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Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 6/2014

01-11-2014 | Original article

Factors influencing fixed retention practices in German-speaking Switzerland

A survey

Authors: S.N. Arnold, N. Pandis, Dr. R. Patcas, PhD

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 6/2014

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Abstract

Aim

Several surveys evaluate different retention approaches among orthodontists, but none exist for general dentists. The primary aim of this survey was to record the preferred fixed retainer designs and retention protocols amongst general dentists and orthodontists in Switzerland. A secondary aim was to investigate whether retention patterns were associated with parameters such as gender, university of graduation, time in practice, and specialist status.

Methods

An anonymized questionnaire was distributed to general dentists (n = 401) and orthodontists (n = 398) practicing in the German-speaking part of Switzerland. A total of 768 questionnaires could be delivered, 562 (73.2 %) were returned and evaluated. Descriptive statistics were performed and responses to questions of interest were converted to binary outcomes and analyzed using multiple logistic regression. Any associations between the answers and gender, university of graduation (Swiss or foreign), years in practice, and specialist status (orthodontist/general dentist) were assessed.

Results

Almost all responding orthodontists (98.0 %) and nearly a third of general dentists (29.6 %) reported bonding fixed retainers regularly. The answers were not associated with the practitioner’s gender. The university of graduation and number of years in practice had a moderate impact on the responses. The answers were mostly influenced by specialist status.

Conclusion

Graduation school, years in practice, and specialist status influence retention protocol, and evidence-based guidelines for fixed retention should be issued to minimize these effects. Based on the observation that bonding and maintenance of retainers are also performed by general dentists, these guidelines should be taught in dental school and not during post-graduate training.
Literature
1.
go back to reference Artun J, Spadafora AT, Shapiro PA (1997) A 3-year follow-up study of various types of orthodontic canine-to-canine retainers. Eur J Orthod 19:501–509PubMedCrossRef Artun J, Spadafora AT, Shapiro PA (1997) A 3-year follow-up study of various types of orthodontic canine-to-canine retainers. Eur J Orthod 19:501–509PubMedCrossRef
2.
go back to reference Axelsson S, Zachrisson BU (1992) Clinical experience with direct-bonded labial retainers. J Clin Orthod 26:480–490PubMed Axelsson S, Zachrisson BU (1992) Clinical experience with direct-bonded labial retainers. J Clin Orthod 26:480–490PubMed
3.
go back to reference Blake M, Garvey MT (1998) Rationale for retention following orthodontic treatment. J Can Dent Assoc 64:640–643PubMed Blake M, Garvey MT (1998) Rationale for retention following orthodontic treatment. J Can Dent Assoc 64:640–643PubMed
4.
go back to reference Booth FA, Edelman JM, Proffit WR (2008) Twenty-year follow-up of patients with permanently bonded mandibular canine-to-canine retainers. Am J Orthod Dentofacial Orthop 133:70–76PubMedCrossRef Booth FA, Edelman JM, Proffit WR (2008) Twenty-year follow-up of patients with permanently bonded mandibular canine-to-canine retainers. Am J Orthod Dentofacial Orthop 133:70–76PubMedCrossRef
5.
go back to reference Cal-Neto JP, Castro S, Moura PM et al (2011) Influence of enamel sandblasting prior to etching on shear bond strength of indirectly bonded lingual appliances. Angle Orthod 81:149–152PubMedCrossRef Cal-Neto JP, Castro S, Moura PM et al (2011) Influence of enamel sandblasting prior to etching on shear bond strength of indirectly bonded lingual appliances. Angle Orthod 81:149–152PubMedCrossRef
6.
go back to reference Collins JM, Cunningham SJ, Moles DR et al (2009) Factors which influence working patterns of orthodontists in the United Kingdom. Br Dent J 207:E1PubMedCrossRef Collins JM, Cunningham SJ, Moles DR et al (2009) Factors which influence working patterns of orthodontists in the United Kingdom. Br Dent J 207:E1PubMedCrossRef
7.
go back to reference Eliades T, Voutsa D, Sifakakis I et al (2011) Release of bisphenol-A from a light-cured adhesive bonded to lingual fixed retainers. Am J Orthod Dentofacial Orthop 139:192–195PubMedCrossRef Eliades T, Voutsa D, Sifakakis I et al (2011) Release of bisphenol-A from a light-cured adhesive bonded to lingual fixed retainers. Am J Orthod Dentofacial Orthop 139:192–195PubMedCrossRef
8.
go back to reference Heier EE, De Smit AA, Wijgaerts IA et al (1997) Periodontal implications of bonded versus removable retainers. Am J Orthod Dentofacial Orthop 112:607–616PubMedCrossRef Heier EE, De Smit AA, Wijgaerts IA et al (1997) Periodontal implications of bonded versus removable retainers. Am J Orthod Dentofacial Orthop 112:607–616PubMedCrossRef
9.
go back to reference Jung BA, Kunkel M, Gollner P et al (2012) Prognostic parameters contributing to palatal implant failures: a long-term survival analysis of 239 patients. Clin Oral Implants Res 23:746–750PubMedCrossRef Jung BA, Kunkel M, Gollner P et al (2012) Prognostic parameters contributing to palatal implant failures: a long-term survival analysis of 239 patients. Clin Oral Implants Res 23:746–750PubMedCrossRef
10.
go back to reference Katsaros C, Livas C, Renkema AM (2007) Unexpected complications of bonded mandibular lingual retainers. Am J Orthod Dentofacial Orthop 132:838–841PubMedCrossRef Katsaros C, Livas C, Renkema AM (2007) Unexpected complications of bonded mandibular lingual retainers. Am J Orthod Dentofacial Orthop 132:838–841PubMedCrossRef
11.
go back to reference Kocher T, Ruhling A, Momsen H et al (1997) Effectiveness of subgingival instrumentation with power-driven instruments in the hands of experienced and inexperienced operators. A study on manikins. J Clin Periodontol 24:498–504PubMedCrossRef Kocher T, Ruhling A, Momsen H et al (1997) Effectiveness of subgingival instrumentation with power-driven instruments in the hands of experienced and inexperienced operators. A study on manikins. J Clin Periodontol 24:498–504PubMedCrossRef
12.
go back to reference Kuijpers MA, Kiliaridis S, Renkema A et al (2009) Anterior tooth wear and retention type until 5 years after orthodontic treatment. Acta Odontol Scand 67:176–181PubMedCrossRef Kuijpers MA, Kiliaridis S, Renkema A et al (2009) Anterior tooth wear and retention type until 5 years after orthodontic treatment. Acta Odontol Scand 67:176–181PubMedCrossRef
13.
go back to reference Lai CS, Grossen JM, Renkema AM et al (2014) Orthodontic retention procedures in Switzerland—a survey. Swiss Dent J (in press) Lai CS, Grossen JM, Renkema AM et al (2014) Orthodontic retention procedures in Switzerland—a survey. Swiss Dent J (in press)
14.
go back to reference Lang G, Alfter G, Goz G et al (2002) Retention and stability—taking various treatment parameters into account. J Orofac Orthop 63:26–41PubMedCrossRef Lang G, Alfter G, Goz G et al (2002) Retention and stability—taking various treatment parameters into account. J Orofac Orthop 63:26–41PubMedCrossRef
15.
go back to reference Lim E, Sameshima G, Petocz P et al (2012) Comparison of Australian and American orthodontic clinical approaches towards root resorption. Aust Orthod J 28:181–189PubMed Lim E, Sameshima G, Petocz P et al (2012) Comparison of Australian and American orthodontic clinical approaches towards root resorption. Aust Orthod J 28:181–189PubMed
16.
go back to reference Lindauer SJ, Shoff RC (1998) Comparison of Essix and Hawley retainers. J Clin Orthod 32:95–97PubMed Lindauer SJ, Shoff RC (1998) Comparison of Essix and Hawley retainers. J Clin Orthod 32:95–97PubMed
17.
go back to reference Little RM, Riedel RA, Artun J (1988) An evaluation of changes in mandibular anterior alignment from 10 to 20 years postretention. Am J Orthod Dentofacial Orthop 93:423–428PubMedCrossRef Little RM, Riedel RA, Artun J (1988) An evaluation of changes in mandibular anterior alignment from 10 to 20 years postretention. Am J Orthod Dentofacial Orthop 93:423–428PubMedCrossRef
18.
go back to reference Littlewood SJ, Millett DT, Doubleday B et al (2006) Retention procedures for stabilising tooth position after treatment with orthodontic braces. Cochrane Database Syst Rev CD002283 Littlewood SJ, Millett DT, Doubleday B et al (2006) Retention procedures for stabilising tooth position after treatment with orthodontic braces. Cochrane Database Syst Rev CD002283
19.
go back to reference Lumsden KW, Saidler G, McColl JH (1999) Breakage incidence with direct-bonded lingual retainers. Br J Orthod 26:191–194PubMedCrossRef Lumsden KW, Saidler G, McColl JH (1999) Breakage incidence with direct-bonded lingual retainers. Br J Orthod 26:191–194PubMedCrossRef
20.
go back to reference Nolting I, Michel K, Ruf S (2008) Dental health and orthodontic treatment need among dental students treated by certified orthodontists and general dental practitioners. Quintessence Int 39:73–79PubMed Nolting I, Michel K, Ruf S (2008) Dental health and orthodontic treatment need among dental students treated by certified orthodontists and general dental practitioners. Quintessence Int 39:73–79PubMed
21.
go back to reference Oesterle LJ, Shellhart WC, Henderson S (2001) Enhancing wire-composite bond strength of bonded retainers with wire surface treatment. Am J Orthod Dentofacial Orthop 119:625–631PubMedCrossRef Oesterle LJ, Shellhart WC, Henderson S (2001) Enhancing wire-composite bond strength of bonded retainers with wire surface treatment. Am J Orthod Dentofacial Orthop 119:625–631PubMedCrossRef
22.
go back to reference Ormiston JP, Huang GJ, Little RM et al (2005) Retrospective analysis of long-term stable and unstable orthodontic treatment outcomes. Am J Orthod Dentofacial Orthop 128:568–574PubMedCrossRef Ormiston JP, Huang GJ, Little RM et al (2005) Retrospective analysis of long-term stable and unstable orthodontic treatment outcomes. Am J Orthod Dentofacial Orthop 128:568–574PubMedCrossRef
23.
go back to reference Pandis N, Vlahopoulos K, Madianos P et al (2007) Long-term periodontal status of patients with mandibular lingual fixed retention. Eur J Orthod 29:471–476PubMedCrossRef Pandis N, Vlahopoulos K, Madianos P et al (2007) Long-term periodontal status of patients with mandibular lingual fixed retention. Eur J Orthod 29:471–476PubMedCrossRef
24.
go back to reference Patcas R (2010) Langzeitbetreuung nach kieferorthopädischer Behandlung. Wie viel Retention braucht die Unterkieferfront? Zahnarzt Prax 6:9–12 Patcas R (2010) Langzeitbetreuung nach kieferorthopädischer Behandlung. Wie viel Retention braucht die Unterkieferfront? Zahnarzt Prax 6:9–12
25.
go back to reference Patcas R, Pedroli G (2012) A bonding technique for fixed maxillary retainers. J Orthod 39:317–322PubMedCrossRef Patcas R, Pedroli G (2012) A bonding technique for fixed maxillary retainers. J Orthod 39:317–322PubMedCrossRef
26.
go back to reference Pazera P, Fudalej P, Katsaros C (2012) Severe complication of a bonded mandibular lingual retainer. Am J Orthod Dentofacial Orthop 142:406–409PubMedCrossRef Pazera P, Fudalej P, Katsaros C (2012) Severe complication of a bonded mandibular lingual retainer. Am J Orthod Dentofacial Orthop 142:406–409PubMedCrossRef
27.
go back to reference Pratt MC, Kluemper GT, Hartsfield JK Jr et al (2011) Evaluation of retention protocols among members of the American Association of Orthodontists in the United States. Am J Orthod Dentofacial Orthop 140:520–526PubMedCrossRef Pratt MC, Kluemper GT, Hartsfield JK Jr et al (2011) Evaluation of retention protocols among members of the American Association of Orthodontists in the United States. Am J Orthod Dentofacial Orthop 140:520–526PubMedCrossRef
28.
go back to reference Reitan K (1969) Principles of retention and avoidance of posttreatment relapse. Am J Orthod 55:776–790PubMedCrossRef Reitan K (1969) Principles of retention and avoidance of posttreatment relapse. Am J Orthod 55:776–790PubMedCrossRef
29.
go back to reference Renkema AM, Al-Assad S, Bronkhorst E et al (2008) Effectiveness of lingual retainers bonded to the canines in preventing mandibular incisor relapse. Am J Orthod Dentofacial Orthop 134:179e1–179e8PubMed Renkema AM, Al-Assad S, Bronkhorst E et al (2008) Effectiveness of lingual retainers bonded to the canines in preventing mandibular incisor relapse. Am J Orthod Dentofacial Orthop 134:179e1–179e8PubMed
30.
go back to reference Renkema AM, Renkema A, Bronkhorst E et al (2011) Long-term effectiveness of canine-to-canine bonded flexible spiral wire lingual retainers. Am J Orthod Dentofacial Orthop 139:614–621PubMedCrossRef Renkema AM, Renkema A, Bronkhorst E et al (2011) Long-term effectiveness of canine-to-canine bonded flexible spiral wire lingual retainers. Am J Orthod Dentofacial Orthop 139:614–621PubMedCrossRef
31.
go back to reference Renkema AM, Sips ET, Bronkhorst E et al (2009) A survey on orthodontic retention procedures in The Netherlands. Eur J Orthod 31:432–437PubMedCrossRef Renkema AM, Sips ET, Bronkhorst E et al (2009) A survey on orthodontic retention procedures in The Netherlands. Eur J Orthod 31:432–437PubMedCrossRef
33.
go back to reference Sifakakis I, Pandis N, Eliades T et al (2011) In-vitro assessment of the forces generated by lingual fixed retainers. Am J Orthod Dentofacial Orthop 139:44–48PubMedCrossRef Sifakakis I, Pandis N, Eliades T et al (2011) In-vitro assessment of the forces generated by lingual fixed retainers. Am J Orthod Dentofacial Orthop 139:44–48PubMedCrossRef
34.
go back to reference Singh P, Grammati S, Kirschen R (2009) Orthodontic retention patterns in the United Kingdom. J Orthod 36:115–121PubMedCrossRef Singh P, Grammati S, Kirschen R (2009) Orthodontic retention patterns in the United Kingdom. J Orthod 36:115–121PubMedCrossRef
35.
go back to reference Taner T, Aksu M (2012) A prospective clinical evaluation of mandibular lingual retainer survival. Eur J Orthod 34:470–774PubMedCrossRef Taner T, Aksu M (2012) A prospective clinical evaluation of mandibular lingual retainer survival. Eur J Orthod 34:470–774PubMedCrossRef
36.
go back to reference Thilander B (2000) Orthodontic relapse versus natural development. Am J Orthod Dentofacial Orthop 117:562–563PubMedCrossRef Thilander B (2000) Orthodontic relapse versus natural development. Am J Orthod Dentofacial Orthop 117:562–563PubMedCrossRef
37.
go back to reference Tibbetts JR (1994) The effectiveness of three orthodontic retention sytsems: a short-term clinical study. Am J Orthod Dentofacial Orthop 106:671CrossRef Tibbetts JR (1994) The effectiveness of three orthodontic retention sytsems: a short-term clinical study. Am J Orthod Dentofacial Orthop 106:671CrossRef
38.
go back to reference Valiathan M, Hughes E (2010) Results of a survey-based study to identify common retention practices in the United States. Am J Orthod Dentofacial Orthop 137:170–177PubMedCrossRef Valiathan M, Hughes E (2010) Results of a survey-based study to identify common retention practices in the United States. Am J Orthod Dentofacial Orthop 137:170–177PubMedCrossRef
39.
go back to reference Vandevska-Radunovic V, Espeland L, Stenvik A (2013) Retention: type, duration and need for common guidelines. A survey of Norwegian orthodontists. Orthodontics (Chic.) 14:e110–e117 Vandevska-Radunovic V, Espeland L, Stenvik A (2013) Retention: type, duration and need for common guidelines. A survey of Norwegian orthodontists. Orthodontics (Chic.) 14:e110–e117
41.
go back to reference Wong PM, Freer TJ (2004) A comprehensive survey of retention procedures in Australia and New Zealand. Aust Orthod J 20:99–106PubMed Wong PM, Freer TJ (2004) A comprehensive survey of retention procedures in Australia and New Zealand. Aust Orthod J 20:99–106PubMed
Metadata
Title
Factors influencing fixed retention practices in German-speaking Switzerland
A survey
Authors
S.N. Arnold
N. Pandis
Dr. R. Patcas, PhD
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 6/2014
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-014-0239-3

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