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Accuracy and stability of computer-aided customized lingual fixed retainer: a pilot study

 Seung-Hyun Kang  ;  Jae-Sung Kwon  ;  Chooryung Judi Chung  ;  Jung-Yul Cha  ;  Kee-Joon Lee 
 PROGRESS IN ORTHODONTICS, Vol.23(1) : 39, 2022-11 
Journal Title
Issue Date
Computers ; Maxilla ; Orthodontic Appliances, Fixed* ; Orthodontic Retainers* ; Pilot Projects
Bending ; Computer numerical control ; Cutting ; Lingual fixed retainer ; Thermocycling
Background: With advances in digital technology, new types of lingual fixed retainers are being developed. However, there are few studies that quantitatively evaluate the accuracy and stability of lingual fixed retainers. The aim of this study was to assess the accuracy and stability of two types of computer-aided customized lingual fixed retainers and a conventional lingual fixed retainer.

Methods: A total of 10 maxillary and 10 mandibular duplicated dental models were selected, and then, three types of retainers were fabricated on the canine-to-canine area for each model. To evaluate accuracy, wire clearance at interproximal area (WCI) was measured using superimposition analysis. Initial flatness deformation was also measured for vertical distortion of retainers. Lateral width, anteroposterior length, and flatness deformation were measured at three-time points for stability assessment. Thermocycling was used to induce 6 months of time flow.

Results: The custom-bent group showed significantly higher WCI than the custom-cut and manual groups in the maxillary arch (P = 0.002). The custom-cut group showed significantly less flatness deformation, which was followed by the custom-bent and manual groups in both the maxillary and mandibular arch (P < 0.001). There was no significant difference in stability between the three retainer groups during 5100 cycles of thermocycling (corresponding to 6-month period).

Conclusions: Since there was no difference in stability between the three groups, it is recommended to use custom-cut type retainers in light of accuracy. However, accuracy and stability are not the only factors to consider when selecting type of retainers. Because each retainer has advantages and disadvantages, the type of retainers should be decided in consideration of the clinical environment.
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Dental Biomaterials and Bioengineering (치과생체재료공학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Jae-Sung(권재성) ORCID logo https://orcid.org/0000-0001-9803-7730
Lee, Kee Joon(이기준) ORCID logo https://orcid.org/0000-0002-0782-3128
Chung, Chooryung J.(정주령) ORCID logo https://orcid.org/0000-0001-9399-7193
Cha, Jung Yul(차정열)
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