Effect of groove placement on the retention/resistance of resin-bonded retainers for maxillary and mandibular second molars.

Abstract

STATEMENT OF PROBLEM Lack of retention/resistance form in the clinical preparation of teeth for resin-bonded retainers may lead to clinical failure. PURPOSE This study investigated the effect of proximal grooves on the retention/resistance of cast resin-bonded retainers for maxillary and mandibular second molar teeth. MATERIAL AND METHODS Two ivorine teeth (a maxillary and a mandibular second molar) were prepared for resin-bonded retainers. Twenty metal replicas of the prepared teeth were made (10 for each tooth morphotype). Resin-bonded retainers 0.5 mm thick were made for the 40 replicas and luted with Panavia EX cement. Forces for dislodgment of the retainers were applied along the long axes of the teeth. Forces recorded at the time of dislodgment were analyzed with 2-way analysis of variance and the post hoc Scheffé test. RESULTS Grooves resulted in substantial increases in debonding forces for maxillary molars (P<.001). The effect of grooves on mandibular second molars was not significant (P=.13). CONCLUSION Grooves placed in tooth preparations of maxillary molar teeth for resin-bonded retainers had a significant effect on retention/resistance. The effect of grooves on mandibular second molars was less pronounced.