Retainers

Retainers are orthodontic devices designed to maintain the alignment and position of teeth after orthodontic treatment, such as braces or Invisalign. They are custom-made appliances typically made of plastic or metal wire that fit snugly over the teeth, helping to prevent them from shifting back to their original positions. Retainers are usually worn for a specified period, often at night, as directed by an orthodontist. This retention phase is crucial in ensuring that the results of orthodontic treatment remain stable and teeth remain correctly aligned over the long term. 

Types of Retainers 

Hawley Retainers 

Hawley retainers are one of the oldest and most traditional types used in orthodontics. They consist of durable plastic (acrylic) and a metal wire that wraps around the teeth. The acrylic portion is custom-made to fit the roof of the mouth or the inside of the lower teeth, while the wire component is adjustable by orthodontists to maintain tooth alignment. As the orthodontist advises, Hawley retainers are typically worn full-time initially and then gradually reduced to nighttime wear only. 

Benefits: 

• Hawley retainers effectively retain teeth and correct them after braces or Invisalign treatment. 

• Adjusting the wire allows for fine-tuning tooth alignment during the retention phase. 

• They are sturdy and less prone to wear and tear than other retainers. 

Essix Retainers 

Essix, known as clear retainers, have gained popularity for their discreet appearance and comfort. They are made from transparent plastic that fits snugly over the teeth, resembling the material used in Invisalign aligners. Essix retainers are custom-made to fit each patient's dental arch precisely, providing effective retention without the visibility of traditional retainers. They are typically worn full-time initially and then transitioned to nighttime wear, as the orthodontist advises. 

Benefits: 

• Essix retainers are nearly invisible, making them ideal for patients concerned about the appearance of their retainers. 

• They are comfortable to wear and do not interfere with daily activities like eating or speaking. 

• Each Essix retainer is custom-made to fit the patient's teeth precisely, ensuring effective retention. 

Fixed (Bonded) Retainers 

Fixed retainers, also known as bonded retainers, are permanent retention solutions that are bonded to the back of the teeth using dental cement. They are typically placed on the lingual (tongue-facing) side of the lower front teeth, with a higher risk of orthodontic relapse. Fixed retainers provide continuous retention without requiring daily insertion and removal, ensuring that teeth remain in their corrected positions indefinitely. 

Benefits: 

• Fixed retainers remain in place 24/7, ensuring constant retention without the possibility of forgetting to wear them. 

• They require no special care beyond regular oral hygiene practices such as brushing and flossing. 

• Unlike removable retainers, fixed retainers do not interfere with speech. 

Why Retainers are Necessary 

Prevent Teeth Relapse 

After braces or aligners straighten teeth, teeth naturally tend to shift back to their original positions. Retainers hold teeth in their new positions while the surrounding gums and bones adjust. This prevents relapse and ensures the long-term success of orthodontic treatment. 

Stabilize Bite Alignment 

Retainers help stabilize the corrected bite. They ensure that the upper and lower teeth fit together correctly (occlusion), which is essential for adequate chewing, speaking, and oral function. This stability reduces the risk of jaw problems and maintains oral health. 

Promote Bone Remodeling 

The bone and tissues surrounding the teeth need time to adapt to their new positions. Retainers facilitate this process by exerting gentle pressure on the teeth, encouraging bone remodeling to support the new alignment. This helps to maintain healthy bone density and structure around the teeth. 

Protect Investment in Orthodontic Treatment 

Orthodontic treatment involves significant time and financial investment. Retainers help protect this investment by ensuring that the results achieved through braces or aligners are maintained over the long term. This minimizes the need for additional orthodontic work in the future. 

Customized to Individual Needs 

Retainers are often customized to fit each patient's unique dental anatomy and treatment plan. Depending on the specific orthodontic needs and preferences, they can be removable or fixed (bonded to the teeth). 

Manage Dental Shifts Due to Aging 

As individuals age, natural jaw and dental structure changes can cause minor shifts in tooth alignment. Retainers, especially those worn long-term, can help manage these changes and maintain a straighter smile. 

How to Care for Retainers 

• Retainers should be cleaned daily using a toothbrush, mild soap, or denture cleaner to remove plaque and bacteria. 

• When not in use, retainers should be stored in their case to protect them from damage or loss. 

• Follow-up appointments with your orthodontist are essential to monitor the condition of your retainers and ensure they continue to fit correctly. 

Retainers are essential for maintaining orthodontic treatment results and preserving a straight, healthy smile. Visit Dental Specialists of New York PC at 150 East 58th Street, New York, NY 10155, 110 York Street Brooklyn, NY 11201, or 476 48th Street, 3rd Floor Brooklyn, NY 11220, to determine the best type of retainer for your individual needs and embrace the commitment to long-lasting oral health and aesthetics. You can schedule an appointment online or call us at (212) 661-2192.