Have a personal or library account? Click to login
Comparative assessment of the survival, stability and occlusal settling between two types of thermoplastic retainers: a prospective clinical trial Cover

Comparative assessment of the survival, stability and occlusal settling between two types of thermoplastic retainers: a prospective clinical trial

Open Access
|Feb 2022

Figures & Tables

Figure 1

Demonstration of Little's Irregularity Index applied to the maxillary anterior teeth using MeshLab® software. The index is the sum of contact point displacements.
Demonstration of Little's Irregularity Index applied to the maxillary anterior teeth using MeshLab® software. The index is the sum of contact point displacements.

Figure 2

Demonstration of occlusal contacts using OrthoCAD® software. The coloured dots indicate occlusal contacts of less than 0.2 mm sensitivity.
Demonstration of occlusal contacts using OrthoCAD® software. The coloured dots indicate occlusal contacts of less than 0.2 mm sensitivity.

Figure 3

Flowchart of participants in the study.
Flowchart of participants in the study.

Figure 4

Kaplan-Meier plot comparing the proportion of retainers broken over time between the two retainer groups.
Kaplan-Meier plot comparing the proportion of retainers broken over time between the two retainer groups.

Figure 5

Mean Little's Irregularity Index (mm) for the maxillary arch at pre-treatment, T0, T2 and T3 for the Vivera® and Duran® retainer groups.
Mean Little's Irregularity Index (mm) for the maxillary arch at pre-treatment, T0, T2 and T3 for the Vivera® and Duran® retainer groups.

Figure 6

Mean Little's Irregularity Index (mm) for the mandibular arch at pre-treatment, T0, T2 and T3 for the Vivera® and Duran® retainer groups.
Mean Little's Irregularity Index (mm) for the mandibular arch at pre-treatment, T0, T2 and T3 for the Vivera® and Duran® retainer groups.

Figure 7

Median number of anterior and posterior occlusal contacts (<0.2 mm) at T0, T2 and T3 for the Vivera® and Duran® retainer groups.
Median number of anterior and posterior occlusal contacts (<0.2 mm) at T0, T2 and T3 for the Vivera® and Duran® retainer groups.

Figure 8

Median number of anterior and posterior near occlusal contacts (0.2 mm < x < 0.4 mm) at T0, T2 and T3 for the Vivera® and Duran® retainer groups.
Median number of anterior and posterior near occlusal contacts (0.2 mm < x < 0.4 mm) at T0, T2 and T3 for the Vivera® and Duran® retainer groups.

Occlusal and near occlusal contacts measured at T0, T2 and T3 for each retainer type_ Recorded as median and IQR due to data not being of normal distribution_

T0 Median (IQR)T2 Median (IQR)T3 Median (IQR)

Sensitivity measurement (mm)AnteriorPosteriorAnteriorPosteriorAnteriorPosterior
Vivera®< 0.21 (0–3)7 (3–7)2 (1–5)1.5 (0.75–4.25)6 (3.5–7)8 (7–11)
0.2 < x < 0.47 (2–7.25)7.5 (6.75–8)5 (1.75–7)8 (4–8)7 (4.5–9)14 (11–5.5)

Duran®< 0.21 (0–3)7 (3–7)2 (1–5)7 (3–11)4 (2–5)12 (11–13)
0.2 < x < 0.43 (1–6)11 (7–15)4 (2–6)14 (12–17)6 (2–6)18 (15–22)

Patient demographic information at the time of T0 and pre-treatment clinical characteristics of subjects in Vivera® and Duran® retainer groups_

Vivera®(n = 10)Duran®(n = 14)
Gender
  Male4 (40%)6 (42.8%)
  Female6 (60%)8 (57.1%)

Age (yr)
  Median (IQR)34 (28–48)31 (26–38)

Pre-treatment characteristics
  Skeletal classification
    Class I5 (50%)8 (57.1%)
    Class II4 (40%)6 (42.8%)
    Class III1 (10%)0
  Dental classification
    Class I7 (70%)10 (71.4%)
    Class II division 12 (20%)1 (7.1%)
    Class II division 21 (10%)3 (21.4%)
    Class III00
  Missing teeth (excluding third molars)
    None9 (90%)14 (100%)
    Missing two premolars1 (10%)0
    Missing four premolars00

The secondary outcomes (stability and occlusal settling) measurement methods are displayed_

UnitDescription
Stability
  Little's Irregularity IndexmmThe sum of the five contact point displacements for the anterior teeth.

Occlusal settling
  Occlusal contactsNumber of contactsThe numerical value of contact points measured on the mandibular arch.Two sensitivity levels measured:‘Occlusal Contact’ = < 0.2 mm‘Near Occlusal Contact’ = 0.2 mm < x < 0.4 mm

Occlusal and near occlusal contact results analysed using non-parametric Mann–Whitney test and presented as median, IQR and P-value_

Sensitivity measurementLocationVivera® Median (IQR)Duran® Median (IQR)P-value
Number of occlusal contacts at T0
Occlusal contactAnterior1 (0–3)1 (0–3)0.46
Posterior7 (3–7)7 (3–7)0.01*
Near occlusal contactAnterior7 (2–7.25)3 (1–6)0.37
Posterior7.5 (6.75–8)11 (7–15)0.08

Change in number of occlusal contacts from T0 to T2
Occlusal contactAnterior0.5 (−0.5 to 1.25)1 (0–2)0.65
Posterior0.5 (−1.25 to 1.25)1 (−1 to 2)0.81
Near occlusal contactAnterior0 (−1.25 to 0)0 (−1 to 1)0.41
Posterior0.5 (−3.25 to 1.25)0 (−1 to 4)0.6

Change in number of occlusal contacts from T2 to T3
Occlusal contactAnterior2 (0.5–3)0 (0–1)0.3
Posterior7 (4–10)5 (4–9)0.54
Near occlusal contactAnterior1 (−0.5 to 4)0 (0–3)0.06
Posterior10 (3–11.5)1 (0–6)0.3

Reason for retainer failure over 6 months, including initial and subsequent retainers inserted_

Vivera® RetainerDuran® Retainer
Total number of subjects914
Total number of retainers1841

Stability measurements of Little's Irregularity Index (mm)_ Data are presented in the form of mean, standard deviation and P-value due to normal distribution_

Vivera®Duran®95% CI
Little's Irregularity IndexMeanSDMeanSDP-valueDifference in MeanLowerUpper
Pre-treatment maxillary5.622.777.552.830.161.93−4.670.83
Pre-treatment mandibular7.534.18.033.90.80.5−4.483.48
3-month relapse (T2–T0) maxillary0.350.50.510.390.470.16−0.620.3
3-month relapse (T2–T0) mandibular0.340.310.240.40.550.1−0.240.44
6-month relapse (T3–T2) maxillary0.130.080.330.320.140.2−0.460.08
6-month relapse (T3–T2) mandibular0.510.530.290.550.430.22−0.380.83

Comparison of the number of occlusal and near occlusal contacts following full-time and night-time wear regimes for each retainer type_ Assessed using non-parametric, paired Wilcoxon Signed Rank test_ P-value recorded_

T0 vs T2T2 vs T3

Sensitivity Measurement (mm)AnteriorPosteriorAnteriorPosterior
Vivera® (P-value)< 0.20.920.860.060.02*
0.2 < x < 0.40.110.730.210.05*

Duran® (P-value)< 0.20.110.430.750.03*
0.2 < x < 0.40.960.370.460.11
DOI: https://doi.org/10.21307/aoj-2022.011 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 74 - 87
Submitted on: Oct 1, 2021
Accepted on: Jan 1, 2022
Published on: Feb 17, 2022
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Bethany Cunning, Alison Sahhar, Sarah Lawrence, David Manton, Paul Schneider, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.