The benefits of orthodontic treatment will last a lifetime if you keep these important patient responsibilities in mind:
Once the ‘active’ orthodontic appliances (braces or Invisalign trays) are no longer used, 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 retainers are worn
Because teeth can continue to move throughout life, we feel that individuals who have undergone orthodontic therapy should wear retainers indefinitely (forever). A patient should wear retainers approximately 8 hours each day following the removal of braces and for life! Many patients are surprised to hear these recommendations, but we see (and re-treat) many adults who have not worn a properly fitting retainer and whose teeth have subsequently relapsed. So please take good care of your retainers and wear them consistently!!
After completing your treatment, Dr. Lisa Mangiarelli will see you for several ‘retainer check’ visits over the next 12 months to make sure your retainers still fit properly and also to make recommendations on the wisdom teeth.
How to care for 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. This is because retainers are small and sometimes difficult to see due to the transparent material they are made of. Many patients lose their retainers for this reason.
- 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 may 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. Mangiarelli 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
- Clenching and/or grinding of teeth (muscle hyperactivity)
- Tongue thrusting, low tongue posture or abnormal tongue posture
- Playing a musical instruments with a reed
- 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. His or her family dentist should see the patient at least every six months for cleaning and dental examinations.