An important component of orthodontic therapy is retaining the teeth in their final position to prevent relapse. This retention is either in the form of a removable retainer or a fixed, permanent retainer. The latter is typically used on the inside part of the lower front teeth by bonding a wire to the six front teeth. However, not all wires are passive. In some cases, the wire retains tension and will force the teeth out of the bone over time.
We have seen an increased number of cases over the past few years.
The first case (fig 4) shows the recession and the wire along the tongue side. The second case (5-8) shows severe localized recession due to the torqueing motion of the wire.
This patient reported that she had a failed graft done several months before. In reality, the position of the tooth made it virtually impossible for any graft to succeed. This highlights that the most Important part of any treatment is an accurate diagnosis. The third case reflects the same problem.
If you see recession, it is time to visit a periodontist. As part of the comprehensive exam, Dr. Cabrera will check all factors that may be contributing to the recession. If a fixed retainer is contributing to the problem, Dr. Cabrera will inform you and make the appropriate recommendation.
If you would like more information about retainers, call Dr. Cabrera in Chicago, IL at 312-994-7939 or visit www.perioimplantchicago.com.
Dr. Peter O. Cabrera proudly serves Chicago and all surrounding areas.