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The effectiveness of Hawley and vacuum-formed retainer usage protocols on the stability of fixed orthodontic treatment results

Open Access
|Jul 2021

Figures & Tables

Comparisons of gender and age at debonding, molar relationships and ANB° before orthodontic treatment, and changes in arch dimensions with active orthodontic treatment between the groups_

Group 1Group 2Group 3Group 4 p-value
N (%), median (min, max) or mean ± SD)N (%), median (min, max) or mean ± SD)N (%), median (min, max) or mean ± SD)N (%), median (min, max) or mean ± SD)
GenderFemale12 (100%)5 (41.7%)11 (84.6%)10 (66.7%)0.009 *,a
Male0 (0%)7 (58.3%)2 (15.4%)5 (33.3%)
Molar relationshipClass I9 (75%)9 (75%)8 (61.5%)7 (46.7%)0.198 a
End-to-end3 (25%)2 (16.7%)3 (23.1%)8 (53.3%)
Class II0 (0%)1 (8.3%)2 (15.4%)0 (0%)
Age (years) 16.15 (14.1, 19.9)16.1 (14.1, 18)17 (15.3, 19.1)17.25 (14, 23)0.162 b
ANB° 3.15° (0.7°, 4.2°)4.9° (1.6, 5.7)3.8 (1, 5.1)3 (0.9, 7)0.113 b
Little (mm) (T1-T0)Maxilla-7.86 (-14.98,-4.62)-8.97 (-14.6,-2.9)-8.05 (-13.14,-3.09)-8.21 (-16.8, -6.13)0.885 b
Mandible-6.58±2.43-6.81±3.08-8.25±3.40-7.40±3.080.521 c
Intercanine width (mm) (T1-T0)Maxilla0.52 (-4.13, 5.33)0.51 (-4.42,6.98)1.54 (-1.75, 2.74)0.78 (-2.45, 4.27)0.957 b
Mandible0.44±1.201.07±1.671.11±1.660.97±1.210.640 c
Intermolar width (mm) (T1-T0)Maxilla0.18 (-2.73, 4.6)1.73 (-1.5, 4.6)0.99 (-0.71, 6.32)0.12 (-1.01, 5.4)0.175 b
Mandible-0.01±1.601.96±1.650.24±1.831.32±2.440.051 c
Arch length (mm) (T1-T0)Maxilla2.08±2.101.90±2.652.12±3.162.31±2.960.986 c
Mandible2.64±1.892.81±4.712.14±3.643.61±3.260.732 c
Overjet (mm) (T1-T0) -0.73±1.24-0.63±1.24-0.27±1.35-1.03±1.120.456 c
Overbite (mm) (T1-T0) -0.66±1.13-1.53±1.27-1.00±1.38-1.29±1.270.372 c

Intragroup and intergroup arch measurement changes occurred from debonding (T1) to 12th month (T3), and from sixth (T2) to 12th month (T3 of retention, and their significances_

MaxillaMandibleInter-arch
Little (mm) (mean±SD)Intercanine width (mm) (mean±SD)Intermolar width (mm) (mean±SD)Arch length (mm) (mean±SD)Little (mm) (mean±SD)Intercanine width (mm) (mean±SD)Intermolar width (mm) (mean±SD)Arch Length (mm) (mean±SD)Overjet (mm) (mean±SD)Overbite (mm) (mean±SD)
Group 1 (N=12)T3-T20.30±0.270.03±0.300.01±0.180.03±0.430.31±0.45-0.05±0.200.04±0.110.17±0.84-0.18±0.490.02±0.41
P 0.172 a 1.000 a 1.000 a 1.000 a 0.212 a 1.000 a 1.000 a 1.000 a 0.482 a 1.000 a
T3-T11.02±0.840.91±0.640.71±0.610.15±0.691.10±0.92-0.14±0.510.45±0.58-0.18±0.950.08±0.630.35±0.47
P <0.001 ****,a 1.000 a 0.001 ***,a 1.000 a <0.001 ****,a 1.000 a 0.347 a 1.000 a 1.000 a 0.121 a
Group 2 (N=12)T3-T20.41±0.43-0.38±0.580.03±0.46-0.12±0.50.80±0.58-0.08±0.310.08±0.40-0.25±0.62-0.10±0.420.14±0.39
P 0.028 *,a 0.178 a 1.000 a 1.000 a <0.001 ****,a 1.000 a 1.000 a 0.890 a 1.000 a 0.884 a
T3-T10.81±0.76-0.17±0.840.25±0.73-0.11±1.051.17±0.79-0.11±0.610.09±0.79-0.30±0.82-0.36±0.900.23±0.58
P 0.001 ***,a 1.000 a 0.569 a 1.000 a <0.001 ****,a 1.000 a 1.000 a 1.000 a 0.213 a 0.557 a
Group 3 (N=13)T3-T20.23±0.660.39±0.940.51±1.000.44±0.880.27±0.37-0.17±0.590.46±0.950.11±0.95-0.30±0.54-0.24±0.50
P 0.371 a 0.134 a 0.010 **,a 0.024 *,a 0.287 a 0.409 a 0.027 *,a 1.000 a 0.048 *,a 0.172 a
T3-T10.62±0.550.21±0.600.36±0.710.44±1.690.91±0.660.19±0.760.82±1.420.60±2.45-0.32±0.530.15±0.60
P 0.010 **,a 0.919 a 0.1650.5790.001 ***,a 0.805 a 0.011 *,a 0.519 a 0.2891.000 a
Group 4 (N=15)T3-T20.34±0.620.36±0.710.14±0.420.00±0.370.59±0.770.06±0.420.34±0.62-0.05±0.830.12±0.29-0.04±0.45
P 0.048*,a 1.000 a 1.000 a 1.000 a 0.001 ***,a 1.000 a 0.120 a 1.000 a 0.936 a 1.000 a
T3-T10.76±0.73-0.03±0.800.18±0.550.20±1.091.10±0.910.07±0.500.25±0.86-0.25±1.380.19±0.590.22±0.64
P 0.001 ***,a 1.000 a 0.890 a 1.000 a <0.001 ****,a 1.000 a 0.945 a 1.000 a 0.852 a 0.453 a
Intergroup comparison (p-value)T3-T20.897 b 0.016 *,b (2-3; p=0.008 ** )0.286 b 0.306 d 0.119 b 0.651 b 0.298 b 0.494 b 0.092 c 0.206 c
T3-T10.604 c 0.599 c 0.196 c 0.399 b 0.875 c 0.481 c 0.575 b 0.727 b 0.076 b 0.527 b

Arch measurements at debonding (T1), after six month full-time retention (T2), measurement changes from T1 to T2, comparisons of the changes between Hawley and vacuum-formed retainer groups_

HAWLEY (N=26) P VACUUM-FORMED RETAINER (N=32) P Intergroup comparisonP
T1 Mean ± SD or median (min, max)T2 Mean ± SD or median (min, max)T2-T1 Mean ± SD or median (min, max)T1 Mean ± SD or median (min, max)T2 Mean ± SD or median (min, max)T2-T1 Mean ± SD or median (min, max)
MaxillaLittle (mm)0 (0,0)0.44 (0, 2.08)0.44 (0, 2.08)<0.001 ****,a 0 (0,0)0.05 (0, 2.3)0.05 (0, 2.3)<0.001 ****,a 0.225 c
Intercanine width (mm)36±2.1736.16±2.140.17±0.720.253 b 35.07 (31.9, 38.08)34.94 (31.56, 38.86)0 (-2.78, 0.78)0.414 a 0.081 c
Intermolar width (mm)51.29 (43.69, 59.20)51.83 (45.10, 59.28)0.32 (-0.57, 1.82)<0.001 ****,a 51.12 (45.75, 58.06)51.31 (44.82, 58.06)0 (-1.65, 1.25)0.679 a <0.001 ****,c
Arch Length (mm)71.83±4.0071.91±3.960.77±0.900.663 b 70.00 (62.76, 78.30)70.18 (62.8, 77.8)0.01 (-1.8, 3.26)0.940 a 0.969 c
MandibleLittle (mm)0 (0,0)0.46 (0, 2.64)0.46 (0, 2.64)<0.001 ****,a 0 (0, 1.36)0.39 (0, 1.79)0.37 (0, 1.61)<0.001 ****,a 0.703 c
Intercanine width (mm)27.53±1.7627.52±1.72-0.02±0.520.884 b 26.85±1.4127.02±1.420.16±0.430.039 *,b 0.156 d
Intermolar width (mm)44.64±2.6944.88±2.620.24±0.610.057 b 44.76 (38.45, 52.05)44.62 (38.88, 52.05)0.04 (-1.11, 1.90)0.204 a 0.334 c
Arch Length (mm)61.93±3.6161.70±3.83-0.23±0.900.204 b 61.29 (52.88, 66.74)60.77 (52.88, 66.17)0.10 (-1.74, 5.79)0.926 a 0.260 c
Inter-archOverjet (mm)2.27±0.882.30±0.730.04±0.630.776 b 2.16±0.722.18±0.720.02±0.480.825 b 0.910 d
Overbite (mm)2.36±0.732.59±0.760.23±0.560.047 *,b 2.48±0.712.79±0.650.31±0.490.001 ***,b 0.571 d
DOI: https://doi.org/10.21307/aoj-2021-007 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 69 - 78
Published on: Jul 13, 2021
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Hande Gorucu-Coskuner, Ezgi Atik, Tülin Taner, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.