Retainers work only when they are in the mouth. Removable retainers should be in one of two places: in your mouth, or in the case your orthodontist gave you. Removable retainers should not be placed on cafeteria trays. They can be thrown away quite easily. Removable retainers should not be wrapped in napkins or placed in pockets or purses. Napkins get tossed into the trash, retainers fall out of or get broken in pockets or purses. Keep retainers out of the reach of pets. Dogs in particular are attracted to retainers.
Continue visiting your dentist for check-ups and cleanings at least every six months, or more often, if recommended.
Don’t force it. Contact your AAO orthodontist, who will evaluate your situation and determine what actions, if any, are needed. It could be as simple as making a new retainer or, if necessary, making some clear aligners to tweak a tooth or teeth back into proper position.
If you lose or break a removable retainer, contact your orthodontist immediately about a replacement.
Your orthodontist may schedule periodic retainer checks after you receive your retainers. If you have removable retainers, be sure to bring them to the appointment.
Your orthodontist will explain how removable retainers should be cleaned, based on the materials used to make them. If you have a fixed retainer, it is important to brush thoroughly after meals and clean under the wire with dental floss at least once a day. If brushing is not possible after eating, you should at least rinse with water.
Yes, there are two general kinds of retainers: removable (put in and removed by the patient) and fixed (placed and removed by the orthodontist). Both types of retainers hold teeth in their new positions after “active” orthodontic treatment is completed. This allows newly formed bone to mature around the teeth.
Two common removable retainers:
- Wire retainers are made of wire and a plastic-like material. The part of the retainer that covers the roof of the mouth or goes behind the lower front teeth is plastic and wires help hold the teeth in place.
- Clear retainers are transparent trays made of a plastic-like material that are exact replicas of the teeth.
- A fixed retainer consists of a thin, custom-fitted wire that is bonded to the tongue-side of upper or lower teeth.
The orthodontist will teach you how to insert, remove and take care of a removable retainer. A fixed retainer consists of a thin, custom-fitted wire that is bonded to the tongue-side of upper or lower teeth. If the wire becomes loose on a tooth, it is important to notify your orthodontist immediately.
The fee for replacement retainers is determined by your orthodontist.
With proper care, retainers can last many years. However, remember that retainers are similar to any other device and likely will need to be replaced at some point. Proper care of retainers will extend the lifetime of the retainer. “Proper care” consists of:
- Storing removable retainers in their cases when the retainers are not in the mouth.
- Keeping retainers away from heat sources, including the inside of hot cars.
- Keeping retainers away from pets.
- Don’t put your retainers in your pocket without the case.
- If your retainer appears to have lost its shape, or if it no longer fits when you attempt to place it on your teeth, inform your orthodontist.
Talk to your orthodontist about how long you will wear retainer Many patients wear retainers nightly for life. Retainers cannot be worn too long or too much. Wearing retainers becomes part of your oral hygiene routine: brush and floss before bed, and wear retainers at night for a lifetime.