TY - JOUR
T1 - Effect of bonded and removable retainers on occlusal settling after orthodontic treatment
T2 - A systematic review and meta-analysis
AU - Ali, Umair Shoukat
AU - Zafar, Kamil
AU - Sukhia, Rashna Hoshang
AU - Fida, Mubassar
AU - Ahmed, Aqeel
N1 - Publisher Copyright:
© by Author(s).
PY - 2023/4/1
Y1 - 2023/4/1
N2 - This systematic review and meta-analysis aimed to summarize the effectiveness of bonded and removable retainers (the Hawley and Essix retainers) in terms of improving occlusal settling (occlusal contact points/areas) after orthodontic treatment. We searched the Cochrane Library, PubMed, CINAHL Plus, Dental & Oral Sciences Source (DOSS), the Web of Science, and Google Scholar for eligible studies. We included randomized controlled trials (RCTs) along with cohort studies. Studies that reported occlusal contacts/areas during retention with fixed bonded and removable retainers were included. To assess the quality of the RCTs, the Cochrane Collaboration risk-of-bias (RoB) tool was utilized, whereas the Newcastle–Ottawa Scale (NOS) was used to assess the quality of cohort studies. We included 6 articles in our systematic review after scrutinizing 219 articles and eliminating the illegible ones based on duplication, titles, abstracts, and objectives. Bonded retainers (BRs) allowed faster and better posterior occlusal settling as compared to the Hawley retainer (HR). However, HR showed good occlusal settling in the anterior dental arch. The Essix retainer (ER) showed a decrease in occlusal contact during the retention phase. Meta-analysis showed no statistically significant difference between BRs and removable retainers. In conclusion, HR allowed better overall occlusal settling as compared to other retainers. However, BRs allowed faster settling in the posterior tooth region. The Essix retainer showed poor settling of occlusion. Overall, there is an insufficient number of high-quality RCTs to provide additional evidence, and further high-quality RCTs are needed.
AB - This systematic review and meta-analysis aimed to summarize the effectiveness of bonded and removable retainers (the Hawley and Essix retainers) in terms of improving occlusal settling (occlusal contact points/areas) after orthodontic treatment. We searched the Cochrane Library, PubMed, CINAHL Plus, Dental & Oral Sciences Source (DOSS), the Web of Science, and Google Scholar for eligible studies. We included randomized controlled trials (RCTs) along with cohort studies. Studies that reported occlusal contacts/areas during retention with fixed bonded and removable retainers were included. To assess the quality of the RCTs, the Cochrane Collaboration risk-of-bias (RoB) tool was utilized, whereas the Newcastle–Ottawa Scale (NOS) was used to assess the quality of cohort studies. We included 6 articles in our systematic review after scrutinizing 219 articles and eliminating the illegible ones based on duplication, titles, abstracts, and objectives. Bonded retainers (BRs) allowed faster and better posterior occlusal settling as compared to the Hawley retainer (HR). However, HR showed good occlusal settling in the anterior dental arch. The Essix retainer (ER) showed a decrease in occlusal contact during the retention phase. Meta-analysis showed no statistically significant difference between BRs and removable retainers. In conclusion, HR allowed better overall occlusal settling as compared to other retainers. However, BRs allowed faster settling in the posterior tooth region. The Essix retainer showed poor settling of occlusion. Overall, there is an insufficient number of high-quality RCTs to provide additional evidence, and further high-quality RCTs are needed.
KW - occlusal contact
KW - orthodontic retainers
KW - vacuum-formed
UR - http://www.scopus.com/inward/record.url?scp=85164421952&partnerID=8YFLogxK
U2 - 10.17219/dmp/146194
DO - 10.17219/dmp/146194
M3 - Review article
C2 - 37458399
AN - SCOPUS:85164421952
SN - 1644-387X
VL - 60
SP - 327
EP - 334
JO - Dental and Medical Problems
JF - Dental and Medical Problems
IS - 2
ER -