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A systematic review of orthodontic retention systems: The verdict.

Identifieur interne : 000475 ( Main/Exploration ); précédent : 000474; suivant : 000476

A systematic review of orthodontic retention systems: The verdict.

Auteurs : Loubna Bahije [Maroc] ; Abdelkebir Ennaji [Maroc] ; Hicham Benyahia [Maroc] ; Fatima Zaoui [Maroc]

Source :

International orthodontics [ 1879-680X ] ; 2018.

RBID : pubmed:30001980

Descripteurs français

KwdFr :
- Biostatistiques (MeSH), Facteurs temps (MeSH), Humains (MeSH), Résultat thérapeutique (MeSH), Rétention de prothèse dentaire (instrumentation).
MESH :
- instrumentation : Biostatistiques, Facteurs temps, Humains, Résultat thérapeutique, Rétention de prothèse dentaire.

English descriptors

KwdEn :
- Biostatistics (MeSH), Dental Prosthesis Retention (instrumentation), Humans (MeSH), Time Factors (MeSH), Treatment Outcome (MeSH).
MESH :
- instrumentation : Dental Prosthesis Retention.
- Biostatistics, Humans, Time Factors, Treatment Outcome.

Abstract

INTRODUCTION

Retention during both the active and passive phases of treatment has given rise to numerous publications concerning its efficacy, the range of systems available and its variability over time. There are currently many different retention protocols regularly used by orthodontists; however, their efficacy and duration are still subject to debate. There is as yet no consensus as to which retention protocol is the most effective or for how long the retention device needs to be worn. The aim of this research was to perform a systematic review of the scientific literature in order to evaluate the efficacy of the different retention systems and clinical protocols among those most widely used, so as to make recommendations beneficial to both patient and practitioner.

MATERIALS AND METHODS

A search of the literature was performed in the following databases: PubMed (MEDLINE), ScienceDirect and Cochrane Library. The search was limited to publications in English and French during the period 2006-2016.

RESULTS

Out of 1952 references initially identified, 17 articles corresponded to our inclusion criteria. The results show that: fixed retention is more effective than removable retainers for the maintenance of incisor alignment during the first six months of retention; there is no significant difference in efficacy between the different fixed retention systems; there is no significant difference in efficacy between the vacuum-formed systems and the Hawley retainer; part-time use of removable retainers (between 8-10h/day) is sufficient; the most widely used retention protocol combines a vacuum-formed splint or Hawley retainer in the upper arch with mandibular fixed retention.

CONCLUSION

Despite the large number of studies devoted to orthodontic retention only a few articles corresponded to the methodological criteria of bio statistical analysis. Also, on account of the variations in experimental protocols, the levels of proof relating to the efficacy of different systems are very weak. Research into this topic should first seek to normalize methods of analysis and then perform randomized controlled long-term trials to shed light on this problem.

DOI: 10.1016/j.ortho.2018.06.023
PubMed: 30001980

Affiliations:

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Le document en format XML

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<term>Humans</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Facteurs temps</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Retention during both the active and passive phases of treatment has given rise to numerous publications concerning its efficacy, the range of systems available and its variability over time. There are currently many different retention protocols regularly used by orthodontists; however, their efficacy and duration are still subject to debate. There is as yet no consensus as to which retention protocol is the most effective or for how long the retention device needs to be worn. The aim of this research was to perform a systematic review of the scientific literature in order to evaluate the efficacy of the different retention systems and clinical protocols among those most widely used, so as to make recommendations beneficial to both patient and practitioner.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>A search of the literature was performed in the following databases: PubMed (MEDLINE), ScienceDirect and Cochrane Library. The search was limited to publications in English and French during the period 2006-2016.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Out of 1952 references initially identified, 17 articles corresponded to our inclusion criteria. The results show that: fixed retention is more effective than removable retainers for the maintenance of incisor alignment during the first six months of retention; there is no significant difference in efficacy between the different fixed retention systems; there is no significant difference in efficacy between the vacuum-formed systems and the Hawley retainer; part-time use of removable retainers (between 8-10h/day) is sufficient; the most widely used retention protocol combines a vacuum-formed splint or Hawley retainer in the upper arch with mandibular fixed retention.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Despite the large number of studies devoted to orthodontic retention only a few articles corresponded to the methodological criteria of bio statistical analysis. Also, on account of the variations in experimental protocols, the levels of proof relating to the efficacy of different systems are very weak. Research into this topic should first seek to normalize methods of analysis and then perform randomized controlled long-term trials to shed light on this problem.</p>
</div>
</front>
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<name sortKey="Benyahia, Hicham" sort="Benyahia, Hicham" uniqKey="Benyahia H" first="Hicham" last="Benyahia">Hicham Benyahia</name>
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A systematic review of orthodontic retention systems: The verdict.

A systematic review of orthodontic retention systems: The verdict.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki