Retainers

The benefits of orthodontic treatment will last a lifetime if you wear your orthodontic retainers. Keep these important patient responsibilities in mind:

Removable Retainers

Once the active orthodontic appliances are removed, the patient will receive retainers to stabilize the dental correction. Because the bone and soft tissues surrounding the teeth are stabilizing for several months after braces are removed, it is imperative that the retainers are worn as instructed. Failure to wear the retainers may result in undesirable movement of the teeth, which could necessitate re-treatment.

How Orthodontic Retainers are Worn

Because teeth can continue to move throughout life, we feel that individuals who have undergone orthodontic therapy should wear retainers indefinitely. A patient should wear retainers all the time for one year following the removal of braces.

After approximately one year, the patient can wear the orthodontic retainer just at night. The orthodontists at PWP Orthodontics will see you every six to nine months to make recommendations on the wisdom teeth and an X-ray will be taken every one and a half years.)

Once the wisdom teeth have been decided on, wear your orthodontic retainer at least one night per week. This is because, as you get older, the muscles that surround your teeth will get tighter and place pressure on your teeth, causing them to move or crowd.

How to Care for Orthodontic Retainers

  • Retainers are made of a thermoplastic material that is sensitive to excessive heat, so they should be kept away from heaters, dishwashers, car dashboards or any place where the temperatures exceed 115 degrees (Fº).
  • Retainers should be kept in the proper retainer case when they are not in the patient’s mouth.
  • Keep away from any family pets, as they like to chew on them.
  • Clean before and after placement in the mouth. Because the material used for fabrication is slightly porous, plaque tends to cling to the surfaces. Gentle scrubbing with a toothbrush and a mild liquid soap will remove the plaque. A denture cleaning solution, such as Efferdent, will aid in the removal of plaque and tartar. Be sure to rinse the retainers thoroughly after cleaning to remove any cleanser residue.

Because retainers are worn for years, they will need periodic replacement. Your original treatment contract includes one set of retainers after the braces are removed. If the retainers are lost or damaged due to neglect, there will be a charge for replacement. If the retainers become loose or break, contact our office immediately.

Fixed Retainers (Bonded Wire)

This wire should stay on forever. The only exception is if your family dentist says you are not keeping it clean and it is beginning to cause gum or bone problems. If this should occur, please have the wire removed and replace it with a removable retainer. The removable retainer should then be worn as Dr. Wiley and Dr. Potts prescribes. The fixed wire will protect the teeth as the patient gets older and your facial muscles get tighter. Please have this wire monitored by your family dentist at your six-month check-ups.

Habits or Conditions that Require Stronger Retention

  • Mouth breathing
  • Clenching and/or grinding of teeth (muscle hyperactivity)
  • Tongue thrusting, low tongue posture or abnormal tongue posture
  • Playing musical instruments with a reed
  • Lip sucking
  • Pen or pencil biting
  • Spacing between the teeth prior to treatment
  • Severely rotated teeth

Our goal is to help your smile stay beautiful and healthy for a lifetime. Your cooperation is essential in order to achieve this goal.

Dental Examinations and Cleanings

The patient should continue with proper oral hygiene procedures at home, to include thorough brushing and flossing techniques, and should comment to seeing their family orthodontist at least every six months for a cleaning.

Types of Retainers

Hawley

The Hawley retainer, one of the most common types, is a removable retainer made of a combination of metal wires and sturdy acrylic, and is designed to keep your teeth in place. This retainer is specially made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while any wire or acrylic framing keeps your teeth in perfect position. The acrylic can also be personalized with a large number of colors and/or patterns.

 


Essix

The Essix retainer is a transparent removable retainer that fits over the entire arch of teeth. Similar to Invisalign® trays, Essix retainers have no wires. They are inexpensive and easier to wear. They can be used for other treatments as well, including tooth movement and bridges.


Lingual Bonded

Bonded lingual retainers are cemented directly to the inside surface of your lower canines (eye teeth). This is one of the best ways to prevent your lower teeth from shifting as it is permanently attached!

Patients with bonded lingual retainers must be careful with their bite as the bonding material may break due to incorrect biting and cause teeth to shift quickly. As with removable retainers, it is important to keep them clean. When brushing, make sure to carefully clean the inside of your lower teeth as well as the wire.

If your retainer breaks at any time during treatment, please do not adjust it yourself. Call us immediately to schedule an emergency appointment.