Why retainers?
After your orthodontic treatment is
finished,
and your
braces are removed, you will need retainers to hold your teeth in their new
positions.
For how long do I
need to wear retainers?
It takes time for the bone and all the
tissues around your teeth to reorganize and therefore it is necessary to use
retainers until your bite stabilizes. In the first month after the braces are
removed, the risk of relapse is very high. Relapse means that the teeth will go
back to near the original positions. Rotated
teeth can take up to one year
or more to stabilize after treatment. If you had gaps between your teeth before
treatment, the retention period will be held longer.
Usually retainers are worn for as long a
time as you have had your braces. If your teeth move back to their original
positions, you may need fixed braces again to correct them.
What will my
retainers look like?
The retainers are individually designed
to prevent teeth from going back to original positions. The retainer can be a
removable appliance or a fixed wire bonded at the back of your front teeth.
Do I have to wear
them all the time?
Your orthodontist will prescribe the
retention plan that is best for you. Some retainers are used full time in the
first 6 months, and after that, just at night for a few years. Other retainers are worn full time
4-7 days,
and after
that, just at night. Fixed
retainers are normally kept in place for 5 years.
It is important that
you use your retainers as instructed.
Removable retainers should be taken out
during eating, contact sports and when you brush your teeth. To clean the
retainers, remove them first and brush them in
tap water using a
toothbrush and some toothpaste. Brush your teeth after this.
The safest place for your retainers is in
your mouth. If you are not using the retainers they should always be kept
in a box. There is a great risk of loosing retainers if they are wrapped
in tissue paper after you remove them from your mouth.
How will retainers
affect my daily life?
A removable retainer has a wire holding
the front teeth. It will be visible but much less than the fixed braces. If you
have a removable retainer in your upper jaw, it will take you one to two days to get
accustomed to them and be able to speak properly. It is normal to experience a
lot of saliva in your mouth with a new retainer. Always bring the box for your
retainers to be kept in should you need to remove them for some reason. If you
have a fixed retainer, you should spend more time to brush the back of your
teeth. You have to brush all around the wire so that
calculus will not form. You will
be instructed on how to use dental floss with a floss-threader. You have to
remember not to use your front teeth to bite on hard food and objects. Fixed
retainers do not affect speech.
Will my teeth never
change when the period of retention
is over?
Bone has the capacity to change and
remodel for as long as we live, that is why a broken bone can heal. From 20 to
50 years of age, faces mature and teeth continue to push forward, causing crowding
of the lower front teeth.
This happens regardless of whether you
have had wisdom teeth removed, extractions of teeth or previous orthodontic
treatment for crowded teeth.
To avoid the risk of late crowding, removable retainers can
be worn at night for a longer period and fixed retainers kept in for more than
5 years. Adult patients usually sleep with their retainers on for the rest of
their lives,
if they
want their teeth in perfect alignment.