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 Table of Contents  
CLINICAL INNOVATION
Year : 2018  |  Volume : 52  |  Issue : 1  |  Page : 83-84

Placement of fixed retainer using kesling's separator


Assoc. Prof, Department of Orthodontics, CSMSS Dental College, Aurangabad, Maharashtra, India

Date of Submission02-Aug-2017
Date of Acceptance03-Nov-2017
Date of Web Publication18-Jan-2018

Correspondence Address:
Dr. Umal Hiralal Doshi
UPHAR, 68 Builders Society, Near Nandanvan Colony, Aurangabad, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jios.jios_158_17

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  Abstract 


To have stable orthodontic corrections, many malocclusions require the so-called permanent or fixed retention. Many modalities for quick, easier, and inexpensive placement of fixed retainers have been described in the literature. The present article describes a simple, cost-effective, and quick method using Kesling's separators for placement of bonded lingual retainer.

Keywords: Kesling's separator, fixed, retainer


How to cite this article:
Doshi UH. Placement of fixed retainer using kesling's separator. J Indian Orthod Soc 2018;52:83-4

How to cite this URL:
Doshi UH. Placement of fixed retainer using kesling's separator. J Indian Orthod Soc [serial online] 2018 [cited 2018 Sep 18];52:83-4. Available from: http://www.jios.in/text.asp?2018/52/1/83/223651




  Introduction Top


Since the introduction of bonded lingual retainer by Zachrisson,[1] its use has become commonplace and several methods [2] for delivering fixed lingual retainers have been introduced. However, the accurate, passive, and economical placement of the retainer has always been a matter of concern.[3]

For years Kesling's separators have been used for effective posterior teeth separation.[4] The purpose of the present article is to present a simple, cost-effective, and quick method using Kesling's separators for placement of bonded lingual retainer.


  Method of Placement Top


  1. Take impressions of arch, and pour it in stone
  2. Adapt 0.0175” stainless steel flexible spiral wires to the working casts
  3. Place Kesling's separators between the teeth to be bonded [Figure 1]a, [Figure 1]b, [Figure 1]c. For 3-3 placement of retainer, five separators are needed. For 4-4 placement, seven separators will be needed
  4. Straight arm of separator is placed cervical to the contact point of teeth and curved arch is slipped between the embrasure incisal to the contact point. This creates a window between the straight and curved arms on the lingual side of each contact point
  5. Slip the lingual retainer wire through the windows created by the Kesling's separators [Figure 1]d
  6. Pull the helix of the Kesling's separators labially so that the wire closely approximates the tooth surfaces. Excessive pulling should be avoided, because it can cause separation of concerned teeth
  7. Etch the lingual tooth surfaces, and bond the retainer as usual using light-cured flowable composite [Figure 1]e
  8. After complete bonding separators should be removed carefully without disturbing the bond
  9. After appropriate sterilization same separators can be reused.
Figure 1: (a) Posttreatment maxillary occlusal view. (b) Placement of Kesling's Separators (buccal view). (c) Placement of Kesling's Separators (occlusal view). (d) Placement of fixed retainer. (e) After bonding the retainer

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Advantages of this technique include:

  • Saves considerable time, since Kesling's separators can be prepared beforehand and usually takes few minutes for preparation
  • Kesling's separators can be reused after chemical sterilization
  • Eliminates the need for a transfer tray [2],[3]
  • Allows precise placement and stabilization of the retainer wire
  • Requires minimal patient cooperation.


Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Zachrisson BU. Clinical experience with direct-bonded orthodontic retainers. Am J Orthod 1977;71:440-8.  Back to cited text no. 1
[PUBMED]    
2.
Bearn DR. Bonded orthodontic retainers: A review. Am J Orthod Dentofacial Orthop 1995;108:207-13.  Back to cited text no. 2
[PUBMED]    
3.
Hobson RS, Eastaugh DP. Silicone putty splint for rapid placement of direct-bonded retainers. J Clin Orthod 1993;27:536-7.  Back to cited text no. 3
[PUBMED]    
4.
Begg PR, Kesling PC. Begg Orthodontic Theory and Technique. 3rd ed. Philadelphia: W.B. Saunders Co; 1977.  Back to cited text no. 4
    


    Figures

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Abstract
Introduction
Method of Placement
References
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