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Retainer

What is retainer ?

A retainer is a custom made appliance that hold your teeth in position. After braces, teeth have a tendency to move back to their original position. Infact, the reality is our teeth constantly move, even you have never had braces before. But after orthodontic treatment, any minor tooth movement will be obvious and visible. So it is crucial to maintain them in perfect alignment especially in the first few months after braces.

Types

There are a few types of retainer, each with their pros and cons. Our dentist will recommend the best option for you based on the clinical condition. Nevertheless, you can voice out your preference as you will be using it for many years. So it is important that you feel comfortable with them and wear as instructed.it

 

Essix Retainer

Clear plastic retainer

This type of removable plastic retainer made from thermoplastic or vacuum formed is the most popular one among patient. A thin clear plastic sheet usually range from 0.8 to 1.0mm is heated and molded to your teeth duplicate in stone cast. It is very comfortable and almost invisible. Thus, patient are more likely to wear it during the day, especially in the first 6 months when full time wear is necessary. The plastic sheets have a few popular brands with a variation of thickness and material, namely Essix, Vivera and Duran.

 

Advantages

-comfortable and almost invisible

-easy and fast to fabricate

-less bulky and less impact to speech

 

Disadvantages

-the plastic can crack especially if you are not careful with removal

-it can be easily misplaced (usually when dining outside)

-it can be perforated if you grind your teeth at night.

 

 

Hawley Retainer

Hawley retainer is made of clear or colorful acrylic plate and some wires. The acrylic plate will fit to your palate and behind the lower teeth like a denture.

 

Advantages

-durable, can be repaired even if broken

-can be adjusted by dentist if your teeth alignment is slightly off

-upper and lower teeth touch naturally when you bite

 

Disadvantages

-affect speech

-more noticeable

-more costly and take longer to fabricate

 

 

Permanent retainer

Permanent retainer is usually made of a solid or braided wire cemented to the back of your teeth. Thus, it is also known as fixed or bonded retainer. It is not removable so it might be suitable for those cases where the teeth are more likely to relapse or the patient might not comply to wear a removable retainer. It can last for many years and your dentist will decide when to remove them, usually when there is a problem (Eg. detached or causing gum irritation). Clear plastic retainer can be used on top of fixed retainer too, if necessary.

 

Advantages

-completely invisible

-not likely to affect speech

-no compliance issue to wear

 

Disadvantages

-hard to clean, especially flossing

-if detached at 1 tooth, usually unnoticeable until the tooth rotated (too late)

-the wire might irritate the tongue

 

When to remove ?

Although it is called a permanent retainer, they usually do not last a lifetime. Our dentist might suggest removal of permanent retainer if we think removable retainer will do the needful after many years.

 

-partially detached or broken

-poor oral hygiene or tartar buildup

-gum inflammation or recession

 

In some cases, moving to removable retainer such as clear plastic retainer for night time wear only might be a good option. For example in late twenties when the jaws have stopped growing and teeth position are relatively more stable by then.

 

Bottomline

Avoiding relapse is one of the greatest challenge in orthodontics. Regular follow-up is very important to make sure your appliance is working in the way they should be. Patient must realize that it is their responsibility to follow the retention protocol and attend these maintenance visits to ensure long last optimum result.



Dental Clinic | Johor Bahru

Learn more about types of braces here. 

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