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In fixed retainers, composite is usually placed to bond and to cover the wire, whilst ensuring no interference in the interdental space. Fixed retainers are used in situations where instability is more likely, such as severe rotations, periodontal disease and median diastemas. Occasionally the patient will require a removable retainer as well.
Fixed retainers are a simple wire fixed to the tongue-facing part of the incisors using dental adhesive and can be specifically useful to prevent rotation in incisors. Other types of fixed retainers can include labial or lingual braces, with brackets fixed to the teeth.
Retainers help in maintaining and stabilizing the position of teeth long enough to permit the reorganization of the supporting structures after the active phase of orthodontic therapy. If the patient does not wear the retainer appropriately and/or for the right amount of time, the teeth may move towards their previous position.
A removable appliance is usually used by patients who have high degree of compliance with their orthodontic treatment. Fixed appliances are able to produce very accurate movement in the teeth [1] [2] Both fixed and removable functional appliances can be used to correct a malocclusion in three planes: Anterior-Posterior, Vertical and Transverse.
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Chishti conceived of the basic design of InvisAlign while an adult orthodontics patient. During his treatment with a retainer intended to complete his treatment, he posited that a series of such devices could effect a large final placement in a series of small movements. [9] [10] [23] Sales began in the U.S. in 1999. [4] [11]
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