Orthodontic treatment is followed by what is known as the retention phase. This phase serves to stabilize the teeth in their new position and prevent them from shifting back. Especially during the first two years, the teeth tend to move back to their original positions. Therefore, retention is crucial to the success of the treatment.
Various types of retainers are used during the retention phase. These can be permanently bonded to the teeth or be removable. The retention phase lasts about as long as the preceding treatment, but is very straightforward for the patient.
When are retainers used?
Retainers are used after every orthodontic treatment. Without them, the treatment would have been in vain, as the teeth would simply shift back into their original positions. For this reason, retainers are used in orthodontics for the entire period during which there is a risk of the teeth shifting back.
The only differences lie in the type of retainer used. In the front teeth area, fixed wire retainers—known as lingual retainers—are often used; these are attached invisibly to the inner surfaces of the teeth. After orthodontic treatment, the orthodontist may also prescribe a plate retainer. This resembles a removable brace but does not exert any pressure on the teeth. There are also clear retention trays, which are particularly discreet for everyday use.
How does retainer treatment work?
Once orthodontic treatment is complete, your orthodontist will discuss with you which type of retainer is recommended for your specific case. Retainers are typically custom-made in a dental laboratory. As soon as the finished retainers arrive in Zurich, your orthodontist will check their fit once more and provide you with final instructions for use.
Fixed wire retainers can be easily fabricated and bonded in the office. They are secured at several bonding points using a special dental adhesive. To ensure optimal adhesion, the tooth surface is first cleaned and lightly roughened. Removal later on is straightforward using special instruments. The teeth are then polished again to remove any remaining adhesive residue.
Cleaning Retainers: What Should You Keep in Mind?
With fixed wire retainers, you should pay special attention to thorough cleaning in the front teeth area. Your orthodontist will be happy to demonstrate how to properly clean between your teeth.
Removable splint or plate retainers have the advantage that they can be taken out for cleaning. We recommend cleaning your retainers thoroughly every day. Mild soaps and special cleaning solutions are suitable for this purpose. It’s best to use a soft toothbrush and lukewarm water for cleaning. Very hot water, harsh chemicals, and toothpaste containing abrasive particles should be avoided.
FAQ
We distinguish between fixed wire retainers, removable retention appliances, and so-called plate retainers, which resemble loose braces. Depending on the type of correction performed, your orthodontist will recommend a suitable type of retainer or a combination of retainers.
Fixed wire retainers work around the clock without requiring any active effort on your part. Removable plate or splint retainers are often worn continuously at first, and later only at night. The exact procedure may vary depending on the type of correction. In any case, you should follow your orthodontist’s recommendations to prevent your teeth from shifting again.
Retainers should not cause any discomfort from pressure, as can temporarily occur when wearing braces. The teeth are already in their target position and should no longer be moving. If you feel pressure-related pain when inserting the retainer, you should discuss this with your orthodontist, as the teeth may have shifted.
The retention phase lasts just as long as the previous orthodontic treatment, but at least one year. A retention period of two years is often recommended, as tooth position stabilizes during this time. Fixed wire retainers can also remain on the teeth for a lifetime.
Removable retainers often need to be worn only overnight. They can be easily removed for meals. Speaking and eating with a fixed wire retainer may feel a little strange at first, but you should get used to it quickly. Most patients find that it doesn’t feel much different from wearing braces.
If a retainer has come loose or is damaged, please feel free to schedule an appointment at our practice in Zurich at short notice. A wire retainer that has come loose can usually be easily reattached or replaced. A broken splint or plate retainer will be repaired or replaced at the dental lab as needed.