Smilab Retention

Robotic Bending

A custom fixed retainer is bent robotically to match the patient’s digital model. It helps maintain the results of completed treatment without relying on patient compliance.

40–90%Percentage of patients with anterior tooth alignment outside acceptable limits 10 years after treatment, according to long-term follow-up studies.¹

Why a clear retainer alone is not enough

Clear retainers are a valuable retention aid, but their success depends entirely on patients wearing them consistently. Over time, patients wear them less often, teeth drift back towards their original positions, and the results of months of work are quietly lost. A fixed retainer removes this compliance risk: retention no longer depends on patients remembering to wear it.

Why conventional fixed wires fall short

Twisted stainless steel wires and chain or braided wires have been used for decades, but the literature consistently reports three structural weaknesses:

Metal fatigue and breakage

Repeated loading under chewing forces leads to fatigue and fracture over time. Published clinical series report breakage and detachment rates between 7.3% and 50%.²

Debonding

The wire–composite bond is most at risk in the first 24 months. Bond failures are markedly more frequent in the first year.³

Unwanted tooth movement

Multistranded conventional retainers have been associated with inadvertent tooth movements (torque drift, x-effect) caused by wire activation. Chain-type wires adapted from jewellery were never designed for arch geometry.⁶

What sets Smilab Robotic Bending apart

A nickel-titanium (NiTi) fixed retainer, bent robotically to the patient’s digital model and engineered for permanent retention.

Superelastic NiTi

NiTi flexes 10–30 times more than ordinary metals and returns to its shape. It is a trusted material in medical devices such as stents and endodontic files. It breaks the fatigue-and-fracture cycle of hand-bent steel.⁴

Robotic bending precision

The wire is bent robotically to match the digital model of the patient’s tooth morphology. This gives the wire a passive, precise fit against the tooth surface, without the residual stresses caused by hand bending.

Advanced surface engineering

Dual-character surface technology improves composite adhesion and reduces biofilm accumulation. In an in-vitro comparison, bond test values measured 47% higher than twisted stainless steel.

Preserving physiological movement

A NiTi retainer allows natural (physiological) micromovement of the teeth. This flexibility has been reported as an advantage for patients who want to avoid long-term tooth loss due to root resorption.⁵

Clinical protocol

A fully digital workflow in four steps:

  1. 1

    Digital impression

    Impressions are taken only with an intraoral scanner, eliminating physical impression errors entirely. Before scanning, active elements such as power chains must be removed, and the final archwire should have been in place for at least 3 months.³

  2. 2

    Robotic wire bending

    A robotic system bends the wire to match the patient’s individual tooth morphology. No hand shaping is involved.

  3. 3

    Passive fit and bonding

    The wire fits passively against the tooth surface and is bonded using the recommended protocol (appropriate surface preparation + light-cured adhesive).

  4. 4

    Combined retention with a clear retainer

    For a more reliable result, combined use with a clear retainer is recommended for the first 2 years. For retainers fitted in the upper anterior region and in patients with a deep bite, daytime wear is advised in addition to night-time wear.

Example of clinical use
Example of clinical use

Case selection

The robot-bent retainer is not the first choice for every case. Let’s review the retention approach together in the following situations:

  • Deep bite in the upper jaw (lower incisors contacting the retainer)
  • Insufficient overjet (limited clearance between upper and lower incisors)
  • Occlusal contact points in the anterior region
  • Open bite

In these situations, our team assesses suitability using your digital impression and recommends an alternative retention approach if needed.

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References

  1. Little RM, Riedel RA, Årtun J. An evaluation of changes in mandibular anterior alignment from 10 to 20 years postretention. Am J Orthod Dentofacial Orthop 1988;93:423-428.
  2. Jedliński M, Grocholewicz K, Mazur M, Janiszewska-Olszowska J. What causes failure of fixed orthodontic retention? — systematic review and meta-analysis of clinical studies. Head Face Med 2021;17:32.
  3. Egli F, Bovali E, Kiliaridis S, Cornelis MA. Indirect vs direct bonding of mandibular fixed retainers in orthodontic patients: comparison of retainer failures and posttreatment stability. Am J Orthod Dentofacial Orthop 2017;151:15-27.
  4. Liou EJ, Chen LI, Huang CS. Nickel-titanium mandibular bonded lingual 3-3 retainer. Am J Orthod Dentofacial Orthop 2001;119:443-449.
  5. Roser CJ, Rues S, Erber R, Hodecker L, Lux CJ, Bauer CAJ. Tooth mobility restriction by multistranded and CAD/CAM retainers — an in vitro study.
  6. Zachrisson BU. The bonded lingual retainer and multiple spacing of anterior teeth. J Clin Orthod 1983;17:838-844.

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