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When you’re finished with orthodontic treatment, your orthodontist will provide you with a retainer to keep the results in place. That’s why it’s called a “retainer”: it “retains” the movements achieved by your braces or Invisalign treatment! This guide explains everything you need to know about retainers – the various forms of retainers, what they are used for, and how to maintain them properly to keep your smile in place for years to come! Every orthodontic treatment consists of three parts:
What is a teeth retainer?A retainer is an appliance used after orthodontic treatment to protect the results of the intervention. There are several different styles of retainers, but each is used to “retain” the treatment benefits and to prevent teeth from shifting out of alignment. A retainer is considered one of the most important parts of your treatment since it keeps your smile in place and your teeth healthy. Whatever retainer treatment your orthodontist recommends, be sure to follow the instructions properly to protect the investment you’ve made in your smile with orthodontic treatment! Types of Retainers Permanent RetainersA permanent retainer is not really “permanent” – rather, it is bonded (glued) to your teeth on the backside (where your tongue touches them) and connects the front teeth so they won’t move. It can be installed or removed by your orthodontist. Generally, the permanent retainer is a thin wire bonded to the back of your top and/or bottom teeth (depending on the specifics of your treatment). For this reason, another name for a permanent retainer is lingual wire. The wire is hidden from view on the back of your teeth, so the permanent retainer protects the results of your orthodontic treatment without any interruption to your new smile. A permanent retainer is not permanent; it can be removed whenever necessary. People frequently wear a permanent retainer for many years without any inconvenience to their smile, health, or comfort. Pros and Cons of Permanent RetainersA permanent retainer has many attractive features:
Certain cases use a combination type of retainer, with a permanent bonded retainer and a removable retainer used for extra protection. Some patients prefer a removable retainer: they can be cleaned thoroughly while removed from the mouth, and some patients may prefer this over cleaning their lingual wire inside their mouth. Some patients find flossing to be more difficult with a lingual wire permanent retainer, and some simply prefer being able to fully remove the appliance from their mouth. Other potential cons of a permanent retainer include:
Permanent Retainer CostThe original installation of your permanent retainer should be included in the overall cost of your braces or clear aligners – check with your provider before treatment to make sure. If not – or if the permanent retainer breaks or falls off and needs to be replaced – this cost will be separate from the cost of original orthodontic care. This can cost anywhere from $150 to $500 depending on the specifics of your case and the orthodontist you seek out for care. Permanent Retainer CarePermanent Retainers are simple to care for, but it is important to maintain oral hygiene every day to keep your teeth clean. Brush your teeth twice a day, for two minutes each time. Floss before bed every night. A floss threader makes it much easier to floss under the lingual wire of your permanent retainer. Go to the dentist regularly for cleanings and check-ups: dentists and hygienists are skilled at cleaning around braces and permanent retainers, and it won’t impact your ability to get your teeth cleaned. However, failure to keep your retainer clean can cause plaque and bacteria to build up, and this can cause tooth and gum decay. Be sure to care properly for your permanent retainer to keep your teeth clean and your smile fresh and healthy. Common Questions About Permanent Retainers
Types of Retainers Hawley RetainerA Hawley retainer is the original retainer: a combination of a plastic plate molded to the roof or basin of your mouth, connected to a wire that runs across your teeth. The custom fit of the Hawley retainer keeps your teeth in place orthodontic care is complete. A Hawley retainer is easy to use, comfortable to wear, and extremely effective at protecting the results of your smile, as long as it is used as directed. Pros & Cons of Hawley RetainersPros of a Hawley retainer:
Cons of a Hawley retainer:
Learn more about Hawley retainers. Plastic RetainersA plastic retainer is a clear retainer molded to fit snugly over your teeth to protect the results of your orthodontic treatment. A plastic retainer may be used after any kind of treatment: metal or ceramic braces or clear aligners can all be followed by plastic retainers. Your orthodontist will custom create the plastic retainers, with a different set for your bottom and top teeth. You will generally wear the retainers at night, or sometimes every other night, for years after your treatment. This will prevent your teeth from shifting. There are several different kinds of plastic retainers. Types of Retainers Essix RetainerAn Essix retainer is one form of plastic retainer. It consists of a set of top and bottom clear molded plastic aligners, specifically designed to fit snugly over your teeth. Custom-fitted by your orthodontist, they keep your teeth in place after treatment results have been achieved by orthodontic care, either braces or Invisalign clear aligners. You may be prescribed an Essix retainer by your orthodontist after either form of treatment. An Essix retainer costs anywhere from $50 to $300; although your orthodontist should include the price in your original treatment costs – and last for a few years if properly maintained and cared for. This is one of the least expensive retainers available.
Pros and Cons of Plastic RetainersBenefits of clear plastic retainers:• Removable and easy to clean Potential drawbacks to clear plastic retainers:• May need new sets made if dental work changes size or shape of a tooth Plastic retainers are very effective, but some patients prefer other types of retention appliances. Talk to your orthodontist if you have other questions about whether plastic retainers are right for you. Common Questions About Clear/Plastic Retainers
Types of Retainers Vivera RetainersAn Invisalign Vivera retainer looks like an Essix retainer: it’s a set of clear aligner retainers custom created to fit snugly over your top and bottom teeth. but Vivera has an edge over Essix retainers: Vivera retainers are made of a custom-designed material called SmartTrack, patented by Invisalign, that lasts longer and performs better than generic Essix retainers. Vivera retainers are used as part of Invisalign clear aligner treatment — once you are finished with Invisalign therapy to achieve the best results for your teeth and bite, the Vivera retainers will help keep those results in place for a healthy, happy smile that lasts. The Vivera retainer is usually a separate cost from the treatment costs. Vivera retainers cost more than Essix retainers, due to the meticulous lab work involved to create the customized retainers with patented material. However, Vivera retainers are packaged cost-effectively by providing 4 sets (8 retainers total) for consistent, long-term use, so investing in Vivera retainers is a great choice for your smile and your health. Many orthodontists prefer the fit and effectiveness of Vivera as compared to Essix retainer, and many patients prefer their fit as well.
How Long Do You Have to Wear Retainers?When Can I Stop Wearing Retainers?Directly after finishing treatment, your orthodontist will likely prescribe retainer wear full-time or at night. It is important to follow your orthodontist’s recommendations when wearing retainers. If the instructions are not followed, the teeth will shift back. How Long Before Teeth Shift Without Retainers?According to expert orthodontists, the most critical period to prevent teeth shifting is right after treatment, when the orthodontic appliance is removed and the teeth are settling into their new positions. But teeth can shift at any time, and as people age, their teeth naturally tend to shift out of place. Do You Have to Wear a Retainer Forever?The longer you wear the retainer, the better for your teeth. Teeth can shift at any age: humans use their teeth every day, and regular wear and tear cause shifting. To protect your investment in your health with orthodontic care, it’s important to wear your retainers as prescribed by your doctor.
General Questions About Retainers
Example of a Spring RetainerHow much does it cost to replace one retainer?The replacement cost of your retainer depends on the type of retainer you chose to begin with, but the average costs of replacing different types of retainers: Hawley retainers: $150 to $300. Clear plastic retainers: $100 to $250. Permanent retainers: $250 to $500.
Can you transfer from one orthodontist to another?The answer is: yes, you can switch your orthodontist during treatment. Life happens! People move. Families relocate.
Can I get a new retainer from my dentist?The traditional way to replace a retainer is to go to your dentist or orthodontist. They will likely already have your impression and can make you a replacement retainer based on that.
Can I get a new retainer if I lose mine?If you've misplaced your retainer, don't panic. You need to call your dentist to request a replacement as soon as possible. If it's been a few weeks since you lost it, you may have noticed that your teeth are starting to shift back to their old position.
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