Orthodontic Retainers and Removable Appliances

This book is a practical guide for both dental students and practitioners to designing, fitting and adjusting removable orthodontic appliances and retainers. The book offers step by step instructions with clear illustrations on the key areas of clinical practice. In each case, information is provided on indications for use, principles of design, fitting, activation and trouble shooting. Further chapters coach students to deal effectively with their patients and to manage the treatment plan in question.

Preface vii

Acknowledgements ix

Abbreviations xi

1 Assumptions: What You Should Know and Understand Before You Use this Book 1

2 Upper Removable Appliances: Indications and Principles of Design 3

3 Cases Suitable for Treatment with Removable Appliances 20

4 Fitting and Activating Removable Appliances 40

5 Follow-up Appointments: What to Check and Why 60

6 Test Yourself 84

7 Retainers 118

8 Fitting and Checking Retainers 132

9 Problems with Retainers and Trouble-shooting 142

10 Removable Appliances for the Postgraduate in Specialist Orthodontic Training 154

11 Vacuum-Formed Active Appliances 172

Jay Kindelan

Index 181

“This is a fine addition to the literature that will be useful to many practitioners as it is so comprehensive. I do not know of any other book that covers this number of different appliances with such good descriptions.” (Doody’s, 13 December 2013)

“I found this book largely beneficial as it is not profusely technical and so is easily understood by the general dental audience. The proof of the success of the book is very much evident in the ‘test yourself’ sections. I found after reading it my knowledge had vastly improved, which was reflected in my answers to the case discussions. So for anyone who wants a better understanding of both removable appliances and retainers I would highly recommend this book.” (British Dental Journal, 23 November 2013)

“Removable appliances are a more than useful adjunct to comprehensive orthodontic treatment, and Drs Luther and Nelson-Moon have produced an excellent text which brings removable appliances right up to date for the 21st Century.” (Orthodontics, 1 October 2013)

“As a whole, this book is well organized, clear, and easy to read. . . I also recommend this book to dental technicians as an additional text for their training program.” (European Journal of Orthodontics, 1 August 2013)

ABOUT THE AUTHORS

Friedy Luther was formerly Academic Head of Orthodontics at the Leeds Dental Institute and is currently Consultant Orthodontist at the Charles Clifford Dental Hospital in Sheffield. She has always had a strong interest in both teaching and research, publishing widely in the scientific literature, and was formerly Editor-in-Chief of Journal of Orthodontics. She has always enjoyed teaching, has over 20 years of experience of teaching, training and examining undergraduate and postgraduate orthodontic students, and has regularly created or contributed to a variety of learning resources.

Zararna Nelson-Moon is Consultant Orthodontist at York Teaching Hospital NHS Foundation Trust and is currently involved in the training of orthodontic therapists and specialist trainees up to consultant level. She was previously Consultant Orthodontist and Honorary Senior Clinical Lecturer at Leeds Dental Institute where she was the Undergraduate Course Leader for Orthodontics. Her interests include interceptive orthodontics and ensuring appropriate standards of dental education.

This book is a unique practical guide for dental students, general dental practitioners, orthodontic students, therapists and others who have an interest in knowing how to design, fit, adjust and maintain retainers (both fixed and removable) and removable orthodontic appliances.

The book offers step-by-step instructions alongside clear illustrations within the key areas of clinical orthodontic practice. In each case, information is provided on indications for use, principles of design, fitting, activation and trouble shooting.

Further chapters coach the clinician on dealing with various frequently occurring situations and provide tips on effective patient management. Topics covered include: things to check at the chair side; follow up appointments – what to check and why; the importance of knowing when and how to refer.

KEY FEATURES

• Highly illustrated in full colour throughout
• Case examples
• Self-assessment section
• Step-by-step instruction