Retention Protocols and Relapse Approaches Practiced by Orthodontists in Turkiye

ABSTRACT Background: Orthodontic relapse, commonly observed after treatment, arises from biological factors such as periodontal reorganization, soft tissue pressures, and growth-related changes. Despite the widespread use of various retention protocols, no consensus exists on the most effective approach, leading orthodontists to base their decisions on clinical experience and patient-specific factors. Aim:The aim of this study to investigate the retention protocols and relapse management strategies preferred by Turkish orthodontists following orthodontic treatment. Materials and Methods: A cross-sectional survey comprising 33 multiple-choice questions was distributed electronically to members of the Turkish Orthodontic Society,. Statistical analysis was ,employing Chi-square and Fisher’s exact tests to assess differences based on professional experience. Results: The majority of orthodontists applied retention protocols to all patients and recommended lifelong retention. Vacuum-formed retainers and bonded retainers were the most commonly used, particularly in the maxillary and mandibular arches, respectively. Less experienced orthodontists showed a higher tendency to prefer removable retainers and reported greater relapse in open bite and rotational cases. Fixed retainer materials, designs, and wire thickness preferences showed no significant variation across experience levels. Supracrestal fiberotomy and headgear were used more frequently by orthodontists with 5–10 years of experience. 73% percent of clinicians reported retreatment in up to 25% of relapse cases. Conclusions: While Turkish Orthodontists agree on the necessity of retention, substantial variability exists in protocol selection, relapse management, and follow-up practices. Professional experience of orthodontists influences certain clinical decisions and relapse outcomes. These findings emphasize the need for standardized, evidence-based guidelines to enhance consistency and long-term stability in orthodontic care.