Fixed Lingual Retainer Positioner: A narrative review

  • medha lakhanam DCI
  • Kamna Srivastava
  • Raghavendr Singh

Abstract


Retention is one of the most critical phase of Orthodontic treatment . Angle stated that "the problem involved in retention are greater  than the difficulties being encountered in the treatment, and tests the utmost skill of the operator. The various retention appliances available include Removable retainers and bonded retainers. Removable retainers have their own advantages and disadvantages, but they need patient’s compliance to wear them.Fixed retainers consist of a length of orthodontic wire that is bonded on the lingual aspect of tooth .The major advantages of bonded retainers includes invisibility, no patient compliance required and long term retention.

 

Bonding of a lingual retainer is a challenging and technique sensitive procedure because it requires long working time and has a risk of contamination from saliva and moisture, leading to bond failure as it is difficult to adaptation of the retainer wire and further stabilization of contoured retainer wire in the oral cavity during bonding.

If retainer wire can be effectively stabilized over the lingual surface of tooth prior to bonding, bonding becomes a simple process.

Various methods used to stabilize lingual retainer before bonding  involves use of separators (Kesling and elastomeric separators), materials like resin, memosil, glue etc or use of metal Stablizers in form of W,V or use of wires .

 

The objectives of this article is to compile the different retention techniques used to stabilize the lingual retainer wire for bonding altogether at one place.

 

Keywords: Retainers, lingual aspect, Bonding, Stablization

References

Littlewood J.G,Milet D, Beam D,Worthington H.V. Orthodontic retention: A systematic review;Journal of Orthod. 2006; 33(205-12).

Kaplan H.The logic of modern retention procedure.Am J Orthod Dentofac Orthop.1988. Vol 93(4); 325-40.

Khatri J.M, Agarwal. Fixed lingual retainer: review article; International Journal of Information Research and Review 2016;Vol. 03(12), pp. 3328-3330.

Shin – Jae Lee 2004. Time-Saving Fixed Lingual Retainer Using Duralay Resin Transfer. Am J Orthod Dentofacial Orthop 125:203-5.

Nagar Namit 2011. Modified Kesling’s Separators For Stabilizing Lingual Retainer Wire. Annals of Dental Research, 1(1), 96-99.

Sahu SK,Jayam BK, Barik AK. Retainer Positioner. J Ind Orthod Soc 2012;46(1):53-54.

M.K. Karthikeyan, Prabhakar R, Saravanan R, Rajvikram N, Kuppuchamy. Stabilizing Springs for Fixed Lingual Retainer. Journal of Clinical and Diagnostic Research. 2013;Vol-7(11): 2647-2648.

Thamer Adel Alkhadra, 2011. A Simplified Technique For Chairside Bonding Of Lingual Retainer. J PDA vol. 20 (3).

Lee S.J,Ihm JA, Ahn S.J, Time-saving fixed lingual retainer using DuraLay resin transfer.Am J Orthod Dentofacial Orthop 2004;125:203-5.

Yoshida Y, Nagashima K, Komori A. Simple and Accurate Bonding of Lingual Retainers with KommonBase. J. Clin. Orthod.2014; VOL 68(5):292-4.

Hattarki RS, Rastogi S, A simple technique for bonding lingual retainer. International journal of orthodontics . 2015;26(1):39-40 •

Rana S.S, Kharbanda OP. A robust method of bonding fixed lingual retainer. Journal of pierre fauchard academy , 2 0 1 7 :31; 64 – 66.

Sahu SK, Gautam N, Sahoo SN, Jagdev S. Glue retainer positioner. J Indian Orthod Soc 2017;51:139-40.

Bhardwaj M, Khattri S, Kulshrestha R. Fabrication of Lingual Retainer made easy. J Clin Adv Dent. 2017; 1: 026-027.

Vibhute PJ. Two new methods for direct bonding ‘lingual retainers’. J Indian Soc Pedod Prevent Dent;2009;27(2);111-115.

Seth V, Kamath P, Venkatesh M .J Technique Clinic – A New Method for Bonding Lingual Retainer. Indian Journal of Dental Sciences. 2012 , Vol.:4(1),122-124.

Garabadu A, Chalasani S, Vaz AC. W-Shaped Lingual Retainer Wire Stabilizer. J Ind Orthod Soc 2011;45(2):150-151.

Bansal A. Rest Appliance: Retainer Stabilizing Appliance. J Orthod Endod. 2017, 3:1.

Chaudhari CV, Daokar SS, Yamyar SS. Simple Innovative “V” clips for bonded lingual retainer. Int J Orthod Rehabil 2018;9:130-1

Srivastava A, Tikku T, Khanna R, Maurya RP, Verma SL, Srivastava K. Lingual Retainer Stabilizer (LIAR). Journal of Scientific Achievements, Apr2017; 2 (4): 16-18.

Astekar SS, Deshpande RS, Shetty PS, Chanchad AD. Lingual Retainer Stabilized by Modifying Archwire. J Indian Orthod Soc 2013;47(4):483-484.

Handral RK, Gogineni R, Mendigeri V. Retainer clip - stabilizer for lingual retainer. J Indian Orthod Soc 2017;51:134-5.

Published
2020/12/09
Section
Review