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RETENTION
PLANNING
www.indiandentalacademy.com
Retention planning is divided into three
categories depending on the type of
treatment:
• No retention
• Limited retention in terms of both
time and appliance wearing
• Permanent or semi permanent
retention
www.indiandentalacademy.com
No Retention required
• Corrected cross bites: Anterior, Posterior
• Dentition that have been treated by serial
extraction.
• Corrections that have been achieved by
retardation of maxillary growth, whether
dental or skeletal.
www.indiandentalacademy.com
• Dentitions in which the maxillary
and mandibular teeth have been
separated to allow for the
eruption of the previously blocked
out teeth.
www.indiandentalacademy.com
Limited Retention
• Class I non-extraction cases
characterized by protrusion and
spacing of maxillary incisors; these
cases require retention until normal
lip and tongue function has been
achieved.
www.indiandentalacademy.com
Limited Retention
• Class I or class II extraction cases
probably require retention, so that
the teeth be held in contact,
particularly in the maxillary arch,
until lip and tongue functions can
achieve a satisfactory balance, as in
the non extraction group
www.indiandentalacademy.com
Limited Retention
• Corrected deep overbites, either in
class I or class II malocclusions,
usually require retention in a vertical
plane
www.indiandentalacademy.com
Limited Retention
• Early correction of rotated teeth to
their normal positions.
• Corrected rotations in the mandibular
incisor area probably lend themselves
best to retention by a removable type
of appliance.
• Transseptal fibre surgery offers the
best possibility of stabilizing rotated
teeth.
www.indiandentalacademy.com
Permanent or Semi
permanent Retention
• Cases in which expansion has been
the choice of treatment (particularly
in the mandibular arch)
www.indiandentalacademy.com
www.indiandentalacademy.com
Requirements
• It should retain each tooth that has been
moved into the desired position in
direction where there are tendencies
toward recurring movements.
www.indiandentalacademy.com
• It should permit the force
associated with functional activity to
act freely on the retained teeth,
permitting them to respond in as
nearly a physiologic manner as
possible
www.indiandentalacademy.com
• It should be as self-cleansing as
possible and should be reasonably
easy to maintain in optimal hygienic
condition.
• It should be constructed in such a
manner as to be as inconspicious as
possible, yet should be strong enough
to achieve its objective over the
required period of use.
www.indiandentalacademy.com
• Removable: Hawley retainer
Wraparound retainer
Clipon retainer
Positioner
• Fixed
• Active retainers: Spring retainers
Modified functional
appliances
www.indiandentalacademy.com
Types: Classic and Modified
• Most common removable retainer used
following orthodontic treatment is the
classic Hawley’s retainer or one of its many
variations.
• Basic applaince consists of an acrylic base
with molar clasps and an ant. Labial bow
with vertical adjustment loops located in
the canine region.
www.indiandentalacademy.com
Disadvantages:
• tendency to open spaces distal to the
canine
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com

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Lect kk-retention planning

  • 2. Retention planning is divided into three categories depending on the type of treatment: • No retention • Limited retention in terms of both time and appliance wearing • Permanent or semi permanent retention www.indiandentalacademy.com
  • 3. No Retention required • Corrected cross bites: Anterior, Posterior • Dentition that have been treated by serial extraction. • Corrections that have been achieved by retardation of maxillary growth, whether dental or skeletal. www.indiandentalacademy.com
  • 4. • Dentitions in which the maxillary and mandibular teeth have been separated to allow for the eruption of the previously blocked out teeth. www.indiandentalacademy.com
  • 5. Limited Retention • Class I non-extraction cases characterized by protrusion and spacing of maxillary incisors; these cases require retention until normal lip and tongue function has been achieved. www.indiandentalacademy.com
  • 6. Limited Retention • Class I or class II extraction cases probably require retention, so that the teeth be held in contact, particularly in the maxillary arch, until lip and tongue functions can achieve a satisfactory balance, as in the non extraction group www.indiandentalacademy.com
  • 7. Limited Retention • Corrected deep overbites, either in class I or class II malocclusions, usually require retention in a vertical plane www.indiandentalacademy.com
  • 8. Limited Retention • Early correction of rotated teeth to their normal positions. • Corrected rotations in the mandibular incisor area probably lend themselves best to retention by a removable type of appliance. • Transseptal fibre surgery offers the best possibility of stabilizing rotated teeth. www.indiandentalacademy.com
  • 9. Permanent or Semi permanent Retention • Cases in which expansion has been the choice of treatment (particularly in the mandibular arch) www.indiandentalacademy.com
  • 11. Requirements • It should retain each tooth that has been moved into the desired position in direction where there are tendencies toward recurring movements. www.indiandentalacademy.com
  • 12. • It should permit the force associated with functional activity to act freely on the retained teeth, permitting them to respond in as nearly a physiologic manner as possible www.indiandentalacademy.com
  • 13. • It should be as self-cleansing as possible and should be reasonably easy to maintain in optimal hygienic condition. • It should be constructed in such a manner as to be as inconspicious as possible, yet should be strong enough to achieve its objective over the required period of use. www.indiandentalacademy.com
  • 14. • Removable: Hawley retainer Wraparound retainer Clipon retainer Positioner • Fixed • Active retainers: Spring retainers Modified functional appliances www.indiandentalacademy.com
  • 15. Types: Classic and Modified • Most common removable retainer used following orthodontic treatment is the classic Hawley’s retainer or one of its many variations. • Basic applaince consists of an acrylic base with molar clasps and an ant. Labial bow with vertical adjustment loops located in the canine region. www.indiandentalacademy.com
  • 16. Disadvantages: • tendency to open spaces distal to the canine www.indiandentalacademy.com