{"id":3392,"date":"2010-10-01T15:17:00","date_gmt":"2010-10-01T13:17:00","guid":{"rendered":"https:\/\/www.zerodonto.com\/en\/2010\/10\/active-retainers-clinical-procedure\/"},"modified":"2017-11-28T12:20:56","modified_gmt":"2017-11-28T11:20:56","slug":"active-retainers-clinical-procedure","status":"publish","type":"post","link":"https:\/\/www.zerodonto.com\/en\/2010\/10\/active-retainers-clinical-procedure\/","title":{"rendered":"Active retainers clinical procedure"},"content":{"rendered":"

 <\/p>\n

The following case is a crowding case in an young female 28 years old. The intra-oral photograph systematic shows how teeth crowding was higher in the lower arc with an ectopic buccal position of tooth 43 and the shift of the lower middle line thorough the right side.<\/p>\n

 <\/p>\n

Initial photograph systematic<\/strong><\/em><\/p>\n

\"pre-treatment<\/a>
\n
\n\"pre-treatment<\/a> \"pre-treatment<\/a> \"pre-treatment<\/a> \"pre-treatment<\/a> \"pre-treatment<\/a><\/p>\n

The Ortophantomography of the upper and lower archs shows the presence of all the teeth, except for the upper right third molar.<\/p>\n

 <\/p>\n

Ortopantomography <\/strong><\/em><\/p>\n

\"pre-treatment<\/a><\/p>\n

The X-ray lateral skull shows a buccal proclination of the lower teeth.<\/p>\n

 <\/p>\n

x-ray lateral skull+ cefalometry<\/em><\/strong><\/p>\n

\"teleradiography<\/a> \"cephalometric<\/a><\/p>\n

The patient\u2019s request was about an invisible orthodontic<\/a> and comfortable therapy, without speech alteration and soft tissue pains. Consequently the malocclusion was treated with an invisible lingual orthodontic<\/a> without brackets by means of .0175 inch multi-strand wires (retainers) directly bonded on the teeth with a flowable resin composite.<\/p>\n

These wires were shaped before to be bonded in order to achieve the wished teeth movements (activated retainers). Wires modeling<\/a> could be performed on the model casts or directly on the patient\u2019s teeth surfaces.<\/p>\n

The wires were shaped with first and second order bends, like U loops and inset and offset, with the help of a bird beak plier.<\/p>\n

\"active<\/a><\/p>\n

Further activations are accomplished bending them in lingual buccal directions and by opening or closing the second order bends.<\/p>\n

\"active<\/a><\/p>\n

The wires were applied in the upper and lower arch from the first right bicuspid to the first left bicuspid.<\/p>\n

After the activations wires length was greater than the involved lingual teeth surfaces. This give the force for the arch expansion.<\/p>\n

\"lingual<\/a><\/p>\n

First in the lower arch was accomplished the enamel-interdental reduction.<\/p>\n

\"stripping\"<\/a><\/p>\n

Then the actived retainer<\/a> wire was applied according to the standard bonding procedure. After cleaning with a low-speed rotary toothbrush and pumice paste lingual dental surfaces were etched for 30 sec with 37 % hydrofluoridic acid.<\/p>\n

\"dental<\/a><\/p>\n

Then the bonding agent was applied and light cured.<\/p>\n

\"15\"<\/a>\"16\"<\/a><\/p>\n

The wire was carried on the teeth by means of a dental plier and was at first bonded on the most lingualized tooth with flowable resin composite.<\/p>\n

 <\/p>\n

\"active<\/a>\"lingual<\/a><\/p>\n

Then was bonded on the other teeth, closing the U-loopos and pushing it on the teeth where it doesn\u2019t passively fit on the lingual surfaces.<\/p>\n

\"19\"<\/a> \"20\"<\/a> \"24\"<\/a> \"25\"<\/a> \"26\"<\/a> \"27\"<\/a><\/p>\n

\"28\"<\/a> \"29\"<\/a> \"30\"<\/a> \"31\"<\/a> \"32\"<\/a> \"38\"<\/a> \"39\"<\/a> \"40\"<\/a> \"41\"<\/a> \"42\"<\/a> \"43\"<\/a> \"44\"<\/a><\/p>\n

\"45\"<\/a> \"46\"<\/a> \"47\"<\/a> \"48\"<\/a> \"49\"<\/a><\/p>\n

\"50\"<\/a> \"50<\/a> \"51\"<\/a> \"52\"<\/a> \"53\"<\/a><\/p>\n

\"54\"<\/a> \"55\"<\/a> \"56\"<\/a><\/p>\n

 <\/p>\n

\"lingual<\/a> \"invisible<\/a><\/p>\n

A careful bonding procedure needs:<\/p>\n