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Retention Phase of Orthodontics
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It is the functional adaptation period, following active orthodontic phase.
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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.
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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.
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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
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Types of retainers 1- Removable retainer. 2- Fixed retainer.
3- Positioner.
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Duration of Retention 1- No Retention 2- Permanent Retention.
3- Temporary Retention.
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Orthodontic Relapse Relapse is the loss of correction achieved through orthodontic treatment.
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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
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Etiology of relapse 1-Improper orthodontic diagnosis. 2- Inadequate
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