GÜNEŞ, Recep Onur; SAYAR, Gülşilay; TOYGAR, Hilal

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Brasil

Dental Press Journal of Orthodontics

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Sumário

ORIGINAL ARTICLE • Dental Press J. Orthod. 27 (6) • 2022 • https://doi.org/10.1590/2177-6709.27.6.e222154.oar copiar

Clinical comparisons of different fixed orthodontic retainers

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

O objetivo do presente estudo clínico prospectivo foi comparar a taxa de sucesso de três tipos de contenção lingual fixa e seus efeitos clínicos sobre a saúde periodontal.

Métodos:

Quarenta e cinco pacientes, com idades entre 13 e 25 anos, usando contenções fixas coladas nas arcadas superior e inferior foram agrupados, aleatoriamente, nos três seguintes grupos: Grupo 1 - Bond-A-Braid®; Grupo 2 - everStick® ORTHO; e Grupo 3 - Super-Splint. As consultas de acompanhamento foram feitas após duas semanas (inicial = T0), um mês (T1), três meses (T2) e seis meses (T3) da instalação das contenções. Em todas as consultas, foram avaliados o Índice de Placa (IP), Índice Gengival (IG), Profundidade de Sondagem (PS), Sangramento à sondagem (SAS) e Falha da Contenção.

Resultados:

O grupo everStick Ortho mostrou valores de IP significativamente menores nas faces linguais dos dentes superiores e inferiores após três (p=0,008) e seis (p=0,001) meses. O grupo everStick Ortho também apresentou níveis significativamente menores de IG na face lingual dos dentes superiores após seis meses, e face lingual dos dentes inferiores após um mês. O grupo Super-Splint mostrou valores significativamente menores de PS na face lingual dos dentes superiores após seis meses. O grupo everStick Ortho apresentou níveis significativamente menores de SAS na face lingual dos dentes superiores após seis meses. Quanto à falha na contenção, não houve diferença significativa (p>0,05) entre os grupos.

Conclusões:

O grupo everStick Ortho apresentou os melhores resultados em termos de saúde periodontal. As taxas de falha das contenções foram semelhantes.

Palavras-chave:
Contenção; Contenção fixa; Estabilidade; Contenção colada; Ortodontia

	BOND-A-BRAID		EVERSTICK ORTHO		SUPER-SPLINT		p-value
Gender	n	%	n	%	n	%	0.316
Female	13	86.7	11	73.3	11	73.3
Male	2	13.3	4	26.7	4	26.7
Age (years)	Min-Max	Mean±SD	Min-Max	Mean±SD	Min-Max	Mean±SD	0.701
	13.00-23.4	17.81±3.62	13.08-23.0	18.11±2.37	14.50-25.5	18.76±3.27	0.701

Plaque index		BOND-A-BRAID		EVERSTICK ORTHO		SUPER-SPLINT		p¹	Dunn’s multiple comparisons test
Plaque index		Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)		BOND A BRAID/ EVERSTICK ORTHO	BOND A BRAID/ SUPER-SPLINT	EVERSTICK ORTHO/ SUPER-SPLINT
Upper buccal	Baseline	0-2.5	0.62±0.69 (0.3)	0-1.22	0.22±0.41 (0)	0.11-1.94	0.72±0.55 (0.5)	0.002*	0.041*	1	0.002*
	First (1st) month	0-2	0.51±0.62 (0.2)	0-0.89	0.17±0.3 (0)	0.11-1.78	0.66±0.51 (0.7)	0.002*	0.068	0.787	0.002*
	Third (3rd) month	0-1.39	0.48±0.47 (0.2)	0-1	0.14±0.31 (0)	0.11-1.72	0.62±0.42 (0.6)	0.001*	0.020*	0.893	0.001*
	Sixth (6th) month	0-2.11	0.5±0.61 (0.2)	0-0.89	0.15±0.29 (0)	0.17-1.5	0.56±0.39 (0.5)	0.001*	0.056	0.56	0.001*
	p²		0.948		0.031*		0.170
	Baseline-1st month p³		-		0.176		-
	Baseline-3rd month p³		-		0.040*		-
	Baseline-6th month p³		-		0.123		-
	1st month- 3rd month p³		-		0.206		-
	1st month - 6th month p³		-		0.343		-
	3rd month- 6th month p³		-		0.461		-
Upper lingual	Baseline	0-2.5	0.86±0.68 (0.8)	0-1.5	0.44±0.49 (0.3)	0-2	0.78±0.62 (0.7)	0.129	-	-	-
	1st month	0-2	0.77±0.55 (0.8)	0-1	0.42±0.39 (0.3)	0-1.67	0.76±0.5 (1)	0.076	-	-	-
	3rd month	0-1.5	0.64±0.51 (0.5)	0-1	0.24±0.32 (0.2)	0-2	0.78±0.52 (1)	0.008*	0.064	1	0.009*
	6th month	0-2	0.67±0.48 (0.7)	0-1.33	0.22±0.37 (0)	0-2	0.72±0.49 (0.8)	0.001*	0.009*	1	0.003*
	p²		0.422		0.134		0.909
Lower buccal	Baseline	0-2.5	0.86±0.77 (0.7)	0-2.17	0.64±0.7 (0.3)	0.11-2.11	1.18±0.6 (1.2)	0.073	-	-	-
	1st month	0-2	0.77±0.65 (0.8)	0-1.67	0.41±0.51 (0.2)	0-2	0.86±0.69 (0.7)	0.084	-	-	-
	3rd month	0-1.55	0.52±0.53 (0.2)	0-1.72	0.36±0.54 (0.1)	0-2	0.84±0.59 (0.8)	0.034*	0.847	0.389	0.029*
	6th month	0-2.38	0.75±0.75 (0.5)	0-1	0.24±0.39 (0)	0-2	0.83±0.56 (1)	0.003*	0.023*	1	0.004*
	p²		0.549		0.006*		0.041*
	Baseline-1st month p³		-		0.198		0.043*
	Baseline-3rd month p³		-		0.059		0.014*
	Baseline-6th month p³		-		0.003*		0.014*
	1st month-3rd month p³		-		0.476		0.861
	1st month-6th month p³		-		0.016*		0.889
	3rd month-6th month p³		-		0.075		0.637
Lower lingual	Baseline	0-2	0.97±0.62 (1)	0-3.17	0.94±0.88 (0.8)	0-2.5	1.01±0.86 (1)	0.931	-	-	-
	1st month	0-2.33	0.75±0.73 (1)	0-2	0.81±0.71 (1)	0-2	1.11±0.62 (1)	0.434	-	-	-
	3rd month	0-2	0.81±0.55 (1)	0-2	0.49±0.6 (0.2)	0-2	1.13±0.7 (1)	0.027*	0.387	0.743	0.022*
	6th month	0-3	1.06±0.8 (1)	0-1.33	0.47±0.51 (0.2)	0.17-2	1.06±0.65 (1)	0.017*	0.052	1	0.034*
	p²		0.247		0.175		0.777

Gingival index		BOND-A-BRAID		EVERSTICK ORTHO		SUPER-SPLINT		p¹	Dunn’s multiple comparisons test
Gingival index		Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)		BOND A BRAID/ EVERSTICK ORTHO	BOND A BRAID/ SUPER-SPLINT	EVERSTICK ORTHO/ SUPER-SPLINT
Upper buccal	Baseline	0-2	0.93±0.46 (1)	0-1.78	0.87±0.53 (1)	0.44-1.56	1.04±0.31 (1)	0.658	-	-	-
	1st month	0-2	0.98±0.47 (1)	0-1.67	0.71±0.48 (0.7)	0.44-1.5	1.03±0.27 (1)	0.096	-	-	-
	3rd month	0.17-2	1±0.4 (1)	0-1.22	0.7±0.4 (0.9)	0.33-1.44	1.02±0.25 (1)	0.036*	0.030*	1	0.022*
	6th month	0.22-2	1.04±0.41 (1)	0-1.17	0.71±0.41 (1)	0.5-1.44	1.04±0.2 (1)	0.030*	0.027*	1	0.018*
	p²		0.671		0.121		0.904
Upper lingual	Baseline	0-1.83	0.94±0.47 (1)	0-1.83	0.71±0.6 (1)	0-1	0.62±0.42 (0.8)	0.253	-	-	-
	1st month	0-2	0.89±0.44 (1)	0-1.5	0.74±0.41 (0.7)	0.17-1.33	0.97±0.25 (1)	0.278	-	-	-
	3rd month	0.33-2	0.99±0.34 (1)	0-1.5	0.73±0.44 (1)	0.17-1	0.93±0.22 (1)	0.242	-	-	-
	6th month	0.5-2	1.08±0.34 (1)	0-1	0.76±0.35 (1)	0.33-1	0.96±0.17 (1)	0.010*	0.008*	0.818	0.173
	p²		0.100		0.425		0.002*
	Baseline- 1st month p³		-		-		0.008*
	Baseline- 3rd month p³		-		-		0.020*
	Baseline- 6th month p³		-		-		0.012*
	1st month- 3rd month p³		-		-		0.397
	1st month- 6th month p³		-		-		0.497
	3rd month- 6th month p³		-		-		0.180
Lower buccal	Baseline	0-2	1.04±0.55 (1.1)	0-1.83	1.14±0.51 (1.2)	0.44-1.78	1.13±0.43 (1.2)	0.761	-	-	-
	1st month	0-2	1.02±0.52 (1)	0-1.67	0.76±0.44 (0.6)	0.28-1.67	1.05±0.36 (1)	0.189	-	-	-
	3rd month	0.5-2	1.03±0.35 (1)	0-1.61	0.87±0.38 (1)	0.56-1.56	1.01±0.22 (1)	0.421	-	-	-
	6th month	0.33-2	0.99±0.5 (1)	0-1.06	0.76±0.35 (1)	0.5-1.22	0.99±0.19 (1)	0.208	-	-	-
	p²		0.889		0.004*		0.603
	Baseline- 1st month p³		-		0.008*		-
	Baseline- 3rd month p³		-		0.064		-
	Baseline- 6th month p³		-		0.015*		-
	1st month- 3rd month p³		-		0.373		-
	1st month- 6th month p³		-		0.789		-
	3rd month- 6th month p³		-		0.293		-
Lower lingual	Baseline	0-2	1.02±0.46 (1)	0-2	1.09±0.51 (1)	0.17-1.5	0.96±0.35 (1)	0.540	-	-	-
	1st month	0-2	0.89±0.44 (1)	0-1.5	0.84±0.4 (1)	01/01/1967	1.1±0.22 (1)	0.039*	1	0.041*	0.019*
	3rd month	0.33-2	1.03±0.35 (1)	0-1.5	0.86±0.36 (1)	01/01/2017	1.02±0.06 (1)	0.133	-	-	-
	6th month	0.67-2	1.14±0.41 (1)	0-1	0.86±0.3 (1)	01/01/1933	1.02±0.09 (1)	0.113	-	-	-
	p²		0.080		0.092		0.324

Probing Depth		BOND A BRAID		EVERSTICK ORTHO		SUPER-SPLINT		p¹	Dunn’s multiple comparisons test
Probing Depth		Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)		BOND A BRAID/ EVERSTICK ORTHO	BOND A BRAID/ HAGER WERKEN	EVERSTICK ORTHO/ HAGER WERKEN
Upper buccal	Baseline	0.61-2.5	1.61±0.64 (1.6)	1-2.17	1.73±0.38 (1.9)	1.11-2.22	1.68±0.33 (1.7)	0.861	-	-	-
	1st month	0.83-2.11	1.46±0.46 (1.3)	1-2	1.54±0.36 (1.6)	0.72-2	1.49±0.34 (1.4)	0.871	-	-	-
	3rd month	1-2.06	1.51±0.4 (1.4)	1-1.83	1.45±0.33 (1.5)	1-2	1.54±0.31 (1.5)	0.798	-	-	-
	6th month	0.89-2	1.39±0.32 (1.4)	1-1.67	1.38±0.25 (1.3)	1-2	1.43±0.29 (1.4)	0.800	-	-	-
	p²		0.350		0.001*		0.002*
	Baseline- 1st month p³		-		0.012*		0.026*
	Baseline- 3rd month p³		-		0.001*		0.008*
	Baseline- 6th month p³		-		0.003*		0.001*
	1st month- 3rd month p³		-		0.040*		0.401
	1st month- 6th month p³		-		0.028*		0.111
	3rd month- 6th month p³		-		0.161		0.088
Upper lingual	Baseline	0.72-2.67	1.29±0.51 (1.2)	0.17-2.33	1.4±0.59 (1.2)	0.5-1.67	1.01±0.31 (1)	0.062	-	-	-
	1st month	1-2	1.2±0.35 (1)	1-2	1.32±0.34 (1.2)	1-1.5	1.12±0.16 (1)	0.297	-	-	-
	3rd month	0.78-2	1.24±0.37 (1)	1-2	1.23±0.3 (1)	0.83-1.33	1.03±0.14 (1)	0.071	-	-	-
	6th month	0.83-1.83	1.08±0.24 (1)	1-2	1.29±0.33 (1.2)	0.78-1.33	1±0.11 (1)	0.004*	0.108	0.756	0.004*
	p		0.059		0.197		0.061
Lower buccal	Baseline	0.78-2.89	1.66±0.63 (1.7)	1-2.22	1.66±0.32 (1.7)	1.06-2.33	1.73±0.33 (1.8)	0.871	-	-	-
	1st month	0.72-2.44	1.46±0.53 (1.3)	0.89-2.22	1.48±0.38 (1.5)	0.78-2	1.35±0.32 (1.3)	0.720	-	-	-
	3rd month	0.83-2.38	1.44±0.45 (1.4)	1-2	1.5±0.35 (1.4)	1-1.83	1.39±0.26 (1.4)	0.678	-	-	-
	6th month	0.78-2.38	1.44±0.49 (1.3)	1-2	1.5±0.39 (1.4)	1-2	1.42±0.32 (1.4)	0.824	-	-	-
	p²		0.327		0.237		0.000*
	Baseline- 1st month p³		-		-		0.004*
	Baseline- 3rd month p³		-		-		0.001*
	Baseline- 6th month p³		-		-		0.006*
	1st month- 3rd month p³		-		-		0.506
	1st month- 6th month p³		-		-		0.308
	3rd month- 6th month p³		-		-		0.530
Lower lingual	Baseline	0.89-7	1.57±1.54 (1.2)	1-2	1.23±0.29 (1.2)	0.17-2	1.01±0.45 (1)	0.139	-	-	-
	1st month	1-2.33	1.25±0.46 (1)	0.06-1.67	1.11±0.38 (1)	0.83-2	1.1±0.27 (1)	0.651	-	-	-
	3rd month	1-2	1.17±0.28 (1)	1-1.67	1.23±0.27 (1.2)	1-1.67	1.12±0.2 (1)	0.408	-	-	-
	6th month	1-1.67	1.12±0.2 (1)	1-2	1.26±0.37 (1.2)	1-1.5	1.08±0.15 (1)	0.215	-	-	-
	p²		0.516		0.839		0.823

BOP		BOND A BRAID		EVERSTICK ORTHO		SUPER-SPLINT		p¹	Dunn’s multiple comparisons test
BOP		Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)	Min-Max	Mean±SD (median)		BOND A BRAID/ EVERSTICK ORTHO	BOND A BRAID/ HAGER WERKEN	EVERSTICK ORTHO/ HAGER WERKEN
Upper buccal	Baseline	0-0.56	0.23±0.18 (0.2)	0-0.61	0.15±0.18 (0.1)	0-0.67	0.32±0.2 (0.3)	0.023*	0.371	0.686	0.018*
	1st month	0-0.89	0.24±0.24 (0.2)	0-0.56	0.2±0.16 (0.2)	0-0.5	0.23±0.17 (0.2)	0.890	-	-	-
	3rd month	0-.5	0.19±0.15 (0.2)	0-0.22	0.08±0.08 (0.1)	0.06-0.56	0.26±0.16 (0.2)	0.002*	0.021	0.711	0.001*
	6th month	0-1	0.26±0.26 (0.2)	0-0.5	0.11±0.15 (0.1)	0.11-0.61	0.25±0.13 (0.2)	0.003*	0.027*	0.755	0.001*
	p²		0.897		0.018*		0.560
	Baseline- 1st month p³		-		0.098		-
	Baseline- 3rd month p³		-		0.206		-
	Baseline- 6th month p³		-		0.069		-
	1st month- 3rd month p³		-		0.012*		-
	1st month- 6th month p³		-		0.012*		-
	3rd month- 6th month p³		-		0.754		-
Upper lingual	Baseline	0-0.5	0.13±0.17 (0)	0-0.5	0.11±0.16 (0)	0-0.5	0.13±0.16 (0.2)	0.832	-	-	-
	1st month	0-1	0.21±0.27 (0.2)	0-0.5	0.12±0.17 (0)	0-0.5	0.21±0.2 (0.2)	0.334	-	-	-
	3rd month	0-0.33	0.17±0.14 (0.2)	0-0.5	0.11±0.14 (0.2)	0-0.5	0.23±0.2 (0.3)	0.225	-	-	-
	6th month	0-1	0.21±0.27 (0.2)	0-0.67	0.1±0.18 (0)	0-0.33	0.2±0.11 (0.2)	0.023*	0.276	0.899	0.019*
	p²		0.934		0.937		0.363
Lower buccal	Baseline	0-1	0.32±0.28 (0.2)	0-0.72	0.22±0.22 (0.1)	0.17-0.89	0.43±0.23 (0.3)	0.020*	0.791	0.289	0.016*
	1st month	0.06-0.72	0.27±0.22 (0.2)	0-0.67	0.23±0.22 (0.1)	0.11-0.83	0.4±0.22 (0.3)	0.039*	1	0.212	0.041*
	3rd month	0..11-0..67	0.29±0.15 (0.2)	0-0.56	0.17±0.14 (0.1)	0-0.56	0.29±0.16 (0.3)	0.019*	0.011*	1	0.021*
	6th month	0-1	0.32±0.29 (0.2)	0-0.56	0.14±0.15 (0.1)	0.06-0.5	0.27±0.13 (0.2)	0.033*	0.036*	1	0.016*
	p²		0.521		0.207		0.004*
	Baseline- 1st month p³		-		-		0.572
	Baseline- 3rd month p³		-		-		0.017*
	Baseline- 6th month p³		-		-		0.017*
	1st month- 3rd month p³		-		-		0.164
	1st month- 6th month p³		-		-		0.003*
	3rd month- 6th month p³		-		-		0.143
Lingual inferior	Baseline	0-0.5	0.24±0.2 (0.2)	0-0.83	0.29±0.26 (0.2)	0-0.83	0.28±0.25 (0.2)	0.970	-	-	-
	1st month	0-1	0.27±0.26 (0.2)	0-1	0.28±0.29 (0.2)	0-1	0.28±0.35 (0.2)	0.908	-	-	-
	3rd month	0-0.67	0.2±0.19 (0.2)	0-0.67	0.28±0.22 (0.2)	0-0.83	0.34±0.29 (0.3)	0.417	-	-	-
	6th month	0-1	0.3±0.31 (0.2)	0-0.67	0.24±0.22 (0.2)	0.17-0.67	0.32±0.16 (0.3)	0.247	-	-	-
	p²		0.922		0.621		0.808

Failure	BOND A BRAID		EVERSTICK ORTHO		SUPER-SPLINT		p¹
Failure	(n=30)		(n=30)		(n=30)		p¹
	n	%	n	%	n	%
Yes	4	13.3	3	10	4	13.3	1.000
No	26	86.7	27	90	26	86.7	1.000

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