Getting orthodontic treatment to fix crooked teeth is only half the battle suggest the orthodontic associates who work with us. The treatment doesn’t end when you get your braces off. No, just because you no longer have to wear orthodontic rubber bands, or expander braces does not mean you are all finished. Once the orthodontist takes the braces off, this is where the retainer comes into play. This is the time when you need to worry about keeping your teeth straight. And your orthodontist can only do this by having you use the retainer. Unfortunately, some patients are not very good at using their retainer. Because of this, manufacturers have come up with many different types of retainers. But there is no one size fits all retainer for every patient. if there were, orthodontists would prescribe the same one for all patients.
What Type of Retainers Do Most Orthodontic Associates Use?
The experts at Crawford Orthodontics say that at one end of the spectrum we have permanent or bonded retainers, and on the other, we have retainers that are removable by the patient. Permanent retainers are considered permanent because you can put them in and out of your mouth on your own. New technology allows orthodontists to glue a small retainer to the interior side of the teeth to keep it in place. These retainers have the advantage of not needing any help on the part of the patient beyond keeping it clean. Parents never have to keep after their kids to find the retainer and put it in their mouth. bonded or permanent retainers all for the orthodontist more control over the treatment process.
However, some doctors find that there are drawbacks with the permanent retainer. For instance, these are the hardest to keep clean from any other retainer, and they require that the patient to floss between every tooth that is attached. This is why orthodontic associates want you to understand that treatment is not over when you get those orthodontic rubber bands off your teeth. You must be careful once you have a retainer in place and whether it is a fixed or removable one you need to practice careful oral hygiene routines.
Another disadvantage especially when retainers are behind the front teeth is that the cement can come unglued as a result of wear and tear.
Which Retainer is Best? Crawford Orthodontics Answers for Us
Current controversy about the difference between a fixed retainer and a removable one has made us want to take a deeper look into the findings of a retrospective study conducted by Josef Kucera and Ivo Marekb.
The study describes the types of unexpected complications associated with fixed retainers. The participants comprised of 1423 males and 2077 female patients who were treated with fixed appliances. During the time that they had the retainers in place, they were screened for unexpected complications.The results of this study indicated that a small percentage of the test group had non specific complications and that these occured in patients that were younger and had higher mandibular plane angles. Overall findings indicate the unexpected complications are relatively rare, and those that do occur are fixed accordingly while under treatment.
What About Long-Term Stability of Fixed Retainers? We Asked Family Orthodontics
As far as research is considered, having complete long-term stability in orthodontic treatment is still a challenge and there is not enough conclusive evidence. Some investigators even considered to be impossible as here we are talking about micro millimeter movements that are rarely noticeable by patients. To overcome this issue some orthodontic associates advocate long-term or even lifelong retainer treatment. in this case, fixed retainers can be the best option for long-term maintenance, and to prevent teeth from moving at all from their new positions after orthodontic treatment. A growing number orthodontist are now using fixed retainer behind front teeth protect the aesthetic results of the teeth. these retainers are perfectly safe and acceptable as periodontal measure.
Oral Health with a Fixed Retainer
Regular check-ups are still required after the adhesion of a fixed retainer. This is because occasional failures in hardware and cement occur. Long term use of a fixed retainer can also be associated with an increase in plaque and biofilm. This can leave the patient to have a higher risk gingival recession and Carries.
The team at family orthodontics informed us that a small percentage of patients may still experience movement even without wire or bonding failure. This movement results in small spaces between teeth. However, if your orthodontist sees the issue he can increase the torque of the retainer to keep teeth in place and prevent further movement. Only a relatively small number of patients from 0.1% to 5% experience some kind of serious complication with the retainer. in such cases orthodontist other types of periodontal treatment or orthodontic reconstructive surgery.
The Causes for Complications
Several causes of unexpected complications in patients with fixed retainers have been suggested, including poor bonding technique and insufficient wire passivity, instability of multistrand wires,and wire straightening or wire activation by mechanical trauma.
We hypothesized that mandibular incisor proclination and increases in intercanine distance during orthodontic treatment may be associated with increased risks of unexpected complications. We also presumed that anatomic conditions related to an increased mandibular plane angle and hyper divergence may play roles.
Should You Choose a Fixed Permanent Retainer?
There are just two types of primary retainers suggest the experts at Crawford Orthodontics; permanent and removable. Photo Safe but both also have their advantages and disadvantages. The decision you make is really just a personal choice.
The Permanent Retainer Offers:
Despite the very minor chances of experiencing tooth movement while using a permanent retainer comma any movement that does occur Will be less then the movement experience without the retainer.
permanent retainers also remove the patients responsibility with a retainer. You don’t have to worry any longer about putting them in taking them out, Losing them or packing them when you go on a trip. they are always right there on your teeth.
Your teeth won’t experience as much of a chance of migration and movement.
permanent retainers are glued to the back of the teeth so they aren’t visible at all from the outside.
Brushing is made more difficult because of the retainer. It requires a little extra time and effort to floss between teeth that have the retainer on them. You will need to ask your dentist to teach you how to better floss and perform your oral care. Fixed retainers Are more susceptible to build up which makes it more important for you to care for your retainer and stick to your schedule Dental Oral Care routine
- There are different types of removable retainers to choose from Kama including those that are invisible or clear.
- These removable retainers are simple to use and forms to fit specifically on your mouth. this make these repairs as comfortable as possible to wear.
- removable retainers are easy to take out and you can brush and floss your teeth like you do normally. However, because of this ease, It is also easy to forget to put the retainer back in your mouth.
Let’s face it, some of us are pretty forgetful. if you are a person who continually has to stop and look around for 15 minutes to find your lost keys, purse, wallet or other items, This may not be the best option.
you will need to take out your removable retainer to eat, Place Ford or perform other activities. this means you need to carry your retainer case with you at all times.
A removable retainer is very noticeable. people will see a metal wire on the outside of your teeth, and wearing it can cause a mild speech impediment.
In the end you are the one who has to deal with the advantages and disadvantages of each type of retainer. so think about your lifestyle, your habit when making the decision. remember, stop wearing your retainer is an important step in the process Orthodontic teeth alignment.