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Teeth movement 12 years after orthodontic treatment with and without retainer: relapse or usual changes?
Malmö University, Faculty of Odontology (OD). Al-Jahra Specialty Dental Center, Ministry of Health, Kuwait.ORCID iD: 0000-0002-4749-1076
Orthodontic Clinic, Uddevalla Hospital, Jönköping, Sweden.
Institute for Postgraduate Dental Education, Jönköping, Sweden.
2020 (English)In: European Journal of Orthodontics, ISSN 0141-5387, E-ISSN 1460-2210, Vol. 42, no 1, p. 52-59, article id cjz020Article in journal (Refereed) Published
Abstract [en]

AIMS: To identify if lower incisor movements after orthodontic treatment are due to the relapse of the orthodontic treatment or due to natural growth. SUBJECTS AND METHODS: The subjects consisted of 92 patients who have had orthodontic treatment, divided into three groups, group 1: 38 individuals had no retainer in the lower jaw. Group 2: 24 individuals had a retainer 0.028 inch, a spring hard wire bonded to the mandibular canines only. Group 3: 30 individuals had a 0.0195-inch Twist-Flex wire, bonded to all mandibular incisors and canines. Study models before orthodontic treatment (T0), immediately after orthodontic treatment (T1), 6 years after orthodontic treatment (T2), and 12 years after orthodontic treatment (T3) were used for the measurements. The wires in groups 2 and 3 were removed after mean 2.6 years (SD 1.49). Little Irregularity Index (LII), inter-canine distance, available mandibular anterior space, and number of crowded incisors were registered. A Tooth Displacement Index (TDI) was developed to measure the tooth displacement directions at T0 and T3. RESULTS: The LII showed equal values before treatment (T0) and at the follow-up registrations (T2 and T3). But about 25 per cent of the tooth displacements at T2 and T3 did not exist before treatment, at T0. This indicates usual growth changes and not relapse of the orthodontic treatment. CONCLUSION: As about 25 per cent of the displaced incisors can be considered as an effect of natural growth, not a relapse of the orthodontic treatment, it is valuable to use a displacement index in combination with other variables for investigations of stability after orthodontic treatment. Importance of the present study is that it is possible to differ between relapse and usual growth changes.

Place, publisher, year, edition, pages
Oxford University Press, 2020. Vol. 42, no 1, p. 52-59, article id cjz020
National Category
Dentistry
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URN: urn:nbn:se:mau:diva-6400DOI: 10.1093/ejo/cjz020ISI: 000527389000008PubMedID: 31329861Scopus ID: 2-s2.0-85078564103Local ID: 30259OAI: oai:DiVA.org:mau-6400DiVA, id: diva2:1403342
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-06-17Bibliographically approved

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Abdulraheem, SalemSchütz-Fransson, UlrikeBjerklin, Krister

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