FAQ’s: Wearing Retainers After Braces

While wearing retainers after braces are a common recommendation for every patient, it is important to know that there are different types of retainers, their attributes, and how each will help decrease the chances of having to wear braces again. This article will cover the basics of retainers and answer some frequently asked questions.

Frequently Asked Questions: Retainers After Braces

Before we answer the most common questions, it is worth noting that if the retainer is worn properly and cleaned regularly, it should not cause pain or discomfort-related symptoms in the patient's mouth. However, if there is any pain or discomfort associated with the retainers, it is best to contact our office so that we may make any necessary adjustments.

What are the different types of retainers?

We use three different types of retainers to keep patients' teeth in place after braces. The type of retainer we recommend depends on the condition of the patient's teeth and mouth at the end of treatment. The most common types include:

• Bonded retainer. Also known as the fixed retainer, it consists of acrylic plastic that adheres directly to the teeth with an adhesive material such as resin or dental glue. Orthodontists can make it from metal wires bonded onto each tooth's front surface. Patients must not remove this type of retainer.
• Hawley retainer. Also known as a wired retainer, they are generally easier for patients to clean than bonded ones as they are removable.
• Thermoplastic retainer. Also known as clear plastic or molded retainer, it is also removable. Still, it should not be confused with the Invisalign aligners, as they are two separate orthodontic tools that serve different purposes.

Patients will need to wear bonded retainers full-time, while a patient would remove other forms of retainers before eating or cleaning their mouth(brushing and flossing).

How long do I have to wear my retainer after braces?

The length of time a patient should wear their retainer depends on the type they have, how much movement there is in their teeth, and whether or not they are following the orthodontist's instructions. In most cases, we recommend patients wear their retainer full-time for at least nine months before shifting to nights only. Note timing may vary depending on the specific patient.

What happens if I do not wear my retainer?

If patients do not wear their retainer as instructed, the teeth will return to their original position. If the patient's teeth revert to their original position, they will have to repeat the entire braces process. In some instances, their teeth can shift worse than before treatment.

How do you clean a retainer properly?

While we recommend removing the retainer (if able) to eat, it is still best to clean it every day, no matter the type. Properly cleaning a retainer depends on its type. If removable (Hawley or Thermoplastic), we recommend removing daily and cleaning them with lukewarm water and a cloth. If food debris is stuck inside, patients should use a soft-bristle toothbrush and mild toothpaste to remove it gently. If the patient is cleaning their retainers daily, there should not be any hard-stuck particles.

Patients using a bonded retainer require special cleaning methods. Since patients cannot remove this type of retainer, they will need to use a soft-bristle toothbrush on the fronts of their teeth and a floss threader.

What happens if I lose or break my retainer?

Put simply, if a retainer is lost, the patient will need to request a new one as soon as possible. The prompt requests will prevent the patient's chances of a dental relapse. However, if the retainer breaks, the patient must also request a new one. In some cases, it may be salvaged for a limited time, depending on the size of the damage. Regardless, the patient will want to replace it right away since a damaged retainer can cause more harm to the teeth.

If there is a small crack, but the retainer still fits over the patient's teeth, they may wear it as normal until the orthodontist can make a new one. However, if there is a dent or extra bend, the patient should let the orthodontist know, and they will advise. An improper-fitted retainer can cause the same amount of damage at a more rapid rate than not wearing one for some time.

Call Us Today

Getting braces removed is a big deal. It is not just about getting your teeth straightened but also about having good oral hygiene and maintaining healthy gums. This means wearing retainers after braces are removed so that the hard work patients have undergone will remain intact. If you are going through this process with your child or someone close to you, then it is vital that you understand the importance of retainers. If you have questions or concerns about your retainer, we invite you to call our Reston office at (703) 391-8800 to speak with our friendly and knowledgeable team.

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