A preliminary study on the occlusal contact changes during retention in adolescent patients / 中华口腔医学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the changes of the occlusal contact characteristics in adolescent patients during 12 months after active orthodontic treatment.</p><p><b>METHODS</b>Twenty adolescent patients with Hawley retainers after active orthodontic treatment were divided into none occlusal interference group and occlusal interference group. The occlusion of the patients was examined with T-Scan II system directly after the appliance removal (T1) and after an average retention period of 12 months (T2). The changes of occlusal contact characteristics were observed.</p><p><b>RESULTS</b>The disclusion time during protrusion, left and right lateral movements reduced significantly. The average disclusion time decreased [from (1.07 ± 0.87), (0.91 ± 0.47), (0.76 ± 0.43) s to (0.43 ± 0.25), (0.67 ± 0.41), (0.50 ± 0.27) s] significantly (P < 0.05). The occlusal interference disappeared in 4 patients and 1 patient with occlusal interference showed masticatory muscle symptom. The dynamic occlusion [from (1.25 ± 1.11), (0.84 ± 0.15), (0.52 ± 0.49) s to (0.35 ± 0.15), (0.36 ± 0.15), (0.33 ± 0.11) s] improved significantly (P < 0.05) in none occlusal interference group after retention and no statistical differences were found in the occlusal interference group (P > 0.05).</p><p><b>CONCLUSIONS</b>The overall dynamic occlusion improved after retention in patients with retainers. The presence of occlusal interference affected the self-improvement process and increased the chance of the disorders of stomatognathic system, such as mandibular abnormal movements. Therefore, functional occlusion evaluation and final detailing were needed before appliance removal.</p>