Retention Protocols with an Orthodontist [STRAIGHTPRIL] – PDP069

Our views on Retention have changed over the decades - it is now regarded as a lifetime commitment and Dentist are getting good at letting patients know this from the start. In this episode, I ask Dr Angela Auluck questions from the Protrusive Dental Community as well as talking clinical steps of fiddly fixed retainers. https://youtu.be/BoZyHo9RGjY Dr Angela on Orthodontic Retention Protocols Need to Read it? Check out the Full Episode Transcript below! Protrusive Pearl: The Harridine paper helping to explain that wisdom teeth likely do not cause lower incisor crowding. In this episode we discussed: Fixed retention vs Removable Retention Why retention is individual to every patient Tips on placing Fixed retainers correctly What is the best retention on expansion cases? When should you consider a Hawley Retainer? I hope you are enjoying the Straightpril series of episodes! If you liked this episode, you will also enjoy Dahl Technique Part 2 with Tif Qureshi! Click below for full episode transcript:  Opening Snippet: Sometimes i send them back so they know that she's fussy, she's you know i'm not actually you know my therapist doesn't put my fixed retainers on for me i do them myself i'm that fussy about it so i think it's just really making sure that your technician knows what you're expecting and you're expecting a well adapted passive fit... Jaz’s Introduction: Imagine you’ve hired some builders to create a building view maybe let’s say you’re building a new dental practice okay? So these builders come and they start building the foundation and then they build the building upwards for your new dental practice. And while they’re doing this maybe they put some scaffolding everywhere to support the structures as they’re sort of building everything up and making everything join up. Now imagine the building is now complete, it’s all done but as the builders are leaving you say to the builders, wait what about all the scaffolding you know you need to get rid of the scaffolding right? It looks ugly it’s done you know take off the scaffolding and the builders say to “No if we take the scaffolding away the entire building would collapse you.” You’d freak out, you’d be like what the hell is this? What kind of building is this, that’s not stable.Well someone once explained orthodontics to me in this way we’re using that analogy and they said to me that orthodontics like what is that about? Like they get everything straight, they get everything aligned but unless you wear your retainers everything will just collapse and go crooked again and that’s when they told me this building analogy. They said orthodontists are like these people who are leaving this scaffolding behind because without the scaffolding, the building will collapse.Well our understanding of retention has changed a lot over the years. I know back in the day it’s probably the reason why we see so many relapse cases is that back in the day we thought or rather orthodontists thought that if you put everything in a stable position and everything is class one and you get the correct inter incisal angle et cetera, that everything will remain stable and retention is not really needed long term and we all know that this is completely false and that retention now the thinking is, is that retention is for lifetime.Welcome, Protruserati. I’m Jaz Gulati to this episode all about retention with Dr Angela Auluck. I mean this is a mammoth, this is a huge topic in orthodontics and in general dentistry because if they’re going to an orthodontist guess who they’re coming back? To their general dentist to maintain their fixed retainer or their attention. So I think as general dentists even if you’re not doing like orthodontics we need to be well versed in retention because this is something that affects so many of our patients.In this episode we’re going to talk about the very nitty gritty details of placing a fixed retainer about which is the...