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Bonded orthodontic retention: a practical guide

British Dental Journal volume 230, pages 709–716 (2021)Cite this article

Abstract

Bonded retainers may play an important role in reducing unwanted tooth movements following orthodontic treatment, with an open-ended perspective on retention now established. The importance of planning for bonded retention is emphasised, with key principles in minimising failure rates as well as wire and adhesive options discussed. Approaches to preparation of the wire and the teeth, the bonding process, as well as variations in retainer design, and means of preventing problems and undertaking repairs in order to achieve predictable fixed retention in the long term are also outlined.

Key points

  • An open-ended attitude to retention is routine, placing an onus on predictable approaches to fixed retention.

  • Fixed retention should be compatible with long-term use and optimal oral health.

  • Key underpinning principles are described, including careful planning and preparation, and meticulous technique in order to optimise long-term predictability with fixed retention.

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Authors and Affiliations

  1. Retired Specialist in Orthodontics, Reigate, Surrey, UK

    Robert Kirschen

  2. Orthodontic Department, St Luke’s Hospital, Little Horton Lane, Bradford, BD5 0NA, UK

    Simon J. Littlewood

  3. Orthodontic Therapist, Barts NHS Health Trust, Whitechapel, London, E1 2AD, UK

    Anna Blazewska-Amin

  4. Barts and The London School of Medicine and Dentistry, Orthodontics, Institute of Dentistry, Queen Mary University of London, London, E1 2AD, UK

    Padhraig S. Fleming

Authors
  1. Robert Kirschen
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  2. Simon J. Littlewood
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  3. Anna Blazewska-Amin
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  4. Padhraig S. Fleming
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Corresponding author

Correspondence to Padhraig S. Fleming.

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The authors declare no conflicts of interest.

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Kirschen, R., Littlewood, S., Blazewska-Amin, A. et al. Bonded orthodontic retention: a practical guide. Br Dent J 230, 709–716 (2021). https://doi.org/10.1038/s41415-021-2936-9

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  • DOI: https://doi.org/10.1038/s41415-021-2936-9

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