Previous studies suggest a poor association between initial and postretenti
on pattern of incisor irregularity. One explanation may be that the incisor
movements are limited by the boundaries provided by the incisors in the op
posite arch. If so, postretention malalignment of the maxillary and mandibu
lar incisors may be related. To test this hypothesis, long-term postretenti
on study models of 96 patients with acceptable occlusion at the time of app
liance removal were examined. The occlusal surfaces of the postretention st
udy models were photocopied, and tooth anatomical contact points were digit
ized. An algorithm was used to fit the dental arch to the digitized points.
The amount of incisor rotation and anatomical contact point displacement o
f maxillary and mandibular anterior teeth, relative to their respective den
tal arches, were computer generated. Overbite, the number of occlusal conta
ct points in the anterior segment, and concavity of the lingual surfaces of
the maxillary incisors were recorded manually. Statistical analyses demons
trated a significant association (P < .05) between the overall irregularity
of the maxillary and mandibular incisors. The association did not differ a
mong subgroups that were stratified according to overbite or number of occl
usal contacts. No associations were found for the overall amount of incisor
rotation in the 2 arches (P > .05). The amount and direction of displaceme
nt of antagonistic pairs of maxillary and mandibular central incisors were
also associated (P < .05), but not the amount and direction of rotation (P
> .05). The lingual configuration of the maxillary incisors did not affect
the pattern of mandibular incisor malalignment.