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Retention Phase of Orthodontics. It is the functional adaptation period, following active orthodontic phase. Biological basis of retention. Within a short period of time , most of the periodontal fibers realign themselves, the supra-alveolar and transeptal fibers change very slowly.
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It is the functional adaptation period, following active orthodontic phase.
Biological basis of retention • Within a short period of time , most of the periodontal fibers realign themselves, the supra-alveolar and transeptal fibers change very slowly. • Woven bone matures into bundle bone.
Factors affecting retention planning • 1- Original mal-occlusion. • 2- lengths of cusps, relation of • inclined plane. • 3-status of perio-oral muscles. • 4- Etiology of malocclusion. • 5- Skeletal age of the patient.
Factors affecting retention planning • 6- Cooperation of the patient. • 7-Distance of the teeth movement. • 8-Length of active period. • 9- Status of cranio-facial growth. • 10-Post-treatment occlusion. • 11- Status of third molars
Types of retainers • 1- Removable retainer. • 2- Fixed retainer. • 3- Positioner.
Duration of Retention • 1- No Retention • 2- Permanent Retention. • 3- Temporary Retention.
Orthodontic Relapse • Relapse is the loss of correction achieved through orthodontic treatment.
Common relapse problems • 1-Collapse of mandibular expansion. • 2- Relapse of corrected open –bite or deep bite. • 3- Relapse of posterior cross- bite. • 4- Relapse of corrected rotation, Re -apperance spacing or crowding
Etiology of relapse • 1-Improper orthodontic diagnosis. • 2- Inadequate