Abstract
Design
A randomised controlled trial (RCT) was performed in a single orthodontic practice.
Intervention
The aim was to compare the clinical effectiveness of Hawley and vacuum-formed retainers (VFR) over a 6-month period of retention. Three hundred and ninety-seven patients were treated by a specialist orthodontist and randomly allocated to wear either Hawley retainers (n=196) or VFR (n=201).
Outcome measure
A blinded examiner analysed the records of maxillary and mandibular dental casts at debond and at 6 months into retention, assessing tooth rotation mesial to the first permanent molar, intercanine and intermolar widths, and Little's Index of Irregularity.
Results
Three hundred and fifty-five individuals participated through to the conclusion of the trial, giving a completion rate of 89%. The results showed significantly greater changes in irregularity of the incisors in the Hawley group than in the VFR group at 6 months.
Conclusions
VRF are more effective than Hawley retainers at holding the correction of the maxillary and mandibular labial segments.
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References
Littlewood SJ, Millett DT, Doubleday B, Bearn DR, Worthington HV . Retention procedures for stabilising tooth position after treatment with orthodontic braces. Cochrane Database Syst Rev 2006; issue 1.
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Additional information
Address for correspondence: Jonathan Sandy, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK. E-mail: jonathan.sandy@bristol.ac.uk
Rowland H, Hichens L, Williams A, et al. The effectiveness of Hawley and vacuum-formed retainers: a single-center randomised controlled trial. Am J Orthod Dentofacial Orthop 2007; 132: 730–737
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Ledvinka, J. Vacuum-formed retainers more effective than Hawley retainers. Evid Based Dent 10, 47 (2009). https://doi.org/10.1038/sj.ebd.6400650
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DOI: https://doi.org/10.1038/sj.ebd.6400650