What Are Retainers And Why Should You Wear Them After Orthodontic Treatment?
You have probably heard your dentist or
orthodontist talk about retainers and wondered “What are they?” and, “why do I
need them after my orthodontic treatment?”
To put it simply, retainers preserve, hold
and keep your teeth in their straighter alignment after you’re no longer
wearing braces or clear aligners. In the quest for straight teeth for life,
braces or clear aligners only complete half the battle, and retainers complete
the other half.
If you currently have braces/aligners to
straighten your teeth or plan to straighten your teeth in the future, chances
are your Dentist North Kellyville will recommend
retainers. You should know everything about them and their importance after
orthodontic treatment.
What Are Retainers?
Retainers are custom appliances that hold
your teeth in place after orthodontic treatment, such as braces or clear
aligners. A retainer is custom designed and molded according to the current
size and alignment of your teeth to ensure that they do not relapse to their
original position.
We recommend that patients wear their
retainers full time including sleeping (taking them out only to
eat/drink/brush/floss) for at least 3-6 months after their orthodontic
treatment. This is because the jaw bones, which hold your teeth in place,
require sufficient time to rebuild and anchor your teeth into their new,
straighter positions. Before this happens, the bone may not be strong enough to
support the teeth in their new role and your teeth will relapse over time.
After sufficient time (duration varies from one patient to another), your
dentist may suggest that only night-time retainer wear is sufficient to keep
your teeth looking beautiful and straight.
Why Are Retainers Important?
It’s very important to recognize that
orthodontic treatment does not guarantee perfectly straight teeth for the rest
of your life. Your teeth WILL move due to the regular forces placed on them by
eating, biting, grinding, clenching, and your tongue/soft tissues. Your teeth
will also shift as a natural consequence of aging and other life events (e.g.
pregnancy). Teeth have memory and often try to move back to their original
positions – in particular, your upper and lower front teeth are the most prone
to shifting or crowding.
To minimize the risk of your teeth moving
from their new positions, regular retainer wear will be necessary for the rest
of your life. That being said, even with good retainer wear, your teeth may
move slightly due to the natural forces within the mouth and aging.
Types of Retainers
Retainers come in two main categories:
permanent (fixed) and removable retainers.
Permanent (Fixed) Retainers
Permanent retainers are also known as fixed
or bonded retainers, and as the name implies, they are not designed to be
removed during the day or night. A custom-made and fitted wire will be bonded
(i.e. glued) to the back of your front teeth to prevent them from moving or
relapsing. The wire is not visible when you smile so no one will know you’re
wearing them! You can choose to have a permanent retainer on the top, bottom,
or both.
Here are some pros and cons of permanent
retainers that you should consider:
Pros
You don’t have to worry about removing your
retainers whenever eating or sleeping. They are permanently bonded to your
natural teeth.
They cannot be seen. Permanent retainers
are bonded to the back of your natural teeth so no one can see them unless you
tell them.
Very good if you live a busy lifestyle or
feel you might get lazy or forget to wear your retainers. They are always
there, which means your teeth will be less prone to relapsing.
Cons
Permanent retainers are in your mouth 24/7
so if you’re not good at brushing, flossing, and keeping them clean, calculus
may build up around them.
Some types of permanent retainers are hard
to floss because of the wire or glue bonding them. At The Grove Dental, we
prefer to use a V-Loop wire retainer which dips down to gum level between teeth
so that you can floss like normal with it on.
Removable Retainers
Removable retainers are made of plastic and
can be taken off when you want to eat or clean. If you’ve just completed clear
aligner treatment, your removable retainer will look similar to your final
aligner, but it will be made from a slightly stronger or thicker material
(without any button or attachment points).
Like permanent retainers, removable
retainers are custom-made to meet the current alignment needs of your teeth.
Pros
Easier dental care and cleaning. It’s easy
to brush and floss your teeth because the retainers are removable.
There is no wire bonded to the back of your
teeth
Cons
Unlike fixed retainers, removable retainers
may be noticeable when you are wearing them during the day. This will become
less of an issue when you begin to wear them at nighttime only.
You can easily misplace or lose your removable retainers. While waiting for a replacement to be made you will not have any retainers and your teeth may shift slightly during this time.
When compared to permanent retainers, removable retainers are less durable. They need to be looked after and maintained so that they do not distort or break.
Will need to be replaced as they wear down
or crack. Over time, the plastic is prone to being worn down and breaking so it
is advisable to replace your removable retainers every 1-2 years (or as
required) to ensure they are adequately holding your teeth in position.
What Happens If You Don’t Wear A Retainer?
Any orthodontic treatment (whether fixed braces or clear aligners) involves a significant investment of your time, effort, and money. It is always a real shame to see patients who were so diligent with their orthodontic treatment, experience relapse after completing treatment because they did not take the retention phase seriously. Patients who do not wear a retainer for a prolonged period of time will experience some form of relapse and often, they return to the dentist for orthodontic retreatment in order to return their smile to the way it was before it relapsed.
If you already have a retainer, it’s critical you use them according to your dentist’s recommendations. If you accidentally forget to wear them for a day or two, it’s not the end of the world and often you can restart wearing them as soon as you remember. It’s important to find a way that works for you to include your retainer wear and maintenance into your regular at-home care routine.
Care Tips for Retainers
Taking good care of your retainers is
essential to prolonging the outcome of your orthodontic treatment. Here are
helpful care and maintenance tips for retainers.
Clean your removable retainers regularly to
get rid of any food buildup or plaque. Using a soft-bristled toothbrush and
mild lukewarm water is sufficient.
Do not put your removable retainers in hot
or boiling water because this will distort, warp and potentially melt the
plastic.
Don’t leave your retainers within reach of
your pets. Keep them safely stored in their protective case when not in use and
in a safe place where they will not fall or be damaged.
Ensure your teeth are clean before wearing
your retainers.
Do not eat or drink when wearing your
removable retainers – this can potentially cause the plastic to break and cause
soft tissue damage in your mouth. Remove them before eating or drinking or
chewing.
If a fixed retainer becomes loose or falls
off, don’t attempt to repair it or remove it yourself. Go to your dentist
immediately for appropriate care.
Lastly, if your retainers ever start causing you discomfort or they don’t fit anymore, tell your dentist right away. It’s important not to force your retainers back on if your teeth have relapsed as this could cause serious long-term damage to your teeth.
Final Word
Retainers are designed to hold your teeth
in place once orthodontic treatment has been completed and to preserve your
beautiful new smile. To minimize the risk of your teeth moving from their new
positions, regular retainer wear is necessary for the rest of your life. But
even with good retainer wear, your teeth may move slightly due to the natural
forces within the mouth and aging. At The Grove Dental, we strongly recommend
wearing permanent (fixed) retainers in conjunction with a set of removable
retainers for the greatest chance of preserving the positions of your teeth and
reducing the chance of them shifting. Cleaning and maintaining your retainers,
as well as maintaining good oral hygiene are both crucial to ensure a beautiful
smile for life.
If you’d like more information about Emergency Dentist Box Hill
retainers or tailored advice regarding the best option for you, book the
consultation will one of our friendly clinicians today!
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