What you need to know about retainers

Here at Periago Orthodontics, we appreciate the hard work and dedication that our patients put into straightening their smiles! As you reach the end of your treatment and the day your braces come off, you might think that’s the end of the road. However, it’s important to know that maintaining your new smile goes beyond chair time and office visits. That’s why we’re exploring what you need to know about retainers and maintaining your smile long-term!

You certainly deserve to celebrate completing the most difficult part of the process, however, remember that this is only the first phase of your treatment. The second phase begins soon after your teeth have been straightened, and when it comes to maintaining your newly straightened smile, this phase is every bit as important as the first!

The second phase of orthodontic treatment is referred to as retention, and it focuses on consistent retainer use. Retention rounds out the treatment process and is an essential part of keeping your teeth in their new, straighter positions. If you’ve been a patient with Dr. Periago for any time at all, you’ve probably already heard us talk about how important retainers are, but you may not know much beyond that. Keep reading as we take a look at the different types of retainers and why wearing one is so important!

How retainers help

It’s common to experience slight shifting with your teeth in your late teens to early twenties, even following orthodontic treatment. This is known as “relapse,” and refers to the natural tendency of teeth to drift back towards their original positions after orthodontic treatment has been completed. Retainers are the key to preventing this! They hold your teeth in their new positions and stop this kind of natural drifting.

Your teeth aren’t the only things we want to stay put in their new position once treatment is complete! Teeth are not just fixtures in the jaw – each one is held in its socket by elastic ligaments that connect the roots to the bone. These ligaments are living tissues that are affected by the movement of the teeth, and it is this attachment that allows for the small movements of the teeth during orthodontic treatment.

Braces place tension on and around the teeth, facilitating the formation of new ligaments, and sometimes even new bone. Once the initial remodeling phase of treatment is complete, the new tissues, ligaments, and bones will need time to stabilize. Without a retainer to hold teeth in their new positions during stabilization, the teeth will almost always migrate back to their old positions. If you don’t wear your retainer as directed by Dr. Periago after your braces come off, you may find your teeth shifting back to their old positions, undoing all the hard work you’ve put into your orthodontic treatment!

However, at Periago Orthodontics, we’ll give you all the tools you need to avoid relapse! The type of retainer you’re given will be determined by the specifics of your case, your preferences, your lifestyle, and your expected compliance.

Types of retainers

Just like there are fixed and removable appliances (braces and aligners, respectively), there are also fixed and removable retainers. At Periago Orthodontics, we’ll give you a customized retainer once you complete your treatment. The type we recommend will depend on your unique case and what Dr. Periago believes will be the best fit for you.

Fixed retainers

Fixed retainers are made of a thin wire bonded behind the bottom or top teeth, or sometimes both. The wire stretches across several teeth and dental care is similar to when you were wearing braces, especially when it comes to effective flossing. These can be a particularly helpful option for patients who have or had a large space between the two upper front teeth.

Once orthodontic treatment is finished and the space is completely closed, a fixed retainer can be used to keep the space closed. Thanks to the bonded wire’s ability to hold newly straightened teeth in the ideal alignment over a long period, fixed retainers tend to have an excellent overall outcome. Plus, you never have to remember to wear them!

Removable retainers

When it comes to removable retainers, there are a couple of different options. The Hawley and Essix models are both custom-made to fit your mouth once you’ve completed treatment. Our orthodontic team will take an impression of your newly straightened teeth and use it to create a retainer with either a clear plastic material (for an Essix retainer) or from wire and an acrylic material (for a Hawley retainer.)

Hawley retainers

This is probably what comes to mind when you think of retainers. The Hawley appliance is one of the oldest retainers and tends to be the most common as well. These retainers are made of stainless steel and held in place by wrapping a wire around your teeth that has been combined with an acrylic arch that rests against the roof of your mouth. The metal wires can be adjusted to continue minor movement of the front teeth if needed. Although many orthodontists are moving away from this more traditional retainer, it can still be very useful in some cases.

Essix retainers

Essix retainers are made entirely of transparent plastic and look very similar to clear aligners. They are much less noticeable than traditional wire retainers and should last as long as you need them, with the proper wear and care! These retainers may cover the entire arch of the teeth or go from canine to canine. Each one is molded to the unique shape of your mouth.

Cleaning your teeth is easier with either of these removable retainers, but you do have to remember to wear them every day. They’re also a lot easier to misplace or damage, so it’s important to be mindful of where you place them and how you handle them.

Maintain your smile for life with Periago Orthodontics

In the first year after completing orthodontic treatment, it isn’t uncommon for teeth to start shifting back to their original positions. Modern orthodontic knowledge tells us that maintaining successful smiles requires wearing some type of retainer indefinitely after the teeth have been straightened. However, with a little patience and practice, this will become just another part of your daily routine.

Here at Periago Orthodontics, our team is dedicated to finding exactly the right orthodontic treatment for you, including the type of retainer that will serve you best. For more information about retention after orthodontic treatment, get in touch with our New Albany, Corydon, or Floyds Knobs office today. We’ll help you maintain your stunning smile for life!