Risk factors for orthodontic fixed retention failure: A retrospective controlled study.

IF 2.6 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Korean Journal of Orthodontics Pub Date : 2023-11-25 Epub Date: 2023-08-31 DOI:10.4041/kjod23.012
Kaat Verschueren, Amit Arvind Rajbhoj, Giacomo Begnoni, Guy Willems, Anna Verdonck, Maria Cadenas de Llano-Pérula
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引用次数: 0

Abstract

Objective: : To investigate the potential correlation between fixed orthodontic retention failure and several patient- and treatment-related factors.

Methods: : Patients finishing treatment with fixed appliances between 2016 and 2017 were retrospectively included in this study. Those not showing fixed retention failure were considered as control group. Patients with fixed retention failure were considered as the experimental group. Additionally, patients with failure of fixed retainers in the period of June 2019 to March 2021 were prospectively identified and included in the experimental group. The location of the first retention failure, sex, pretreatment dental occlusion, facial characteristics, posttreatment dental occlusion, treatment approach and presence of oral habits were compared between groups before and after treatment separately by using a Fisher exact test and a Mann-Whitney U test.

Results: : 206 patients with fixed retention failure were included, 169 in the mandibular and 74 in the maxillary jaws. Significant correlations were observed between retention failure in the mandibular jaws and mandibular arch length discrepancy (P = 0.010), post-treatment growth pattern (P = 0.041), nail biting (P < 0.001) and abnormal tongue function (P = 0.002). Retention failure in the maxillary jaws was more frequent in patients with IPR in the mandibular jaws (P = 0.005) and abnormal tongue function (P = 0.021).

Conclusions: : This study suggests a correlation between fixed retention failure and parafunctional habits, such as nail biting and abnormal tongue function. Prospective studies with larger study populations could further confirm these results.

正畸固定固位失败的危险因素:一项回顾性对照研究。
目的:探讨固定正畸固位失败与患者及治疗相关因素的潜在关系。方法:回顾性纳入2016年至2017年完成固定矫治器治疗的患者。未出现固定潴留失败者作为对照组。固定潴留失败患者作为实验组。另外,前瞻性识别2019年6月至2021年3月期间固定固位器失效的患者并纳入实验组。采用Fisher精确检验和Mann-Whitney U检验,分别比较治疗前后两组患者首次固位失败的位置、性别、治疗前牙合、面部特征、治疗后牙合、治疗方式、有无口腔习惯。结果:206例固定固位失败,其中下颌骨169例,上颌74例。下颌骨固位失败与下颌弓长差异(P = 0.010)、治疗后生长方式(P = 0.041)、咬指甲(P < 0.001)和舌功能异常(P = 0.002)有显著相关。上颌IPR患者上颌固位失败发生率较高(P = 0.005),舌功能异常发生率较高(P = 0.021)。结论:本研究提示固定固位失败与功能习惯相关,如咬指甲和舌功能异常。更大研究人群的前瞻性研究可以进一步证实这些结果。
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来源期刊
Korean Journal of Orthodontics
Korean Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.50
自引率
10.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.
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