acific Coast Society of Orthodontists Bulletin Summer 2018 - 26

Special Section

Editorial

RETENTION

Fortunately, there exist many protocols and
retainer options for retention. These include but
are not limited to Hawley retainers, bonded permanent retainers, and clear vacuum-formed
retainers (VFRs). Patients tend to be more satisfied with VFRs (such as Essix retainers) than with
Hawley retainers, and a study has shown that the
use of Hawley retainers has decreased recently,
while the use of clear and bonded retainers has
increased.3 However, it is important to note that
no high-quality evidence exists that dictates
what a specific retention protocol should be, and
each retention protocol is case-dependent. For
instance, in cases requiring posterior settling
after debonding, a Hawley retainer might be the
best option. This is why it is important for orthodontists to rely on their clinical experience when
determining each patient's retention protocol. As
mentioned, specific factors should also be taken
into consideration when determining the retention regimen. These include patient age, compliance, expectations, and potential physiological
changes.

26

I hope you enjoy this special issue of the PCSO
Bulletin focusing on retention in orthodontics. If
there is something you would like to see discussed
in a future special issue, please contact me. 
Jae Hyun Park, DMD, MSD, MS, PhD
Diplomate, American Board of Orthodontics;
Professor and Chair: Postgraduate Orthodontic
Program, Arizona School of Dentistry
& Oral Health (Mesa, AZ)
pcsoeditor@aaortho.org
References
1. Littlewood S. Evidence-based retention: Where are
we now? Semin Orthod 2017;23:229-236.
2. Dyer K, Vaden J, Harris E. Relapse revisited-again.
Am J Orthod Dentofacial Orthop 2012;142:221-227.
3. Bibona K, Shroff B, Best A, Lindauer S. Factors affecting orthodontists' management of the retention phase.
Angle Orthod 2014;84:225-230.

PCSO Bulletin  Summer 2018



Table of Contents for the Digital Edition of acific Coast Society of Orthodontists Bulletin Summer 2018

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