An Innovative Approach to Retention: Thermoplastic Retainer.

AIM: The aim of this study was to design and introduce a retainer that overcomes the common shortcomings seen in other retainers.

MATERIALS AND METHODS: Hard thermoplastic sheet of 0.5 mm thickness is vacuum or pressure-molded onto the patient cast. Lingual portion of the retainer is trimmed according to the contours of the anterior teeth. Contact points between the maxillary and mandibular anterior teeth are marked on the retainer and reduced. Punch cut holes are placed on the retainer for the exit of flash and air bubbles while fixation. The retainer is bonded onto the lingual surface of the anterior teeth using composite.

RESULTS: A 1-month review of the retainer showed no patient discomfort, occlusal interference, or bond failure. The aim of the article was found to have been achieved.

CONCLUSION: Initial evaluation has shown positive findings. Long-term clinical findings will determine the overall success of this new retainer.

CLINICAL SIGNIFICANCE: As compared with other retainers, thermoplastic retainer has shown reduced tendency to debond from occlusal forces, decreased patient discomfort, and occlusal interference.