contenção modificada. Revista Dental Press Ortodontia e Ortopedia Facial. 2007; 12(1): 41–47. https://doi.org/10.1590/S1415-54192007000100007

César Neto JB, Régio MRS, Martos J, Spautz F, de Moraes GB. Análise da condição periodontal de pacientes portadores de contenção ortodôntica ântero-inferior fixa. Revista Odonto Ciênca. 2010 ; 25 :132–136. https://doi.org/10.1590/S1980-65232010000200005

Lukiantchuki MA, Hayacibara RM, Ramos AL. Comparação de parâmetros periodontais após utilização de contenção ortodôntica com fio trançado e contenção modificada. Dental Press J Orthod. 2011; 16(4):44.e41–44.e47. https://doi.org/10.1590/S2176-94512011000400009

Nishi R, Bombardelli C, Nassar PO, Bombonatti R, Busato PMR, Busato MCA. Avaliação periodontal e de adaptabilidade após utilização de dois modelos de contenção ortodôntica fixa. Ortodontia Dental Press. 2011; 10(5): 82–89. [Accessed 2022 Jan 24]. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-642760

Lew KK. Direct-bonded lingual retainer. J Clin Orthod. 1989 Jul; 23(7):490-1. [Accessed 2022 Jan 24]. Available from: https://www.jco-online.com/archive/1989/07/490-direct-bonded-lingual-retainer/

Bahije L, Ennaji A, Benyahia H, Zaoui F. le verdict de la revue systematique sur les contentions orthodontiques. Int Orthod. 2018 Sep; 16(3):409-424. https://doi.org/10.1016/j.ortho.2018.06.024

Ferreira LA, Sapata DM, Provenzano MGA, Hayacibara RM, Ramos AL. Periodontal parameters of two types of 3 x 3 orthodontic retainer: a longitudinal study. Dental Press J Orthod. 2019 Aug 1; 24(3):64-70. https://doi.org/10.1590/2177-6709.24.3.064-070.oar

DI Venere D, Pettini F, Nardi GM, Laforgia A, Stefanachi G, Notaro V, et al. Correlation between parodontal indexes and orthodontic retainers: Prospective study in groupe of 16 patients. Oral implantol (Rome). 2017 Apr 10; 10(1): 78-86. https://doi.org/10.11138/orl/2017.10.1.078

Torkan S, Oshagh M, Khojastepour L, Shahidi S, Heidari S. Clinical and radiographic comparison of the effects of two types of fixed retainers on periodontium - A randomized clinical trial. Prog Orthod. Aug 27; 15(1):47. https://doi.org/10.1186/s40510-014-0047-8

Heier EE, De Smit AA, Wijgaerts IA, Adriaens PA. Periodontal implications of bonded versus removable retainers. Am J Orthod Dentofacial Orthop. 1997 Dec; 112(6):607-16. https://doi.org/10.1016/s0889-5406(97)70225-7

Rody WJ Jr, Elmaraghy S, McNeight AM, Chamberlain CA, Antal D, Dolce C, et al. Effects of different orthodontic retention protocols on the periodontal health of mandibular incisors. Orthod Craniofac Res. 2016 Nov; 19(4):198-208. https://doi.org/10.1111/ocr.12129

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Copyright (c) 2021 Dr. Wissam El Hazzat, Amine Bilal , Fatima Zaoui, Loubna Bahije

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