My Glued in Retainer

In our office,  bonded (glued in) retainers are used for certain hard to hold orthodontic corrections.  These include lower front teeth, spaces between upper front teeth and teeth with weak gum and bone support.  

Bonded retainers are not indestructible!  So we reminder our patients and anyone who might have this type of retainer to be careful chewing on hard and very sticky things.  

              It can be more difficult to brush these the teeth with the retainer on.  Make sure you clean all around and remember to floss.  It will be harder to floss with the retainer but you can always use superfloss or floss threaders to get around the bonded retainer.  

                Every night when you brush your teeth check your retainer.  If any part of the retainer comes loose from your tooth, even if part is still attached, make an appointment at the orthodontist as soon as possible.  These bonded retainers are only for holding teeth where they are and do not straighten teeth.  If your retainer comes loose and teeth move or shift a different active appliance will be required to realign your teeth and there will be a charge.  

           As any other dental appliance regular monitoring of this retainer is necessary; either by your orthodontist or by your primary dentist at regular check ups or cleanings.  After a number of years the dentist or orthodontist can remove this glued in retainer and replace it with a removable retainer that can be worn just at night.  (There is a charge for a new retainer)

               In our office after the removal of your active orthodontic appliances and two years of retention office visits we let our patients go on an as needed basis.  This means that we no require them to come in for visits if their retainers are fitting well and causing no problems.  

             We call this a Post Retention Phase or PRP.  Your teeth are now as stable as they ever will be.  Unfortunately, this does not mean your teeth will never move.  So we request that you wear your retention appliances as long as you would like to keep your teeth straight.  At our patients PRP appointment we give them the option with their bonded retainer to leave it, remove it and get a removable retainer or to remove it and do nothing.  

              If a patient chooses to keep the glues in retainer we just ask that they have their dentist check it once a year to make sure teeth are continuing to stay straight and the teeth are being kept clean.  If a patient removes it and has a removable retainer made we just as them to wear this retainer at night with their other removable retainer.  If a patient chooses to go without any retention appliances we just ask that if at anytime their teeth start to move or shift they see an orthodontist as soon as possible so that they can adjust their teeth so they will not have to have full braces again.  We do not recommend this last option!

Wearing your retainer is the best insurance you have to keeping a healthy and attractive smile!

Sports and Orthodontics

Many of our patients have questions about sports and orthodontics and these are some of them.

Should I wear my retainer while playing sports?
            No, you should not wear any removable appliance when playing sports or swimming.  Please bring your appliance or retainer with you to the sporting event.  Remember when playing sports that you could get bumped in the mouth to wear a mouth guard for the safety of your lips and teeth. Please view our blog on helmets & Mouth guards.

What is the best way to protect my teeth when I'm practicing?
           You should wear a mouth guard anytime that you think that you may get bumped in the mouth. This includes wearing a mouth guard during practices and games.  Even the sports that you wouldn't think about needing a mouth guard can be dangerous.  Remember any type of extreme sport, gymnastic exercise or even horseback riding could benefit from wearing a mouth guard.  I always tell my patients that it is their responsibility to wear something to protect their mouths.

I'm afraid I will lose my retainer when I am playing sports can I leave it in the car?
          You should never leave a retainer in the car.  Retainers are very sensitive to heat, and can distort even on a mild day.  Retainers and orthodontic appliances should be kept in a case when not in the mouth and that case should be kept somewhere that nothing will mess with it and will not be forgotten.  If you have your retainer case make sure it has your first and last name on the case in case you lose it.  Make sure you have your phone number or our phone number on the case so it can be returned to you if you forget it somewhere.

I wear my mouth guard when I play hockey but I still brake brackets, what am I doing wrong?
             It is possible that you are wearing the mouth guard incorrectly or you maybe getting hit  in just the right place to knock brackets off.  Please continue wearing the mouth guard to protect your lips and teeth.  Losing brackets may get annoying but it is always better to brake brackets then teeth.  When you do brake a bracket please call our office to get the bracket replaced as soon as possible so that you are not slowing down your progress in your orthodontics.

I went through braces and have straight teeth but what happens if I get hit in the mouth after braces?
              When playing any sport that you could get hit in the mouth you should wear a mouth guard.  If you do get hit in the mouth and your teeth have moved or feel loose put your retainer in as soon as possible.  This retainer will stabilize  teeth so that they will not move in the wrong direction and also prevent the loss of your teeth.  Then you need to see your orthodontist and or your primary dental provider as soon as you can.

How to clean My RETAINERS

Cleaning traditional retainers is very easy. 

           When you are brushing your teeth, take your tooth brush and brush your retainer.  For a more “deep” clean you may use a denture cleaner or Retainer Brite.  This allows bubbles to clean particles away from your retainer.  Follow the instructions on the box.  If you have metal wires on your retainer, don’t leave your retainer in the cleaner for extended times because this can weaken the wires.

Cleaning Essix retainers or Invisalign type retainers can be very easy also. 

               Clean your aligner prior to each insertion.  First use a liquid soap to make a lather in your hand and place the aligner in hand.  Then scrub aligner with hands.  For a more accurate clean you may use a cue tip. We ask you to use a mild liquid soap. This liquid soap may be anti-bacterial if you wish.  Some patients prefer liquid soaps that are scented.  Do NOT use mouth wash.  The coloring can stain your aligners and make them more visible. Toothpaste can be abrasive to the plastic in your aligners. The scratches can collect bacteria causing discoloration and an odor.

“Oops I dropped my retainer in the trash!”

Going into the trash can be the worst scenario for a retainer.  Even if the retainer is found, many patients don’t want to put the retainer back in their mouth.  The best way to really clean your retainer is to brush it with an old toothbrush and get rid of any particles.  Then you can dip the retainer in peroxide or rubbing alcohol.

 If you want, you may bring it into us, and we will clean it for you.   

REMEMBER: if you lose your retainer or break it there may be a charge.

What's Next?

After I am finished with my orthodontic treatment 

what comes next?

              After you are finished wearing braces or Invisalign the next step is retention.  Retainers come in many shapes and sizes.  Each patient is special and has special needs for their teeth so retainers vary from patient to patient.  Whatever type of retainer is chosen for you should be worn for as long as you would like to keep your teeth straight.  So if you would like your teeth to stay straight forever, the only way that you can ensure that they do is to wear a retainer for 4-12 hours everyday or as instructed by the doctor.

In our office we typically use these retainers for these types of orthodontic procedures:

Full fixed (Braces)- Traditional retainer and a bonded (glued in retainer).
Invisalign- Essix (clear in office invisalign type retainer) or a Vivera (made by Invisalign)


What does that mean?

Types of retainers and their pros and cons:

• Traditional Retainers-  These retainers are an oldie but a goodie.  They are more bulky but they have lots of advantages.  These retainers can last 20-30 yrs and still do a great job.  These can have a picture or color choice added to them so that they can show off your personality.  These retainers can be adjusted if teeth have moved and are more forgiving if you slack in wearing them a few nights.  Traditional retainers also are a little less comfortable then the other types of retainers.

• Bonded Lower Retainers- Are a great way to keep your teeth straight and not have to worry about remembering to put it in your mouth.  These retainers are one of the easiest to wear but one of the hardest to keep clean.  Glued in retainers make it difficult to floss and to brush behind but it is possible.

• Essix Retainers- These in office clear plastic retainers are super comfy and invisible but they do have a few drawbacks.  These retainers are great but only last about a year to a year in half just like contact lens.  They can become expensive if you are going to wear them for a life time because you have to replace them yearly.  (About $100 an arch)

• Vivera Retainers- Invisalign's retention appliance is a great option for patients who love the clear aligners but aren't available to get to an orthodontist every year.  These retainers are made by either taking an impression or a LED Scan.  They are made by Invisalign and are made 4 sets at a time.  So you won't have to come back in for appointments yearly.  Also the scans are saved by invisalign so as long as your last aligner fits you may never have to take an impression again.     

Helmets and Mouth Guards

Sports safety is a very important thing to think about when getting involved with any sport. In the past it was seen as un-cool to wear a helmet when riding a bike. In some cities in the US laws are passed to enforce the importance of wearing one for your safety. By spending $20 on a bike helmet, you could not only save yourself from a concussion but also your life. Helmets keep players alive and prevent 1 head injury every four minutes. A face guard is attached to the helmet completely covering the face. This makes players 35% less likely to have a facial injury.

When playing any sports where the player could get hit in the mouth, a mouth guard is needed. People don’t realize that by wearing a mouth guard this decreases the odds of injury to your lips, teeth, and even your brain. When protective mouth wear is being worn correctly, it can decrease the chance of getting a concussion. Mouth guards can range anywhere from $5-$150, but rehabilitation costs for a single tooth knocked out can surpass the price of a custom made mouth guard by 20 times. Most of the sports related injuries happen at practice. So that means not only do you have to wear a mouth guard and helmet during the games but also at practice. In orthodontics we have lots of teens who play a wide variety of sports and extra activities. Some of the most dangerous sports are not ones that you would think would be dangerous. Cheerleading and gymnastics as well as horseback riding are all activities where we have seen a lot of broken brackets and mouth injuries. We see a lot of these injuries because people don’t see them as dangerous and don’t take the precautions that they would for football or hockey. This year alone 5 million teeth will be knocked out while people are playing sports. We at Century Orthodontics hope that you do not become part of that statistic.

How long do I need to wear my retainers?

How long do I need to wear my retainers?

This is a question that is asked almost everyday in our office. The answer is an easy one, you need to wear them as long as you would like to keep your teeth straight. If you would like your teeth to be straight until you are 90 then wear your retainers until you are 90. We can only ensure that your teeth stay straight as long as you wear your retainers and they fit properly. Dr. Waxler always says "Our bodies are ever changing no matter how long you've held your teeth straight they can still move as you get older. Even people who had "perfect" teeth when they were young, often find their teeth moving slightly as they age."

So what good were braces?

The secret of a good orthodontic result is to put the teeth in the most stable position that is possible considering the person's facial structure and dental problems. After a few years in retainers, the tooth arrangement should be reasonably stable; although corrected dental and skeletal problems all have varying tendencies to "rebound". This is like people who always have to be on a diet or wear glasses to correct a problem, some teeth need to be retained forever.

If I decide not to wear my retainer...., should I still see my Orthodontist?

After approximately two years of retainer wear we enter into a post-retention period. We require appointments on a "as needed" basis. Unless you are told that your problem is particularly unstable, you may only need to wear your retainer 2-4 nights a week. If you lose, break or your retainer no longer fits please call our office to make an appointment so we can advise you on what options will fit your situation best. If you have graduated from our office there may be an office visit charge or a replacement fee.

What about my bonded (or glued in) retainer?

You may come back to see us anytime to have our office check your bonded retainer, but your regular dentist can evaluate this retainer for you at your dental check ups. If anything appears to be wrong please call us immediately to have it checked. If we need to remove this retainer we suggest getting a removable retainer to ensure that your teeth will stay straight. You may have this retainer removed at anytime and take an impression for a removable retainer to be made (at the current fee). This removable retainer will be asked to wear at night time for as long as you would like to hold those teeth straight.