Table 6.

Recommendations to avoid Wire Syndrome (WS).

Recommendations to Bond the Retainer
- Careful manufacture of a passive wire on a dental model (precise adaptation, avoid any stress) [4,19,21]
- Indirect bonding method is indicated to avoid wire deformation by finger or instrument pressure [4,21]
- Bonding canines and central incisors only to improve patient sensitivity in the case of debonding [4]
- Strengthen the wire/adhesive liaison (avoid wire contamination before bonding, using a metal primer after degreasing the wire and sanding the wire surface to be bonded [24])
- Prescribe a removable retainer, in addition to the fixed retainer, for nighttime wear [4,5,18,21]
Recommendations for follow-up after retainer placement
- Regular check-ups [4,5,13,15,19]
- Early detection with systematic search for all signs of WS during retainer visits [1,2,4,5,11,13,14,15,21]
- Educate and inform patients about WS [1,2,11,13,15,21,24]
- Educate and inform all dental practitioners (general practitioners, periodontists, and orthodontists) about WS [2,3,5,13,21]