“What are Risks Associated with a Fixed Splint of the Anterior Mandibular Dentition?”

7.3.24 Quick Review #166 - #teeth #fixedsplint #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental Clinical data involving fixed retainers on the anterior mandibular incisors indicate several associations with gingival loss and bone loss. Here are key findings from recent literature: 1. Gingival Recession: • Studies have shown that fixed retainers can be associated with an increased risk of gingival recession, particularly if oral hygiene is compromised. Plaque accumulation around the retainer can exacerbate this issue. • A systematic review by Renkema et al. (2013) reported that patients with fixed retainers had a higher prevalence of gingival recession compared to those without retainers. 2. Bone Loss: • Fixed retainers have been linked to localized bone loss, especially in the presence of poor oral hygiene. The retainer can act as a plaque trap, leading to inflammation and subsequent bone loss. • A study by Pandis et al. (2007) demonstrated that patients with fixed retainers had more significant interproximal bone loss over time compared to those without retainers. 3. Contributing Factors: • Oral hygiene practices: Poor oral hygiene can lead to plaque buildup around the retainer, increasing the risk of gingival inflammation and bone loss. • Retainer design and material: Some designs may be more prone to plaque accumulation, affecting gingival and bone health. • Duration of retainer use: Longer duration of use without adequate oral hygiene maintenance can increase the risk of adverse effects. • Individual biological response: Variation in individual susceptibility to periodontal disease can influence outcomes. 4. Comparative Data: • When compared to individuals without a fixed mandibular anterior lingual splint, those with fixed retainers generally show a higher incidence of gingival recession and bone loss, largely due to the retainer’s influence on plaque retention and difficulty in maintaining optimal oral hygiene. These findings underscore the importance of meticulous oral hygiene and regular dental check-ups for individuals with fixed retainers to mitigate potential adverse effects on gingival and bone health. References: 1. Orthodontist Sumy. (n.d.). Retrieved July 2, 2024, from https://lnkd.in/eRMs2Qzu 2. Pandis, N., et al. (2007). Long-term periodontal status of patients with mandibular lingual fixed retention. American Journal of Orthodontics and Dentofacial Orthopedics, 132(4), 416-422. 3. Renkema, A. M., et al. (2013). Gingival recession and fixed retention: A systematic review. Journal of Orthodontics, 40(1), 6-13. 4. ChatGPT. 2024. - #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher