Gökay ÜSTDAL, Eyüp Burak KÜÇÜK, Fundagül BİLGİÇ

Ortodontik Tedavi Sonrası Uygulanan Sabit Retansiyon Prosedürlerinde Güncel Yaklaşımlar

Bitirme ve retansiyon, ortodontik tedavinin birbirini takip eden iki önemli fazıdır. Optimum bitirme kriterlerinin sağlanmış olması ve tedavi edilmiş dentisyonun ve onu etkileyen çevresel etkenlerin iyi değerlendirilmesi, uygun retansiyon prosedürünün belirlenmesi açısından kritik öneme sahiptir. Ortodontik tedavinin retansiyon aşamasında, sabit lingual retainerların kullanımı günümüzde sıklıkla tercih edilmektedir. Sabit retansiyonda daha çok tercih edilen iki tip tel vardır. Kalın retainer teli mandibuler kanin-kanin arası sadece kanin dişlere bondlanarak kullanılır, ince çok sarımlı tel ise retansiyonu istenen alandaki bütün dişlere bondlanarak kullanılır. Lingual retainera ek olarak bazı spesifik durumlar için kısa labial sabit retainer kullanımı da uzun dönem tedavi sonuçlarını iyileştirebilir. Sabit retainer kullanımı köprü protezi veya implant boşluğunun korunmasında da iyi bir seçimdir. Sabit retainerlarla ilgili uzun dönem tecrübeler memnun edicidir. Bu apareylerin ağızda tutulma süresi hastalar tarafından sıklıkla merak edilen bir konudur. Eğer uygulanan retainer teli stabilse, tedavi sonuçları korunuyor ve hasta hijyen prosedürlerini uyguluyorsa, sabit retainer teli diş yüzeylerinden çıkartılmamalıdır.

Anahtar Kelimeler:

Retansiyon, relaps, ortodontik tedavi

Current Approaches in Fixed Retention Procedures Applied After Orthodontic Treatment

Finishing and retention are two successive phases of orthodontic treatment. The provision of optimal finishing criteria and a good assessment of the treated dentition and the environmental factors affecting it are critical to determine the appropriate retention procedure. The use of fixed lingual retainers in the retention phase is now frequently preferred. There are usually two types of wires required at fixed retention. The thick wire is used for a mandibular canine-canine retainer bonded only to the canines, whereas the thin multistranded wire is used for retainers in which all teeth in a segment are bonded. In addition to lingual fixed retainers, the use of short labial fixed retainers for certain specific conditions can also improve long-term results. The use of fixed retainers is also a good choice for the protection of bridge prothesis or implant space. Long-term experience with fixed retainers is satisfactory. The duration of these appliances in the mouth is often a matter of concern for patients. If the applied retainer wire is stabil, the treatment results are maintained and the patient is performing hygiene procedures, there is no valid reason to remove the fixed retainer wire.

Keywords:

Retention, relapse, orthodontic treatment,

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