Dentaltown October 2016 - 46

orthodontics
message board

Fixed Lingual Retainer Wire
Townies discuss different types of orthodontic retention
Dentaltown.com > Message Boards > Orthodontics > Fixed Lingual Retainer Wire

LA Dentist
Member Since: 08/12/09
Post: 1 of 36

zxzxzx
Member Since: 02/28/03
Post: 2 of 36

What wire do you use for a permanent lingual retainer? Why do you like it? Thank you. ■
7/15/2016

This is what I do and have done for virtually my entire 36-year career. I'll let Dr. Zachrisson
explain why. Lower 3-3. ■
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7/16/2016

LA Dentist
Member Since: 08/12/09
Post: 4 of 36

ahayes
Member since: 01/20/06
Post: 6 of 36

zxzxzx
Member Since: 02/28/03
Post: 7 of 36

Thanks for the reply. I currently use a wire and bond to each tooth. I'm not a fan of the
lingual bar retainers. ■
7/16/2016

Charlie, do you use the gold-coated wire? Is there any benefit to the cold coating other than
Zachrisson just seemed to really like gold? ■

7/20/2016

I use the gold wire really because Z use the gold wire and I've had one patient complain that
the gray wire shined through and darkened her lower incisors.
That was the reason Z started using the gold wire, and because he just loved the gold effect
on Norwegian blondes. I personally think 032 TMA is the perfect retainer wire, especially on
teenage boys. ■
7/20/2016

JimmyJames
Member Since: 04/10/12
Post: 8 of 36

zxzxzx
Member Since: 02/28/03
Post: 9 of 36

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What keeps the incisors from getting out of line when you only bond to the canines? ■
7/20/2016

Usually the pressure of the lip against the teeth keeps them straight. Sometimes they move
a little and then I use an 8mm diameter disc to polish mesial and distal of the tooth that is
moving. Usually this eliminates the problem.
Sometimes (not often) I need to make a clear retainer with pressure on the rotated tooth to
realign it. They can wear that clear aligner without having to remove the 3-3 retainer. Seems like
a lot of trouble, but I find that the lower 3-3 bonded just to the 3s is hygienic enough to last for
decades. I can't remember the last "bonded to all teeth" that I saw in the mouth longer than five
years. On the other hand, I have hundreds of 3-3s out for 20 years plus. So for the long term, I
like bonded just to the 3s.
If you achieve normal OB OJ at the end of treatment, the lower 3-3 will eventually serve as the
retainer of both the upper and lower teeth. I really like that. I'm in a small town so I see patients every
day and their teeth usually look good and they frequently tell me they love their fixed retainer. ■
7/21/2016

davidpalmer
Member Since: 04/14/00
Post: 17 of 36

Back to the OP's question. Dead soft braided wire conformed carefully to 22-27 by taking
a quick impression and pouring a model. Then a little composite on each tooth. Yes, it's harder
Continued on p. 48

OCTOBER 2016 // dentaltown.com

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