Evaluation of Orthodontic Treatment Results After Installation of Retainer in Class I Maloklusi Patients Without Revocation in the PPDGs Orthodontic Clinic RSGM FKG USU
Introduction
Orthodontic treatment is a crucial process that aims to improve the position of the tooth and jaw that is not ideal. After the tooth alignment process is complete, the use of retainers becomes an essential step to maintain the results that have been achieved. This study was conducted to examine the effectiveness of the use of retainers in class I malocclusion patients without extraction in the PPDGs Orthodontic Clinic RSGM FKG USU.
Background
Orthodontic treatment is a complex process that requires careful planning and execution. The use of retainers is a critical step in maintaining the results of orthodontic care. Retainers are custom-made appliances that are designed to hold the teeth in their new position after orthodontic treatment. The use of retainers is essential to prevent the teeth from shifting back to their original position, which can lead to a relapse of the malocclusion.
Methodology
This study involved 19 patients (17 women and 2 men) who underwent orthodontic treatment without tooth extraction. The data was collected through interviews, measurement of dental models before and after retainer installation. The patients were divided into three groups based on the duration of retainer use:
Group 1: Patients who used retainers for 1-3 monthsGroup 2: Patients who used retainers for 4-6 monthsGroup 3: Patients who used retainers for more than 6 months
Results
The results of this study showed that:
*** Long use of Retainer: ** The majority of patients (10 people) use retainers for 1-3 months, followed by 6 people wearing for 4-6 months, and 3 people over 6 months.
The results also showed significant changes after the installation of the retainer, namely:
*** Irregularity Index: ** Increases in the upper jaw (0.85 ± 0.33 mm) and lower jaw (0.86 ± 0.49 mm).
*** Interpaninus width: ** decreased in the upper jaw (0.58 ± 1.30 mm) and lower jaw (0.59 ± 0.85 mm).
*** Intermolar width: ** decreased in the upper jaw (0.14 ± 1.24 mm) and lower jaw (0.29 ± 0.46 mm).
*** Teeth length: ** decreased in the upper jaw (1.75 ± 2.75 mm) and lower jaw (2.10 ± 1.26 mm).
*** Overjet: ** increased (0.38 ± 0.58 mm).
*** Overbite: ** increased (0.56 ± 0.80 mm).
Discussion
The results of this study indicate that the use of retainers in class I malocclusion patients without extraction in the PPDGs Orthodontic Clinic of the USU RSGM FKG shows significant changes to the Orthodontic Treatment Results. Although there is an increase in the Irregularity Index, which indicates a little incomplete tooth position, this result needs to be further analyzed by considering other factors such as patient compliance in using retainers.
Conclusion
This study provides valuable information to understand the effectiveness of the use of retainers and becomes a reference for dentists in providing education and guidance to patients about the importance of using retainer to maintain the results of orthodontic care.
Recommendation
It is necessary to do further research with a larger number of samples and longer observation periods to get more comprehensive results.
The importance of education to patients about the importance of compliance in the use of retainers for optimal treatment results.
The need for research on other factors that can affect the success of maintenance of orthodontic care results, such as retainer types, retainer design, and patients' genetic factors.
Limitations
This study has several limitations, including:
The small sample size
The short observation period
The lack of control group
Future Directions
Future studies should aim to address these limitations by:
Increasing the sample size
Extending the observation period
Including a control group
Conclusion
In conclusion, this study provides valuable information on the effectiveness of the use of retainers in class I malocclusion patients without extraction in the PPDGs Orthodontic Clinic RSGM FKG USU. The results of this study indicate that the use of retainers shows significant changes to the Orthodontic Treatment Results. However, further research is needed to confirm these findings and to identify other factors that can affect the success of maintenance of orthodontic care results.Frequently Asked Questions (FAQs) About Orthodontic Treatment and Retainers
Q: What is orthodontic treatment?
A: Orthodontic treatment is a process that aims to improve the position of the tooth and jaw that is not ideal. It involves the use of various appliances, such as braces and retainers, to align the teeth and correct any bite problems.
Q: What is a retainer?
A: A retainer is a custom-made appliance that is designed to hold the teeth in their new position after orthodontic treatment. It is typically worn for a period of time after the completion of orthodontic treatment to prevent the teeth from shifting back to their original position.
Q: Why is it important to wear a retainer?
A: Wearing a retainer is essential to maintain the results of orthodontic treatment. If the teeth are not held in their new position, they can shift back to their original position, which can lead to a relapse of the malocclusion.
Q: How long do I need to wear a retainer?
A: The length of time you need to wear a retainer depends on various factors, including the type of retainer, the severity of the malocclusion, and your individual needs. Typically, retainers are worn for a period of 1-3 months, but in some cases, they may need to be worn for longer periods of time.
Q: What are the benefits of wearing a retainer?
A: The benefits of wearing a retainer include:
Maintaining the results of orthodontic treatment
Preventing the teeth from shifting back to their original position
Improving the overall appearance of the teeth and smile
Enhancing oral health and function
Q: What are the different types of retainers?
A: There are several types of retainers, including:
Hawley retainer: A removable retainer that is made of a combination of metal and acrylic.Essix retainer: A clear, removable retainer that is made of a thin, flexible plastic.Fixed retainer: A retainer that is bonded to the teeth and cannot be removed.Clear retainer: A clear, removable retainer that is made of a thin, flexible plastic.
Q: How do I care for my retainer?
A: To care for your retainer, you should:
Clean it regularly with a soft-bristled toothbrush and mild soap
Avoid exposing it to extreme temperatures or chemicals
Store it in a protective case when not in use
Avoid wearing it while eating or drinking
Q: What are the common problems associated with retainers?
A: Some common problems associated with retainers include:
Discomfort: Some people may experience discomfort or irritation when wearing a retainer.Difficulty speaking or eating: Some people may have difficulty speaking or eating while wearing a retainer.Retainer loss: Some people may lose their retainer, which can lead to a relapse of the malocclusion.
Q: What should I do if I have a problem with my retainer?
A: If you have a problem with your retainer, you should:
Contact your orthodontist or dentist for advice
Follow their instructions for caring for your retainer
Avoid wearing your retainer until the problem is resolved
Q: Can I wear my retainer while eating or drinking?
A: No, you should not wear your retainer while eating or drinking. This can cause damage to the retainer and lead to a relapse of the malocclusion.
Q: How often should I visit my orthodontist or dentist for check-ups?
A: You should visit your orthodontist or dentist for regular check-ups to ensure that your retainer is fitting properly and that your teeth are not shifting back to their original position.
Q: Can I wear my retainer at night?
A: Yes, you can wear your retainer at night to help maintain the results of your orthodontic treatment. However, you should follow the instructions provided by your orthodontist or dentist for wearing your retainer at night.