(Orthodontics without reversibility) orthodontic stability

(Orthodontics without reversibility (orthodontic stability

Retention

The long-term stability of the results of treatment is one of the main goals of orthodontic treatment. Some factors such as stability and retention are not as noticeable as diagnosis, treatment plan and mechanics. In the winter of 1990, a panel of colonists and scholars at Hartford formed a panel discussion with the State of the Art Symposium for the stability and retention of orthodontic patients. The debate on stability constraints and how to improve long-term and long-term stability has led to many discussions that resulted in the following.

Each treatment should be familiar with the relapse and the need for retention. The stability of the occlusion resulting from orthodontic treatment is a major goal at the beginning of the treatment. Our ability to achieve long-term stability and the recognition of underlying factors in stability has been less evident in this category, reflecting our need for retention for the results and long-term retention.

Post-treatment instability can be divided into 2 groups:

Changes related to growth, puberty (Maturation, dental age and occlusion.
Changes related to the inherent instability of the oculogy caused by orthodontic treatment.
The first state instability often appears in a long period of time. This condition may include changes in growth in adolescent and preadolescent patients.

For example, we can refer to the deepening of the byte. Another illustrative example of the changes is uncoordinated macular and mandibular growth.

Changes related to maturation include increased crowding in lower incidence, which may be greater than the amount of irregularity pre-treated. Dental age is also associated with an increase in the prevalence of periodontitis, which may be accompanied by spacing and flaring of the anterior teeth, and may also be accompanied by complex changes in the position of the teeth of patients who have lost a number of their teeth (Semi-edentulous) Be The common point in all of these changes is that they may well occur in any disease (regardless of previous orthodontic treatment). However, a disease that has taken orthodontics due to the time and cost of treatment is expected to result in a stabilization of the outcome of the treatment.

Appropriate treatment should be delayed from the point of view of stability in patients with ultimate and definitive treatment, especially extraction, until the appearance of the skeletal growth pattern has not fully evolved. When orthodontic treatment is gaining credit in the era of Mixed Dentition, this view has definitely been unique.

Dr. Ram S. Nanda and Dr. Surender k. Nanda believes that developmental changes are often involved in post-treatment changes and rilasses. They gathered detailed information from their studies of changes, especially in the skeletal craniofacial component, and emphasized that changes in the skeleton, especially in women, would continue in the third decade of life.

The second group of occlusion inconsistencies includes changes that can be clearly called “rilapse” and can also be attributed to the inherent instability of the ecchymosis created by the ecchyogenesis. Such changes may be localized, such as the rotation of a premolar that has been corrected during treatment and then rilass.

Such a rotational dipstick, especially in the anterior teeth, may be a concern for the patient. Regardless of the diagnosis and treatment plan, a sharp turn of the upper central incision can be difficult. So the Rilapus, though relatively small and localized, may cause a problem. But the Rilpus may also have a generalized pattern, such as rebounding the anterior or posterior teeth (maxilla or mandible), cross-byte relapse, opening the extraction tooth extraction site and returning deep-drawn byte.

Since the stability of the occlusion is considered a major goal of orthodontic treatment, the orthodontist analyzes this problem and takes into account the diagnosis and treatment plan. Many factors may interfere with instability. Periodontal ligament and gingival fibers are remodeled during orthodontic teeth. It has been seen that these fibers are responsible for many short-acting rilaps after orthodontic treatment, and especially after the rotation of the actions performed to overcome this problem, including overtreatment, retention, and fibro-tropenia. Like these mechanisms, the median maxillary diastema is the agent of the median maxillary diastema, after the closure of space by orthodontics.

Soft tissue pressures may be another major factor in determining stability. The overall alignment of the teeth in the alveolar bone is probably very important, and the balance between the soft tissues of the mouth and mouth and their function (function) is necessary for the final position of the teeth on the alveolar bases.

In the orthodontic treatment plan, the extraction of extracted teeth in the untreated teeth is such that in these patients, the stability of occlusion is an important factor in extraction decision making.

The stability of orthodontic healing results is one of the topics that has been of great interest since the beginning of this field. To keep the teeth in their new position after treatment, the patient needs to use the retiner, but when the retiners are discarded, the teeth are irregular and this is a disappointment. According to the experiences of various anomalies, the teeth occlusion is the most effective factor in determining the stability of the new position of the teeth. When teeth move inside the occlusion, they tend to return to their previous wrong position, while they should be confronted with this force and desire.

Angle used to maintain the results of the treatment: Ratting time based on patient’s age, acquired occlusion, important and predominant factors, dental movements, length of cusps, tissue health, etc., vary from a few days to one or two years or more often . Therefore, the retention is not a problem apart from orthodontics, and is a continuation of what we did during orthodontics. The teeth should be kept well enough to allow adjacent bones and soft tissues to be restored to their rejuvenation, prolonging the retention periods in some cases, until the end of growth or even the permanent rites, is another method. To achieve long-term stability.