Orthodontic retention and the role of the general dental practitioner

Introduction Long-term orthodontic retention using removable or fixed retainers is needed to maintain the outcome of orthodontic treatment. The aim of this article is to describe how long-term retention is managed and to report on a survey of general dental practitioners (GDPs) as to how this management currently operates in the UK. Materials and methods GDPs were invited to complete a short online survey on orthodontic retention using an open notice posted in the British Dental Journal and a direct email to the members of a local dental clinical society. Results Fifty-six GDPs completed the online survey. Overall, the findings highlighted poor levels of communication between orthodontists and GDPs with respect to the latter assuming responsibility for the management of long-term retention. Conclusion The management of long-term retention could be improved by more effective communication between the orthodontist and GDP. One solution might be a retention management pro forma . GDPs are in some instances willing to undertake more of the management of retention following further training and possible remuneration. Key points Outlines why long-term orthodontic retention is needed for stability of tooth positions after orthodontic treatment. Highlights the importance of the general dental practitioner's role in long-term orthodontic retention and the need for good communication between orthodontists and general dental practitioners. Suggests how communication between orthodontists and general dental practitioners might be improved.