Bonded lingual retainer

Health & Medicine Technology Business

Steps for successful bonding of a lingual retainer, Assure bonding resin, Rely-a-bond bonding resin, Reliance product

Bonded Lingual Retainer
Steps for successful bonding

Lab Set Up

• Micro-etching into the micro-cab
• Water rinsing

©Dr Sylvain Chamberland

• Air drying
• Cleaning with Acetone

©Dr Sylvain Chamberland

• Assure bonding resin
• Polymerisation

©Dr Sylvain Chamberland

Chairside Set Up

©Dr Sylvain Chamberland

• Scaling

• Micro-etching

• Prophy to remove stain
from sandblasting

©Dr Sylvain Chamberland

• Acid etching

• Rinsing and air drying

• Cotton rolls placed
between lips and teeth

©Dr Sylvain Chamberland

• Assure Light cured sealant

• Polymerisation

©Dr Sylvain Chamberland

Patient Set Up

• Index tray

• Resin Tray

©Dr Sylvain Chamberland

• Resin A on the index tray

• Resin B on the teeth

©Dr Sylvain Chamberland

• Press ﬁrmly

• Wait 5 minutes

5 : 00

©Dr Sylvain Chamberland

• Clean and remove any resin excess

• Use ﬂoss threaders and check
embrasure access

©Dr Sylvain Chamberland

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Objectifs − Évaluer le rôle de l’âge sur la régénération osseuse par remodelage au niveau de la symphyse après génioplastie. Méthode − Cinquante-quatre patients ayant bénéficié d’une génioplastie à la fin de leur traitement orthodontique ont été divisés en trois groupes selon leur âge au moment de l’intervention : moins de 15 ans (groupe 1), 15 à 19 ans (groupe 2) et 20 ans ou plus (groupe 3). Le groupe contrôle est constitué de 23 patients n’ayant pas désiré de génioplastie, suivis radiographiquement deux années après la fin de leur traitement. Les patients ont été évalués à trois moments : juste avant l’intervention (T1), juste après l’intervention (T2) et deux ans après l’intervention (T3). Résultats − La quantité d’avancement mentonnier est identique pour les trois groupes, mais la quantité de remodelage osseux est plus importante pour le groupe 1, un peu moins notable pour le groupe 2 et encore moins pour le groupe 3 que pour le groupe 2. Pour les trois groupes, l’épaisseur de la symphyse a considérablement augmenté dans les deux années qui ont suivi l’intervention, mais la quantité d’os néoformé est bien plus importante dans le groupe 1 que dans le groupe 3. Le remodelage osseux, aussi bien au-dessus que derrière la symphyse déplacée, est également plus important chez les plus jeunes du fait de la croissance verticale des procès alvéolaires. Il n’y a aucune preuve d’un quelconque effet délétère de la génioplastie sur la croissance mandibulaire. Conclusion − La génioplastie avec déplacement du segment mentonnier vers le haut et vers l’avant permet d’accroître l’épaisseur de l’os symphysaire, par apposition osseuse au-dessus du point B, ainsi qu’au niveau du point Gnathion. Lorsqu’elle est indiquée, la génioplastie doit être réalisée avant l’âge de 15 ans pour générer les meilleurs résultats en termes de remodelage osseux.

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