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Post Orthodontic Care

“Dr Stryker, if my teeth are straight when I am done with treatment, why would I need a retainer at all?” Simply put, it’s because if you don’t wear one, your teeth will start moving right back to where they were!

Teeth aren’t set rigidly in the jawbone — instead, they’re held in place by a network of fibers called the periodontal ligaments. After they have been moved, it takes several months for the periodontal ligament to adjust to the new position. So if you want to keep that new smile — and not waste all the time, effort, and money it took to get it — it’s essential to wear your retainer as directed.

Being fitted for a retainer usually happens on the same day your braces are removed. After your teeth are thoroughly cleaned, we may take another set of X-rays and/or bite impressions, to check how well your braces worked and to see how much your wisdom teeth have developed. Then, we’ll discuss your retainer and start getting it ready.

Three Types of Retainers

types of retainersThere are three basic types of retainers available today; each works best in particular situations. The most common is the so-called “Hawley” retainer — a thin, tongue-shaped piece of acrylic molded to fit your mouth, with a wire that holds your teeth in position. The Hawley retainer is simple, durable and easily removed. It’s even possible to personalize it by choosing different colors and designs for the plastic arch. It can also be adjusted to correct minor tooth movements.

Another popular style of retainer is the clear aligner-type, which looks similar to the Invisalign® tray system. These retainers are custom-made of thin, transparent plastic which is designed to fit precisely over your teeth. Their main advantage is that they’re invisible, with no wire to show. These retainers are also easy to remove, but they may be somewhat less durable than the Hawleys. They aren’t recommended for patients with certain conditions, like teeth grinding.

Finally, fixed retainers may be an option for some people, especially on the lower front teeth. As their name implies, they aren’t removable by the wearer — but they aren’t visible either. Like lingual braces, this system uses a wire which is bonded to the tongue side of the teeth. It may remain in place for months, or longer. This type of retainer is sometimes recommended when there’s a high risk that teeth could revert to their former position.

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A Period of Adjustment

After a short time, most people adjust quite well to wearing a retainer. Some may find that they produce more saliva than usual for a day or so after first wearing any type of retainer — a normal reaction to a foreign object in the mouth. You may also find it a little harder to talk normally at first, but that problem will soon disappear. Of course, removable retainers should always be taken out when you eat or brush your teeth — a big change from braces!

At first, you will probably be told to wear your removable retainer all day, every day. This period of 24/7 retainer use generally lasts from several months to a year. Later, we may say that it’s OK to wear it only at night. Finally, you’ll probably need to put it on just a few nights a week.

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Clear Retainers

clear retainers

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Positioner Wear Instructions

position wear

This is a $200 appliance, so make sure you know where it is at all times!
Animals love it, so if you have pets at home, keep it in the case and out of their reach at all times.

It is plastic, so it can and will melt if you expose it to heat, i.e. the dryer, a hot car, etc…

You will need to clean your positioner daily. Use soap, water and a soft tooth brush. No toothpaste!

You cannot wear your positioner too much, but you can wear it too little. The more you wear it, the better.

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Maintaining — and Retaining — Your Retainer During Post Orthodontic Care

post orthodontic careTo stay fresh and germ-free, all retainers need proper cleaning. A Hawley-type retainer can be brushed gently with a regular toothbrush — but a brush may scratch the clear aligner types. Denture cleaners, in powder or tablet form, as well as special retainer cleaners, can be used to clean most removable retainers. Fixed retainers are cleaned by brushing and flossing; a floss threader or interproximal brush can also be a helpful cleaning tool when needed.

Finally, remember to always carry — and use — a retainer case. You’d be surprised how many retainers end up folded in a napkin and accidentally discarded! Also, don’t expose your retainer to excess heat by washing it in very hot water or leaving it on a heater: That can cause the retainer to warp and make it unusable. With proper care and conscientious use, a retainer can help you transition from braces to a permanent, healthy smile.

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Flossing Fixed Retainers

Make sure you are doing more than just brushing your fixed retainers. You also need to be doing some sort of flossing. There are several options. Choose the one that is easiest for you that you will do EVERYDAY.

flossing fixed retainersOption 1: Use your Waterpik.
Try Option 2: Use floss threaders.
Give Option 3 A Try: Use floss picks.
Option 4: Use super floss.

Please call our office immediately if your fixed retainer becomes lost or broken!

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Related Articles

orthodontic retainers

The Importance of Orthodontic Retainers

Decades ago, orthodontists used to think that once teeth were moved into the “right” positions, they would stay there forever. Research over the past thirty years has shown that this is not true — there is no “right” position that can assure a permanent, unchanging result. The only way to be sure the alignment of your teeth and your bite remains stable post orthodontic care is to wear retainers as needed and as directed by your orthodontist or dentist…

Read Article

orthodontic retainers after braces

Why Orthodontic Retainers?

It is common to wear retainers during post orthodontic care or what people commonly refer to as braces, for good reason. Teeth must be “retained” or stabilized in their new position long enough for the gum tissue, bone and ligament to reform and mature around them, which can take several months. The teeth will tend to relapse into their old position quite rapidly if the retainers are not worn…

Read Article



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Come Visit One Of Our 3 Convenient
Orthodontic Offices In Missouri!
Lebanon Orthodontic Office
590 Lynn St. (North Highway 5)
Lebanon, MO 65536
Monday through Friday, 8:00a - 5:00p

(417) 344-8061


Waynesville Orthodontic Office
100 Lafayette Cir.
Waynesville, MO 65583
Monday through Friday, 8:00a - 5:00p

(573) 433-8601


Camdenton Orthodontic Office
293 E. Hwy. 54, Suite 102
Camdenton, MO 65020
Monday through Friday, 8:00a - 5:00p

(573) 525-9081


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