Orthodontic treatment does not end with the removal of braces, because immediately after removal, bone tissue and ligaments will begin to return to their original position and move teeth. To fix the outcome in the wake of eliminating the supports, it is important to introduce maintenance structures that will stand firm on the teeth in the right foothold until the bone tissue is finally, adjusted to the hidden establishments of the teeth.
Fixed retainers
A decent retainer is a clinical steel wire curve, which is connected to the internal side of the teeth with an extraordinary compound.
This kind of retainer is regularly utilized in light of the fact that it is totally imperceptible, doesn't feel in the mouth, and doesn't oxidize. Fixed retainers can fall off because of mechanical pressure, like biting strong food. In this case, you need to immediately visit the orthodontist and return the retainer to its place in order to prevent the teeth from shifting.
Fixed retainers enjoy many benefits
they should not be neglected to put on - they are dependably on the teeth, and they are additionally totally undetectable and don't meddle. The main feature of wearing a fixed structure is the need for thorough home hygiene and professional cleaning every six months at the dentist since plaque is difficult to arrive at places around the retainer that are harder to clean.
Removable retainers and mouth guards
There are two types of removable retention structures:
1. Plastic plates with a metal arch, which encircles the dentition;
2. Transparent silicone guards.
After the braces have been removed, the aligners or plates should be worn at all times, removing only during meals, brushing teeth, or public speaking. In the future, according to the doctor's recommendation, the time of wearing the retention structures is reduced: they are removed at night and worn less during the day. Removable structures can be visible to others, and at first, they affect diction and cause increased salivation.
Usually, removable retainers are prescribed at the end of the retention period after non-removable structures, but they can be used independently for the entire retention period.
Combined systems
Sometimes the patient has prescribed combined retainers - a fixed wire is fixed on one dentition from the inner side of the teeth, on the other, it is recommended to wear a retention cap. Or, first, fixed retainers are installed, and after a while, mouth guards are removed and prescribed.
The type of retainer and the time of wearing is determined by the doctor and depends on the specific clinical case.
How do the retainers work?
Braces or aligners actively move the teeth in the desired direction due to the pull of the archwire and pressure on the dentition. The non-removable wire retainer does not put pressure on the teeth, but only holds them in the desired position, not allowing them to part. Removable mouth guards differ from aligners in that they are not used with attachments (activators of tooth movement), but exactly repeat the shape of the dentition and fit snugly to the teeth, fixing the dentition. Any retention structure does not move the teeth, but at the same time, it should not allow the ligaments to relax and return to their previous position until the bone tissue around them is completely strengthened.
How long do you need to wear retainers?
The duration of the retention period is on average 2 times longer than wearing braces, and patients who have corrected their bite in adulthood - after 25-30 years old, can wear retainers all their lives.
How to take care of the retainers?
Retainers, like any other structure in the mouth, without thorough hygiene, provoke the accumulation of bacteria, the appearance of plaque and caries.
The teeth can be cleaned with a usual toothbrush and toothpaste, but be careful when brushing the inside of the teeth if you have a non-removable retainer;
If the retainer has come off, you need to visit the orthodontist and put it back in place so that an orthodontic relapse does not happen;
For thorough hygiene when wearing fixed retainers, it is recommended to use an irrigator, brushes, and dental floss for cleaning in hard-to-reach places near the arch;
Removable retainers and trays must be washed with disinfectants, soap, or toothpaste at least twice a day.
Mouthguards must be removed during meals and smoking and stored in special containers;
Mouthguards should not be washed with hot water because they are deformed.
To strengthen the enamel, it is recommended to rinse the oral cavity with a fluorine-containing solution.
Which is Better: permanent or removable Retainers?
Permanent retainers
You don't need to turn it on and off, which makes it more straightforward to keep your teeth set up later your supports have been brought down.
No one but you knows it's there because it's tied to the back of your teeth.
It doesn't affect the way you speak, so you don't need to make yourself aware of wearing it in public.
You cannot lose it because it is securely attached to the toothpaste.
It is difficult to get rid of it with the daily use of your mouth.
It keeps your teeth set up to assist with keeping your teeth in the arrangement as the retainer is consistently set up.
Removable retainers
You can take them out at any time, like when you are eating or brushing your teeth.
It just requires 30 seconds to 1 moment to get an impression (shape) of your face to make a removable retainer that will keep going for quite a long time.
You can easily clean them by soaking them in one of the many different cleaning solutions available. It is highly recommended because bacteria can quickly build up on retainers capable of removing plastic.
Floss is easy because you can take out the retainer.
Removable retainers can be better for upper teeth, as lower teeth can cut on upper fixed retainers. This may make the retainer less secure or may damage it.
What problems with the retainer can arise?
The first thing a person who has a non-removable retainer will face is getting used to it. At first, the retainer may rub the tongue, feel too big in the mouth, and interfere with clear diction. The retainer becomes invisible in the mouth after approximately a week.
The next task for the patient with a retainer is careful home hygiene, as food debris can get stuck between the teeth and the retainer. For home cleaning, we recommend using a single-beam brush, brush, floss, and irrigator.
The retainer may break or come loose due to solid food. In this case, for a replacement, you need to contact your doctor.
If caries appear on the teeth in the area of the retainers, the retainer will need to be removed and then reinstalled for treatment by a therapist.
The cost of permanent retention.
The cost depends on the specific needs of your dentist. The average cost of a permanent retainer is between $ 150 and $ 500. This means that if you choose retainers for both your upper and lower teeth, you can spend up to 1,000. With proper care, retainers can last up to 20 years before they need replacement.
Eliminating, fixing, and supplanting retainers costs as much as placing them in the underlying spot. Think of your retainers as insurance for your orthodontic treatment. You can save money in the long run if you take care of your permanent retailers.
What should you do if your retainer gets twisted or moves?
For a retainer that is tilted or moved, do not try to solve this problem yourself.
Make an appointment to see your orthodontist. If the retainer is not bothering you or injuring any other part of your mouth, see your dentist or orthodontist as soon as possible so that the retainer can be adjusted or repaired.
Call your dentist or orthodontist immediately. If the retainer has broken or injured another part of your mouth, see your dentist or orthodontist immediately to minimize further damage to your teeth, mouth, or retainer.
Check for an emergency call. Numerous dental specialists and orthodontists have an emergency line that you can call or text if there should arise an occurrence of a crisis. Inquire as to whether they have anybody so you can get in touch with them for sure-fire help if your retinal breaks or harms you.
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