CAUSES OF ORTHODONTIC TREATMENT RELAPSE
Abstract
Orthodontic treatment is one type of treatment performed in the field of dentistry aimed at regulating the arrangement of the teeth. Relapse is the movement of teeth back to their original position after orthodontic treatment. Relapse in orthodontic treatment is a complex problem with many factors potentially affecting the treatment outcome. The detailed causes of relapse are not yet known, but there are several factors that can affect the periodontal ligament, alveolar bone, facial structure growth, soft tissue pressure and interdigitates. In addition to previously mentioned factors, tongue thrust, mouth breathing, nail biting, and bad lip habits could lead to relapse of orthodontics treatment. However, relapse can be prevented by good retention of the teeth to stabilize the correction. Objective: To explain the causes of relapse in orthodontic treatment. Methods: Databases, such as PubMed and Google Scholar, were used as primary source of information. Included literatures were ranged from 2012 to 2024, written in English or Bahasa, and has publicly available full article version. Results: A total of 22 references were found and relevant to the topic of causes of relapse in orthodontic treatment. Conclusion: In conclusion, relapse of orthodontic treatment was caused by various factors including periodontal ligament, alveolar bone, facial structure growth, soft tissue pressure and interdigitation. In addition, tongue thrust, mouth breathing, nail biting and lip habits were also considered as compounding factors of orthodontic treatment relapse.
References
Alam, M. K., & Alayyash, A. (2024). Management Strategies for Open Bite Relapse: A Systematic Review and Meta-Analysis. Cureus, 16(3). https://doi.org/10.7759/cureus.56285
Al-Moghrabi, D., Littlewood, S. J., & Fleming, P. S. (2021). Orthodontic retention protocols: an evidence-based overview. British Dental Journal, 230(11), 770–776. https://doi.org/10.1038/s41415-021-2954-7
Chacón-Moreno, A., Ramírez-Mejía, M. J., & Zorrilla-Mattos, A. C. (2022). Recidiva y movimiento dental involuntario después del tratamiento de ortodoncia en personas con retenedores fijos: Una revisión. Revista Científica Odontológica, 10(3). https://doi.org/10.21142/2523-2754-1003-2022-116
Chen, J. , et al. (2020). Bone adaptation and relapse after orthodontic treatment: Biological insights and implications. Orthodontics & Craniofacial Research, 23(4), 456–465.
Edrizal, B. & A. M. T. S. (2021). Evaluasi Relapse Pasca Perawatan Ortodonti Aktif: Scoping Review. . Menara Ilmu, 15(1).
Elih. (2015). Relaps and Retention After Orthodontic Treatment. Padjadjaran Journal of Dentistry, 27(3), 139–148.
Gill, D. S. (2014). Orthodontic At A Glance. Wiley-Blackwell.
Goenharto, S. , R. E. , & K. D. (2015). Peranti retensi pasca perawatan ortodonti. Journal of Dental Technologi, 4(1), 1–7.
Huang, X. , et al. (2020). Impact of oral habits on orthodontic relapse: A cohort study. American Journal of Orthodontics and Dentofacial Orthopedics, 158(6), 843–851.
Inchingolo, F., Inchingolo, A. M., Ceci, S., Carpentiere, V., Garibaldi, M., Riccaldo, L., Di Venere, D., Inchingolo, A. D., Malcangi, G., Palermo, A., Tartaglia, F. C., & Dipalma, G. (2023). Orthodontic Relapse after Fixed or Removable Retention Devices: A Systematic Review. Applied Sciences, 13(20). https://doi.org/10.3390/app132011442
Justulin, A. F. , R. P. H. , C. A. C. C. F. , A. M. R. , P. O. P. V. , & F. T. M. F. (2021). Relapse of Anterior Open Bite: A Case Report. . International Journal of Clinical Pediatric Dentistry, 14(1), 140–144.
Kim, Y. , et al. (2021). Evaluation of CAD/CAM retainers and their effect on orthodontic stability. Korean Journal of Orthodontics, 51(4), 235–243.
López-Areal, L. , & G. J.-L. (2013). Relapse of incisor crowding: A visit to the prince of salina. Medicina Oral, Patologia Oral y Cirugia Bucal, 18(2). https://doi.org/10.4317/medoral.18514
Lyros, I. , V. G. , L. T. , T. I. A. , M. M. P. , F. E. , & T. A. I. (2023). The Effect of Third Molars on the Mandibular Anterior Crowding Relapse—A Systematic Review. Dentistry Journal, 11(5). https://doi.org/10.3390/dj11050131
Lyros, I., Tsolakis, I. A., Maroulakos, M. P., Fora, E., Lykogeorgos, T., Dalampira, M., & Tsolakis, A. I. (2023). Orthodontic Retainers—A Critical Review. Children, 10(2). https://doi.org/10.3390/children10020230
Martin, C., Littlewood, S. J., Millett, D. T., Doubleday, B., Bearn, D., Worthington, H. V, & Limones, A. (2023). Retention procedures for stabilising tooth position after treatment with orthodontic braces. Cochrane Database of Systematic Reviews, 2023(5). https://doi.org/10.1002/14651858.CD002283.pub5
Pakpahan EL. (2024). Relapse After Orthodontic Treatment. Moestopo International Review on Societies, Humanities, and Sciences (MIRSHuS), 4(2), 238–248.
Proffit, W. R. , F. H. , L. B. , & S. D. M. (2018). Contemporary Orthodontics (6th ed.). Elsevier.
Sfondrini, M. F., Pascadopoli, M., Beccari, S., Beccari, G., Rizzi, C., Gandini, P., & Scribante, A. (2022). Orthodontic Fixed Retainer and Unwanted Movements of Lower Anterior Teeth: A Case Report. Case Reports in Dentistry, 2022(1). https://doi.org/10.1155/2022/3100360
Sharma, N. , M. A. , N. M. , S. N. , A. S. A. (2021). Importance of Retention and Relapse in Orthodontics - A Review. In TMU J Dent , 6(1).
Soetandy, H. I. (2012). Relapse dan Pencegahannya dalam Ortodonti. Majalah Ilmiah Widya.
Utari, T. R. , & A. D. L. (2024). Treatment of Tooth Relapse Using Removable Orthodontics Appliances. In IMPROVE QUALITY IN DENTISTRY (IMUNITY) , 1(1).
Wardana, P. N., Saputra, S., Putri, C. A. A., & Khairunnisa, S. H. (2023). Removable Orthodontic Treatment for Managing Relapse Due to Eruption of Third Molars: A Case Report. Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva, 12(2). https://doi.org/10.18196/di.v12i2.18894
Zawawi, K. H., & Melis, M. (2014). The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment: A Systematic Review. The Scientific World Journal, 2014. https://doi.org/10.1155/2014/615429
Zhe, K. X. , E. L. , & F. R. N. (2017). Deskripsi pertumbuhan akar lengkap pada gigi molar tiga rahang atas berdasarkan usia kronologis. Padjadjaran J Dent Res Student, 1(2), 102–104.
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