Comparison of the effects of different retention appliances on the oxidant–antioxidant system

Abstract

The aim was to compare oxidative stress (OS) levels with different types of retention appliance. Thirty orthodontic patients were divided into three groups: Group 1 (Essix retainer), Group 2 (lingual retainer with stainless steel retainer wire), and Group 3 (lingual retainer with fiber-reinforced material). OS was assessed in the subjects’ saliva. Saliva samples were taken from the patients at T0 (before using the retention appliance), T1 (first month of retention), and T2 (third month of retention). The specimens were investigated to detect changes in total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI). TAS values in Group 2 were significantly higher than in Group 3. TOS values in Group 3 were significantly lower than in the other groups. TOS values in Group 2 were lower than in Group 1. OSI values of Group 1 were higher than those in Group 2 or 3. There was no statistically significant difference among the time periods. The type of retention appliance affected OS values. A fiber-reinforced material may have a lower OSI. OS or products can affect some systemic disease; therefore, the selection of the retainer will be important on these patients.