Treatment of Complications Associated with Lower Fixed Retainers

Bonded retainers are often used to maintain orthodontic treatment results, especially for an increasing number of practitioners advocating long-term or even lifelong retention. Although fixed retainers have been described as effective, safe and predictable, and compatible with periodontal health, long-term retention is not without risks. Failures of fixed retainers, as evidenced by debonding or fatigue wire fracture, are relatively common. Long-term use of fixed retainers is associated with increased calculus and plaque accumulation, with a consequent risk of gingival recession and increased probing depths.