Author, year Country Study design Number of patients (n) With drawals - dropouts Results Comments
Intervention
Fixed retainer
Control
Removable retainer
 
Edman Tynelius [13] Sweden RCT n=75 Group 1
n=25 Group 2
n=25 Group 3
n=25
n=6 Maxilla Group 1 at 2 years:
Δ LIl 0.5 (sd 0.8) Mandible
Group 1 at 2 years:
Δ LIl 0.6 (sd 0.7) Overjet
Group 1 at 2 years:
Δ -0.3 mm (sd 1.1)         Overbite
Group 1 at 2 years:
Δ -0.4mm (sd 1.1)       Intercanine width maxilla
Group 1 at 2 years:
Δ -1.0 mm (sd 0.8) Intercanine width mandible
Group 1 at 2 years:
Δ 0.2 mm (sd 0.5)
Maxilla Group 2 at 2 years:
Δ LIl 0.9 (sd 1.1) Group 3 at 2 years:
Δ LIl 1.1 (sd 1.4)
ns. Mandible
Group 2 at 2 years:
Δ LIl 0.9 (sd 0.8)
Mandible
Group 3 at 2 years:
Δ LIl 1.6 (sd 1.4)
p<0.001
between group 1 and 3 Overjet
Group 2 at 2 years:
Δ 0.5 mm (sd 1.1) Group 3 at 2 years:
Δ 0.4 mm (sd 1.0)
p< 0.05
between group 1 and 2 Overbite
Group 2 at 2 years:
Δ 0.4mm (sd 0.9) Group 3 at 2 years:
Δ 0.2mm (sd 1.3)
ns. Intercanine width maxilla
Group 2 at 2 years:
Δ -0.9 mm (sd 0.9) Intercanine width maxilla
Group 3 at 2 years:
Δ -1.8 mm (sd 1.5)
p<0.01
group 1 & 2 vs. group 3 Intercanine width mandible
Group 2 at 2 years:
Δ -1.0 mm (sd 1.0)
Intercanine width mandible
Group 3 at 2 years
Δ -1.1 mm (sd 1.2)
p<0.001
group 1 vs. group2 & 3
Little’s Irregularity Index (LII)= the linear distance from anatomic contact point to adjacent anatomic contact point of mandibular anterior teeth (sum of five measurements)
Group 1=  upper removable retainer (vacuum formed) and lower fixed retainer.
Group 2=  upper removable retainer                    (vacuum formed) and     lower stripping.
Group 3=  removable retainer upper and lower (positioner).             Occlusal traits             Occlusal traits           Occlusal traits       Occlusal traits         Intermolar widths and arch lengths were statistically non-significant. between groups
Artun
[11]
USA RCT n=49 Group 1
n=11 Group 2
n=13 Group 3
n=11 Group 4
n=14
?a Group 1 Baseline: 0.65 (se 0.24)
At 3 years: 1.19 (se 0.27) Group 2
Baseline: 0.20 (se 0.08)
At 3 years: 0.36 (se 0.12) Group 3
Baseline: 0.30 (se 0.16)
At 3 years: 0.30 (se 0.16)
Group 4 Baseline: 0.36 (se 0.13)
At 3 years: 0.66 (se 0.25) ns.
Little’s Irregularity Index Group 1=   Mandibular cuspid retainer .032 plain wire
Group 2=   Mandibular cuspid retainer.032 spiral wire
Group 3=   Mandibular 3-3 retainer .0205 flexible spiral wire
Group 4=   Removable lower retainer
Cuspid retainer- bonded only to cuspids
3-3 retainer- bonded to each tooth
Little’s Irregularity Index= the linear distance from anatomic contact point to adjacent anatomic contact point of mandibular anterior teeth (sum of five measurements)
Cerny
[12]
UK CT n=61 Group 1
n=46 Group 2
n=43
?a At 15 years follow up: No relapse: 89.0% Mild relapse: 11% Moderate relapse: 0.0% Severe relapse: 0.0%
Totals: 26 mm Mean: 0.26mm
At 15 years follow up: No relapse: 7.0%
p<0.001 Mild relapse: 40%
p<0.001 Moderate relapse: 42%
p<0.001 Severe relapse: 11%
ns. Mean: 3.37 mm
Little’s Irregularity Index
Group 1=   Permanent bonded retainer                     (PBR) (upper or lower).
Group 2=   Removable retainer (RR). Proportion individuals with relapse in the anterior teeth according to Little’s Irregularity Index relapse category:
No relapse:                            0-1 mm
Mild relapse:             1-3 mm
Moderate relapse:    3-6 mm
Severe relapse:         (>6 mm) The retainers were used different times for different individuals, after treatment.
The groups were analyzed according to retainer type used for each dental arch. Not for each individual.
Smokers and those >50 years were excluded from analysis.
aWithdrawals and drop-outs not explicitly stated. CT = non-randomised, controlled study. ns = not significant
Table 4: Fixed orthodontic retainer versus removable retainer - Treatment stability (alphabetically, according to study design).