The benefits of orthodontic treatment will last you a lifetime if you keep these important patient responsibilities in mind:
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 (or relapse), which could necessitate re-treatment.
How retainers are worn
Because teeth can continue to move throughout life, Dr. Chadwell believes that individuals who have undergone orthodontic therapy should wear retainers indefinitely. A patient should wear retainers all the time for approximately nine months following the removal of braces.
After nine months to one year, the patient can wear the retainer(s) just at night until the majority of the patient’s growth has stopped. It is our belief that “retention is a lifetime commitment”. 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 shift and/or crowd. Eventually, retainer wear once a week at night will help you maintain that smile!
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 their proper retainer case when they are not in the patient’s mouth.
- Keep away from any family pets, especially dogs, 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 can tend to cling to the surfaces. Gentle scrubbing with a toothbrush and a mild liquid soap or toothpaste will remove the plaque. A cleaning solution, such as Fresh Guard by Efferdent or Retainer Brite, 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 call us immediately so we can remove the wire and replace it with a removable retainer, which should then be worn as Dr. Chadwell 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 a 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, which includes thorough brushing and flossing techniques. His or her family dentist should see the patient at least every six months for cleaning and dental examinations.