Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated Patients
Objective:This review aimed at analyzing the literature comparing vacuum-formed retainers and lingual-bonded retainers for maintaining treatment stability and periodontal health and evaluating retainer failure and patient satisfaction.Methods:Electronic databases such as PubMed, Cochrane Library, Ov...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-12-01
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| Series: | Turkish Journal of Orthodontics |
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| Online Access: |
http://www.turkjorthod.org/archives/archive-detail/article-preview/vacuum-formed-retainers-versus-lingual-bonded-reta/57856
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| _version_ | 1797767484657369088 |
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| author | Seerab Husain Shantha Sundari Ravindra Kumar Jain Arthi Balasubramaniam |
| author_facet | Seerab Husain Shantha Sundari Ravindra Kumar Jain Arthi Balasubramaniam |
| author_sort | Seerab Husain |
| collection | DOAJ |
| description | Objective:This review aimed at analyzing the literature comparing vacuum-formed retainers and lingual-bonded retainers for maintaining treatment stability and periodontal health and evaluating retainer failure and patient satisfaction.Methods:Electronic databases such as PubMed, Cochrane Library, Ovid, Scopus, Web of Science, and Google Scholar were searched. Only randomized controlled trials were involved. Risk of bias was evaluated using Risk of Bias 2 Tool. Meta-analysis was performed and certainty of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation approach.Results:Five randomized controlled trials were included for qualitative analysis and 2 studies were included for quantitative analysis. Two studies concluded that lingual-bonded retainers were more effective than vacuum-formed retainers in maintaining treatment stability. Two studies had a high risk of bias and 3 studies had some concerns. No statistically significant difference in Little’s Irregularity Index (standard mean difference = −0.10; P value = .61), inter-canine width (standard mean difference = 0.66; P value = .09), inter-molar width (standard mean difference = 0.08; P value = .85), arch length (standard mean difference = −0.18; P value = .60) between the 2 retainers was noted. Periodontal status and retainer failure rate (odds ratio= 2.28; P value = .23) were similar in both retainers. Patient discomfort, soreness, and speech difficulty were more with vacuum-formed retainers and oral hygiene maintenance was easier with vacuum-formed retainers.Conclusion:A very low-level certainty of evidence suggests that both vacuum-formed retainers and lingual-bonded retainers were equally effective in maintaining treatment stability. Periodontal status and retainer failures were similar in both retainers. Vacuum- formed retainers were better for oral hygiene maintenance but were associated with discomfort, soreness, and speech difficulty than lingual-bonded retainers. |
| first_indexed | 2024-03-12T20:39:27Z |
| format | Article |
| id | doaj.art-ba501fae9a4e443d82fdce8bbececca9 |
| institution | Directory Open Access Journal |
| issn | 2528-9659 2148-9505 |
| language | English |
| last_indexed | 2024-03-12T20:39:27Z |
| publishDate | 2022-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Turkish Journal of Orthodontics |
| spelling | doaj.art-ba501fae9a4e443d82fdce8bbececca92023-08-01T11:04:43ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052022-12-0135430732010.5152/TurkJOrthod.2022.2116913049054Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated PatientsSeerab Husain0Shantha Sundari1Ravindra Kumar Jain2Arthi Balasubramaniam3 Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Chennai, Tamilnadu, India Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Chennai, Tamilnadu, India Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Chennai, Tamilnadu, India Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Chennai, Tamilnadu, India Objective:This review aimed at analyzing the literature comparing vacuum-formed retainers and lingual-bonded retainers for maintaining treatment stability and periodontal health and evaluating retainer failure and patient satisfaction.Methods:Electronic databases such as PubMed, Cochrane Library, Ovid, Scopus, Web of Science, and Google Scholar were searched. Only randomized controlled trials were involved. Risk of bias was evaluated using Risk of Bias 2 Tool. Meta-analysis was performed and certainty of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation approach.Results:Five randomized controlled trials were included for qualitative analysis and 2 studies were included for quantitative analysis. Two studies concluded that lingual-bonded retainers were more effective than vacuum-formed retainers in maintaining treatment stability. Two studies had a high risk of bias and 3 studies had some concerns. No statistically significant difference in Little’s Irregularity Index (standard mean difference = −0.10; P value = .61), inter-canine width (standard mean difference = 0.66; P value = .09), inter-molar width (standard mean difference = 0.08; P value = .85), arch length (standard mean difference = −0.18; P value = .60) between the 2 retainers was noted. Periodontal status and retainer failure rate (odds ratio= 2.28; P value = .23) were similar in both retainers. Patient discomfort, soreness, and speech difficulty were more with vacuum-formed retainers and oral hygiene maintenance was easier with vacuum-formed retainers.Conclusion:A very low-level certainty of evidence suggests that both vacuum-formed retainers and lingual-bonded retainers were equally effective in maintaining treatment stability. Periodontal status and retainer failures were similar in both retainers. Vacuum- formed retainers were better for oral hygiene maintenance but were associated with discomfort, soreness, and speech difficulty than lingual-bonded retainers. http://www.turkjorthod.org/archives/archive-detail/article-preview/vacuum-formed-retainers-versus-lingual-bonded-reta/57856 orthodontic retainerperiodontalrelapseretentionstabilitysurvival rate |
| spellingShingle | Seerab Husain Shantha Sundari Ravindra Kumar Jain Arthi Balasubramaniam Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated Patients Turkish Journal of Orthodontics orthodontic retainer periodontal relapse retention stability survival rate |
| title | Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated Patients |
| title_full | Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated Patients |
| title_fullStr | Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated Patients |
| title_full_unstemmed | Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated Patients |
| title_short | Vacuum-Formed Retainers Versus Lingual-Bonded Retainers: A Systematic Review and Meta-Analysis of Stability of Treatment Outcomes in Orthodontically Treated Patients |
| title_sort | vacuum formed retainers versus lingual bonded retainers a systematic review and meta analysis of stability of treatment outcomes in orthodontically treated patients |
| topic | orthodontic retainer periodontal relapse retention stability survival rate |
| url |
http://www.turkjorthod.org/archives/archive-detail/article-preview/vacuum-formed-retainers-versus-lingual-bonded-reta/57856
|
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