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Informationen aus Orthodontie & Kieferorthopädie 2020; 52(03): 219-226
DOI: 10.1055/a-1200-5908
Übersichtsartikel

Retention und digitale Entwicklung

Retention and Digital Development
Simon Lukas Brämswig
1   Klinik für Kieferorthopädie, Universitätsklinikum Aachen
,
Tamara Pollak
1   Klinik für Kieferorthopädie, Universitätsklinikum Aachen
,
Isabel Knaup
1   Klinik für Kieferorthopädie, Universitätsklinikum Aachen
,
Michael Wolf
1   Klinik für Kieferorthopädie, Universitätsklinikum Aachen
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Zusammenfassung

Die kieferorthopädische Therapie gliedert sich in einen aktiv und einen passiv begleiteten Abschnitt. Hierdurch könnte man annehmen, dass letztere Phase seitens des Behandlers kaum zu beeinflussen ist.

Das Gegenteil ist jedoch der Fall, denn schon in der Behandlungsplanung und auch in der Durchführung können Maßnahmen getroffen werden, um die sich anschließende Retentionsphase positiv zu gestalten. So gilt es z. B. bestimmte Risikofaktoren prätherapeutisch zu erkennen, um infolgedessen stabilitätsfördernde Schritte einzuleiten.

Ohne die erfolgreiche Retention eines kieferorthopädischen Behandlungsergebnisses werden alle zuvor getroffenen aktiven Maßnahmen zunichte gemacht. Aus diesem Grund stellt die Retention einen wichtigen Baustein in der umfänglichen Versorgung der Patienten dar.

Dank neuer digitaler Technologien werden dem Kieferorthopäden innovative Werkzeuge bereitgestellt, die zur Verbesserung einer individualisierten Therapie beitragen können.

Abstract

Orthodontic therapy can be divided in an active and a passive section. This could lead to the assumption, that the orthodontist is not able to take influence on the passive treatment phase.

In contrast to that supposition, many actions can be made during planning and procedure of treatment to set the best preconditions for a favorable retention stage. For instance, it is necessary to identify certain risk factors before starting treatment. Consequently, the correct actions can be performed to end in a solid result.

Without successful retention, every step during active treatment will be useless. On this account orthodontic retention becomes a key part in the comprehensive therapy of the patients.

Thanks to digital development, innovative tools can be used to enhance individualized orthodontic treatment.

Schlüsselwörter

Retention - digitale Kieferorthopädie - individualisierte Behandlung

Key words

retention - digital orthodontics - individualized treatment


Publication History

Article published online:
11 September 2020

© 2020. Thieme. All rights reserved.

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Eslambolchi S, Woodside DG, Rossouw PE. A descriptive study of mandibular incisor alignment in untreated subjects. Am J Orthod Dentofacial Orthop. 2008 doi: 10.1016/j.ajodo.2006.04.038
    PubMedGoogle Scholar
  • 2 Blake M, Bibby K. Retention and stability: a review of the literature. Am J Orthod Dentofacial Orthop 1998; 114: 299-306
    CrossrefPubMedGoogle Scholar
  • 3 Sinclair PM, Little RM. Maturation of untreated normal occlusions. Am J Orthod 1983; 83: 114-123
    CrossrefPubMedGoogle Scholar
  • 4 Thilander B. Dentoalveolar development in subjects with normal occlusion. A longitudinal study between the ages of 5 and 31 years. Eur J Orthod 2009; DOI: 10.1093/ejo/cjn124.
    CrossrefPubMedGoogle Scholar
  • 5 Rossouw PE. Terminology: semantics of postorthodontic treatment changes in the dentition. Semin Orthod 1999; 5: 138-141
    CrossrefPubMedGoogle Scholar
  • 6 Ihlow D, Rudzki I. Hrsg Kieferorthopädische Retention. Thieme; 2017
    Google Scholar
  • 7 Graber LW, Vanarsdall RL, Vig KWL. et al Orthodontics: Current principles and techniques. 6. Aufl . Elsevier; 2016
    Google Scholar
  • 8 Little RM. Stability and relapse of dental arch alignment. Br J Orthod 1990; 17: 235-241
    CrossrefPubMedGoogle Scholar
  • 9 Little RM. Stability and relapse of mandibular anterior alignment: University of Washington studies. Semin Orthod 1999; 5: 191-204
    CrossrefPubMedGoogle Scholar
  • 10 Rossini G, Parrini S, Castroflorio T. et al. Diagnostic accuracy and measurement sensitivity of digital models for orthodontic purposes: A systematic review. Am J Orthod Dentofacial Orthop 2016; 149: 161-170
    CrossrefPubMedGoogle Scholar
  • 11 Wolf M, Schulte U, Küpper K. et al. Post-treatment changes in permanent retention. J Orofac Orthop 2016; 77: 446-453
    CrossrefPubMedGoogle Scholar
  • 12 Reitan K. Principles of retention and avoidance of posttreatment relapse. Am J Orthod 1969; 55: 776-790
    CrossrefPubMedGoogle Scholar
  • 13 Ormiston JP, Huang GJ, Little RM. et al. Retrospective analysis of long-term stable and unstable orthodontic treatment outcomes. Am J Orthod Dentofacial Orthop 2005; 128: 568-574; quiz 669
    CrossrefPubMedGoogle Scholar
  • 14 Burke SP, Silveira AM, Goldsmith LJ. et al. A meta-analysis of mandibular intercanine width in treatment and postretention. Angle Orthod 1998; 68: 53-60
    PubMedGoogle Scholar
  • 15 Herberger RJ. Stability of mandibular intercuspid width after long periods of retention. Angle Orthod 1981; 51: 78-83
    PubMedGoogle Scholar
  • 16 Huck L, Kahl-Nieke B, Schwarze CW. et al. Postretention changes in canine position. Results of a long-term follow-up. J Orofac Orthop 2000; 61: 199-206
    CrossrefPubMedGoogle Scholar
  • 17 STRANG RH. Factors of influence in producing a stable result in the treatment of malocclusion. Am J Orthod Oral Surg 1946; 32: 313-332
    CrossrefPubMedGoogle Scholar
  • 18 Lossdörfer S, Schwestka-Polly R, Wiechmann D. Control of lower incisor inclination with a completely customized lingual appliance for dentoalveolar compensation of class III malocclusion. J Orofac Orthop 2013; 74: 381-396 DOI: 10.1007/s00056-013-0163-y Epub 2013 Aug 23.
    CrossrefPubMedGoogle Scholar
  • 19 Grauer D, Proffit WR. Accuracy in tooth positioning with a fully customized lingual orthodontic appliance. Am J Orthod Dentofacial Orthop 2011; 140: 433-443 DOI: 10.1016/j.ajodo.2011.01.020.
    CrossrefPubMedGoogle Scholar
  • 20 Wiechmann D, Schwestka-Polly R, Pancherz H. et al. Control of mandibular incisors with the combined Herbst and completely customized lingual appliance – a pilot study. Head Face Med 2010; 6: 3 DOI: 10.1186/1746-160X-6-3.
    CrossrefPubMedGoogle Scholar
  • 21 de Freitas KM, Janson G, de Freitas MR. et al. Influence of the quality of the finished occlusion on postretention occlusal relapse. Am J Orthod Dentofacial Orthop 2007; 132: 428.e9-14
    CrossrefPubMedGoogle Scholar
  • 22 Kurz M, Attin T, Mehl A. Influence of material surface on the scanning error of a powderfree 3D measuring system. Clin Oral Investig 2015; 19: 2035-2043
    CrossrefPubMedGoogle Scholar
  • 23 Koo BC, Chung CH, Vanarsdall RL. Comparison of the accuracy of bracket placement between direct and indirect bonding techniques. Am J Orthod Dentofacial Orthop 1999; 116: 346-351
    CrossrefPubMedGoogle Scholar
  • 24 Reitan K. Principles of retention and avoidance of posttreatment relapse. Am J Orthod 1969; 55: 776-790
    CrossrefPubMedGoogle Scholar
  • 25 Artun J, Spadafora AT, Shapiro PA. A 3-year follow-up study of various types of orthodontic canine-to-canine retainers. Eur J Orthod 1997; 19: 501-509
    CrossrefPubMedGoogle Scholar
  • 26 Atack N, Harradine N, Sandy JR. et al. Which way forward? Fixed or removable lower retainers. Angle Orthod 2007; 77: 954-959
    CrossrefPubMedGoogle Scholar
  • 27 Schwarze J, Bourauel C, Drescher D. The mobility of the anterior teeth after the direct bonding of lingual retainers. A comparison of in-vitro and in-vivo measurements. Fortschr Kieferorthop 1995; 56: 25-33
    CrossrefPubMedGoogle Scholar
  • 28 Watted N, Wieber M, Teuscher T. et al. Comparison of incisor mobility after insertion of canine-to-canine lingual retainers bonded to two or to six teeth. A clinical study. J Orofac Orthop 2001; 62: 387-396
    CrossrefPubMedGoogle Scholar
  • 29 Katsaros C, Livas C, Renkema AM. Unexpected complications of bonded mandibular lingual retainers. Am J Orthod Dentofacial Orthop 2007; 132: 838-841
    CrossrefPubMedGoogle Scholar
  • 30 ZWP-Online. „Der X-Effekt als unerwartete Komplikation nach Retainerklebung“ (März 2018) Im Internet: https://www.zwp-online.info/fachgebiete/kieferorthopaedie/therapie/der-x-effekt-als-unerwartete-komplikation-nach-retainerklebung Stand: 09.05.2020
    PubMed
  • 31 Kravitz ND, Grauer D, Schumacher P. et al. Memotain: A CAD/CAM nickel-titanium lingual retainer. Am J Orthod Dentofacial Orthop 2017; 151: 812-815 DOI: 10.1016/j.ajodo.2016.11.021.
    CrossrefPubMedGoogle Scholar
  • 32 Knaup I, Wagner Y, Wego J. et al. Potential impact of lingual retainers on oral health: comparison between conventional twistflex retainers and CAD/CAM fabricated nitinol retainers : A clinical in vitro and in vivo investigation. J Orofac Orthop 2019; 80: 88-96 DOI: 10.1007/s00056-019-00169-7. Epub 2019 Feb 18
    CrossrefPubMedGoogle Scholar