Orthotown September 2015 - (Page 22)

clinical orthodontics // message board Related Message Boards What Is Your Retainer Protocol? Space Closure with Short Roots JULY 2 2013 Space Closure Townies share their preferred type of retainer and patient protocol. Very Short U3s Roots Orthotown.com > Message Boards > Clinical Topics > Clinical Orthodontics > What Is Your Retainer Protocol? Very Short smiledoc123 Member Since: 01/06/12 Post: 1 of 42 Related Message Boards Remove Braces, Give Retainer 7 Days Later? Remove Braces How Do You Handle Broken Fixed Retainers? Broken Fixed I'm an associate working in an established practice and was wondering what you all do for retainer protocols. * Do you have a go-to type of retainer? * What do you use to bond lingual retainers (type of wire and composite)? Ours fail a lot! * Do you give all patients the option to have an Essix retainer? What do you do if it cracks? * Do you give patients the choice of what type of retainer? * Do you deliver the same day as debond? One week after? Two? We make a lot of Hawleys, very few lingual bonded (although I like them, I think we need something that holds a bit better), and some Essix retainers. However when an Essix breaks we replace it for free, even if it's years later. It's killing me. I feel like it is totally inefficient and we need a better system! Would love to hear what you all do! n MAR 5 2012 dhmjdds Member Since: 11/16/04 Post: 2 of 42 Do you have a go-to type of retainer? Upper Hawley, lower bonded 3-3. What do you use to bond lingual retainers? .030 stainless steel, formed at the debond appointment directly. Roughen linguals of canines with green stone, micro-etch ends of wire. Isolate, etch with L-pop, hold ret in place with floss. Bond with Transbond LR to canines only, using primer to smooth (don't let it run interproximally). Set. Check contacts with floss. Oh, assistants do all of this except roughening the canines and we check the wire and tweak it after they form it. Do you give all patients the option to have an Essix retainer? What do you do if it cracks? No. Don't use "A" material. Always use "C+" material. It never, ever breaks. Do you give patients the choice of what type of retainer? Only adults and Invisalign patients. Do you deliver same day as debond? 3-3 goes on at debond. Hawleys deliver in one week. Essixes usually deliver in 1-2 days. We have an in-house lab so we can do same-day Hawleys if necessary (like if they have a pontic on them). n MAR 5 2012 smiledoc123 Member Since: 01/06/12 Post: 3 of 42 Thank you for sharing your protocol! A couple of questions: Do you get much relapse with your lower retainer? I always thought that if someone had a lot of rotations, you needed to bond a flexible wire to every tooth, whereas you could use a stiff retainer if teeth were just lingually displaced or something like that. I really like how much easier it is to clean, though, if you are just bonded to the 3s. How often do they debond? You don't give an Essix as back up? Also, does anyone do "retainer insurance" where they pay more upfront but it covers replacements if needed? Thanks again! n MAR 7 2012 dhmjdds Member Since: 11/16/04 Post: 4 of 42 No, not much relapse if the retainer is properly formed to touch all along the linguals of the lower incisors and if the overjet was properly corrected and they wear the upper retainer according to instructions. If you have a single tooth rotate out, run a disk between the contacts on both sides of that tooth (with the bonded still on) to break the contacts. The lip almost always rotates it back if enough space is available. Join the discussion online at: www.orthotown.com Lorem Ipsum 22 SEPTEMBER 2015 // orthotown.com http://www.Orthotown.com http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=241728&g=1 http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=173395&g=1 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown September 2015

Orthotown.com Highlights
Embrace Progress: How Staffing Helps Mitigate the Threat of Corporate Dentistry
Vertical Control
Combined Orthodontic Restorative Treatment
Industry News
How CBCT Can Help Jaw Alignment and Airway Issues
What’s On Your Tray? Banding and Bonding
What is Your Retainer Protocol?
New Products
Practice Solutions
Leveling the Playing Field: Partner with Staffing Experts
The Time for a Cloud-Based HCM Solution
Poll
A Response-Driven Treatment Plan: Navigating a Diffi cult Case Without a Road Map
GORP Review 2015
Ad Index

Orthotown September 2015