To ligate or not ligate

[Bruk]

suppose a patient comes with a moderate midline diastema and it was closed for her with powerchains. Is it necessary to place ligature ties (metal) to settle the result after the gaps are closed ? If so for how long before debonding ?

 

[Dr M]

A lot of times a retention wire is placed indefinitely. Midline diastemas have a tendency to relapse. If the retention wire is not something the patient wants, I would then strongly suggest a removable retainer to sleep with at night, also indefinitely.

 

[Bruk]

A lot of times a retention wire is placed indefinitely. Midline diastemas have a tendency to relapse. If the retention wire is not something the patient wants, I would then strongly suggest a removable retainer to sleep with at night, also indefinitelyY

 

[Bruk]

Thanks for your response but what i was referring to was actually the times before retainer placement ( before removing brackets and placing retainers). So i was thinking during those times placing continious ligature ties (2 months or more) might be helpful to settle the occlusion ? Am i wrong ?

 

[Dr M]

No, this is a good idea. How long has the overall treatment been?

 

[Bruk]

It's midline diastema. So 5-6 months.