Orthodontic retention protocol among Kurdistan Region of Iraq orthodontists
DOI:
https://doi.org/10.15218/edj.2020.06Keywords:
retention protocols, orthodontic retainersAbstract
Background and Objectives: Retention is important stage of orthodontic treatment that preserves teeth in new positions. To make occlusion stable after orthodontic treatment, retention protocol is recommended. There is great variation among orthodontists regarding type, duration and strategies of retention following orthodontic treatment. Therefore, the aim of current survey was to identify the common retention procedures and to evaluate the results with similar studies conducted in different countries.
Patients and methods: thirty five questionnaires in total with 20 questions were sent to all members of the Iraqi Orthodontic Society living in the Kurdistan region- Iraq. 35 orthodontists were responded to questionnaires. The questionnaire represents specific information about socio-demographic status of the respondents, selection of a retention system, details of commonly used retainers, the duration of the retention period, supervision of the retainers, instructions for patients. After receiving of the completed 35 questionnaires, the data were statistically analyzed.
Results: Bonded retainer was the most common retainer for both maxillary (48.57%) and mandibular (65.71%) arches. 28.54% of the orthodontist ended bonded retention within 2 years, while 37% of orthodontists continued retention for more than 2 years. 77.14 % of participants advised to wear the removable appliances on a full-time basis during the first 6 months.
Conclusion: All Orthodontists prescribe retention system. Fixed lingual retainer are the most common retainer among orthodontists. This is comparable to the most common prescribed type of retainers in other countries, but there are differences about duration and follow-up protocols.
References
2. Littlewood SJ, Millett DT, Doubleday B, Bearn DR, Worthington HV. Retention procedures for stabilising tooth position after treatment with orthodontic braces. 2006; Cochrane Database Syst Rev (1):CD002283.
3. Renkema AM, Sips ET, Bronkhorst E, Kuijpers- Jagtman AM. A survey on orthodontic retention procedures in The Netherlands. Eur J Orthod 2009; 31:432-7.
4. Little RM, Riedel RA, Artun J. An evaluation of changes in mandibular anterior alignment from 10 to 20 years postretention. Am J Orthod Dentofacial Orthop 1988; 93 (5):423–8.
5. Alvyda Andriekute, Arunas Vasiliauskas and Antanas Sidlauskas A survey of protocols and trends in orthodontic retention. Progr Orthod 2017; 18:31.
6. Lai CS, Grossen JM, Renkema AM, Bronkhorst E, Fudalej PS, Katsaros C. Orthodontic retention procedures in Switzerland. Swiss Dent J 2014; 124(6):655–61.
7. Aylin Paşaoğlu, Işıl Aras, Ali Mert. Survey on Retention Protocols among Turkish Orthodontists. Turk J Orthod 2016; 29: 51-8.
8. Vandevska-Radunovic V, Espeland L, Stenvik A. Retention: type, duration and need for common guidelines. A survey of Norwegian orthodontists. Orthodontics. Prog Orthod 2017; 18(1):3.
9. Wong PM, Freer TJ. A comprehensive survey of retention procedures in Australia and New Zealand. Aust Orthod J 2004; 20:99-106.
10. Rowland H, Hichens L, Williams A, Hills D, Killingback N, Ewings P, et al. The effectiveness of Hawley and vacuum-formed retainers: a single-center randomized controlled trial. Am J Orthod Dentofacial Orthop 2007; 132: 730-7.
11. Bibona K, Shroff B, Best AM, Lindauer SJ. Factors affecting orthodontists’ management of the retention phase. Angle Orthod 2014; 84: 225-30.
12. 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; 140: 520-6.
13. Meade MJ, Millett D. Retention protocols and use of vacuum-formed retainers among specialist orthodontists. J Orthod 2013; 40:318-25.
14. Al-Jewair TS, Hamidaddin MA, Alotaibi HM, Alqahtani ND, Albarakati SF, Alkofide EA, et al. Retention practices and factors affecting retainer choice among orthodontists in Saudi Arabia. Saudi Med J. 2016; 37(8):895–901.
15. Singh P, Grammati S, Kirschen R. Orthodontic retention patterns in the United Kingdom. J Orthod 2009;36(2):115–21.
16. Ab Rahman N, Low TF, Idris NS. A survey on retention practice among orthodontists in Malaysia. Korean J Orthod. 2016;46(1):36–41.
17. Lang G, Alfter G, Göz G, Lang GH. Retention and stability--taking various treatment parameters into account. J Orofac Orthop 2002; 63: 26-41.
18. Al Yami EA, Kuijpers-Jagtman AM, van ‘t Hof MA. Stability of orthodontic treatment outcome: follow-up until 10 years postretention. Am J Orthod Dentofacial Orthop 1999; 115: 300-4.
19. Little RM. Stability and relapse of mandibular anterior alignment: University of Washington studies. Semin Orthod 1999; 5: 191-204.
20. Keim RG, Gottlieb EL, Nelson AH, Vogels DS III. 2008 JCO study of orthodontic diagnosis and treatment procedures, part 1: results and trends. J Clin Orthod. 2008;42(11):625–40.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Mahmoud Kanan Mohsin, Zana Qadir Omer, Rebin Ali Mohammed Amin (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Erbil Dental Journal is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).