Retention

1. Definition:
The holding of teeth which had
been moved at orthodontic
treatment in ideal esthetic and
functional positions.
 Retention

Orthodontic treatment

Active treatment Retention

 Retention

When the appliances are removed,

an important stage lies ahead.
That is Retention.
 Retention

2.Why is retention necessary ?

 Why is retention necessary

1. The balance of muscle forces

of Oral-Maxilla system have
not been achieved.
 Why is retention necessary

2. Reorganization of the
Periodontal and Gingival tissues.
 Why is retention necessary

3. Occlusion balance has not

been established.
 Why is retention necessary

4. Oral habits have not been

corrected.
 Why is retention necessary

5. Occlusion changes related

to growth.
 Retention

3. Planning of Retention:
• Essentially full-time for the first 3 to 4
months.
• Continued on a part-time basis for at least
12 months, to allow time for remodeling of
gingival tissues.
• If significant growth remains, continued
part-time until completion of growth.
 Retention

3. Planning of Retention(continuous):
• Permanent retention is justified in
patients with cleft lip or palate
A prosthesis may be used as a retainer
 Planning of Retention

Factors important in the planning

of retention:
1. Original malocclusion and patient’s
growth pattern.
2. The type of treatment performed.
3. Type of retainer.
4. Duration of retention.
 Retention

4. Retainer
 Retainer

The kinds of Retainer:

1. Removable Retainers
2. Fixed Retainers
3. Active Retainers
 Retainer

Removable Retainers:
1. Hawley Retainers
2. Modified Hawley Retainers
3. Wraparound Retainers
4. Positioners as Retainers
 Retainer

Removable Retainers:
1. Hawley Retainers
2. Modified Hawley Retainers
3. Wraparound Retainers
4. Positioners as Retainers
 Retainer

Removable Retainers:
1. Hawley Retainers
2. Modified Hawley Retainers
3. Wraparound Retainers
4. Positioners as Retainers
 Retainer

Fixed Retainers:
1. Fixed canine to canine Retainer
2. Fixed lingual Retainer
 Retainer

Active Retainers:
1. Spring Retainers
Realignment of irregular incisors
2. Modified Functional Appliances
Correction of occlusal discrepancies
 Retainer

Active Retainers:
1. Spring Retainers
Realignment of irregular incisors
2. Modified Functional Appliances
Correction of occlusal discrepancies
 Retention

5. Prevent of relapse
 Prevent of relapse

1. Elimination of the cause of

malocclusion will prevent relapse
 Prevent of relapse

2. Malocclusion should be
overcorrected as a safety factor.
 Prevent of relapse

3. Proper occlusion is a potent factor

in hold teeth in their corrected
positions.
 Prevent of relapse

4. Bone and adjacent tissues must be

allowed time to reorganize around
newly positioned teeth.
 Prevent of relapse

5. Corrections carried out during

periods of growth are less likely to
relapse.
 Prevent of relapse

6. The further teeth have been moved ,

the less likelihood there is of relapse.
 Prevent of relapse

7. Extraction of the third molar.

As the eruption of the third molars,
a force push forwards will result in
relapse.
The End