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Ned Tijdschr Tandheelkd ; 127(12): 719-726, 2020 Dec.
Artigo em Holandês | MEDLINE | ID: mdl-33367300


The aim of orthodontic retention is to counteract post-treatment changes and thereby to preserve the result of active treatment. For active orthodontic treatment, a certain level of patient compliance is necessary and the same applies for the retention phase. Ideally, the retainer will never fail or get lost, the patient will adhere to all recommendations and will wear the retainer in accordance with the instructions, necessary precautions with the fixed retainer are followed, the patient reports a problem immediately, and appointments for retention check-ups will always be met. Unfortunately, the reality is often different. This article considers the need to provide the patient with information about retention before treatment and the problems that may arise during the retention phase. Recommendations are made on how to avoid these problems as much as possible, and solutions are offered for problems that do arise. Finally, it is made clear how the orthodontist, patient and dentist can be jointly responsible for the retention phase.

Contenções Ortodônticas , Ortodontistas , Agendamento de Consultas , Humanos , Desenho de Aparelho Ortodôntico , Cooperação do Paciente
Ned Tijdschr Tandheelkd ; 127(12): 727-733, 2020 Dec.
Artigo em Holandês | MEDLINE | ID: mdl-33367301


In general, the result of orthodontic treatment is not stable. After active treatment, changes can occur as a result of a number of biological processes. The application of retention aims to counteract such changes and thereby preserve the result of orthodontic treatment. The way practitioners design the retention phase varies considerably. To reduce undesired variation in orthodontic retention between practices and to improve quality of care, clinical practice guidelines for retention were developed by the Dutch Association of Orthodontists. These guidelines contain recommendations for the application of retention. The duration of retention, additional techniques and retention after treatment of Class II malocclusions are discussed; consensus has not yet been reached on these subjects.

Fenômenos Biológicos , Padrões de Prática Odontológica , Assistência Odontológica , Humanos , Desenho de Aparelho Ortodôntico , Ortodontistas