Relapse of incisor crowding: a visit to the Prince of Salina

• Published in: Medicina oral, patología oral y cirugía bucal patología oral y cirugía bucal, 2013-03, Vol.18 (2), p.e356-e361
• Main Authors: López-Areal, Luis, Gandía, Jose-Luis
• Format: Article
• Language: English
• Subjects: Dentistry; History, 19th Century; History, 20th Century; Humans; Incisor; Malocclusion - therapy; Orthodontics; Orthodontics, Corrective - history; Recurrence; Review
• ISSN: 1698-6946; 1698-4447; 1698-6946
• DOI: 10.4317/medoral.18514

The management of the retention period after comprehensive orthodontic treatment is of great importance, as a primary goal of clinician. Considerable controversy still surrounds the problem of stability after the retention period. Many studies analyze factors associated to the presence of crowding or incisor irregularity and find predictive features on its relapse. Most studies have reported little o no correlation between the treatment changes in the biological parameters - clinical, biometric (irregularity index, intermolar width, intercanine width, arch length, overjet, overbite), or cephalometric variables- that ocurred and the posttretament and postretention changes that may predict their future development. This article provides a bibliographical overview on the relapse of dental alignment in treated cases. In a brief historical introduction, the first studies on the long-term stability of orthodontic results are analysed. The article then goes on to assess studies that focus attention on anteroinferior alignment before finally studying relapse of upper crowding. It concludes by making some final comments in the light of the bibliography provided and the differents schools regarding retention needs and methods.