Retainers

Orthodontic treatment does not end immediately after the removal of braces, aligners and any other orthodontic structures. Without follow-up measures, all achieved results may disappear in a few months.

The installation of retainers helps to avoid this. In particular, they are intended to correct curvatures of the dentition and bite.

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What are dental retainers?

The dentoalveolar system is a changeable structure. Often after tooth extraction, adjacent chewing elements begin to shift towards the vacated space. This ability of teeth to “migrate” in bone tissue is the basis for correcting defects of the dentoalveolar system.

Bite correction involves the gradual movement of teeth to their natural position. However, without good stabilization, the chewing elements return to their original position. To prevent such a problem, retainers (arches) are used. They can be removable and non-removable. Arches securely fix the teeth in the desired position.

What are dental retainers?

Types of retainers

There are 2 types of arches - removable and fixed. Removable ones include stabilization plates, mouth guards and positioners.

Removable retainers

A stabilization plate made of plastic and a metal arch is usually fixed on the upper teeth. Sometimes it is adapted for the lower chewing elements.

A stabilization cap, formed of transparent plastic, is installed on the upper and lower dental arches. Unlike a plate, a cap has less effect on speech, has better aesthetics and holds the lower incisors more effectively

Fixed retainers

This type is a closed arch, attached to each tooth with a filling mass. The fixed device maintains a stable position of single-root teeth.

Indications and contraindications for installation

Arches preserve aesthetics, prevent the formation of gaps between teeth and eliminate the risk of changing their position. Structurally, they are a metal wire. It is fixed on the lingual side of the teeth (inner surface) - thus it remains invisible from the outside.

The main indications for installing such a device:

  • The presence of prerequisites for crowding of teeth or their displacement
  • The need to hold the teeth in the desired position (in particular, this is important when preparing for prosthetics)
  • The risk of gaps appearing after restoration or extraction of a tooth

The products are not installed against the background of caries and allergic reactions to the materials used. Other contraindications include insufficient oral hygiene and damage to the enamel.

General information

Installing retainers

The first stage of this dental procedure is professional teeth cleaning. During the process, the specialist removes deposits and tartar. If the enamel is damaged, fluoridation methods are used. This helps restore the mineral balance of the teeth.

The next stages are as follows:

  1. Making an impression of the jaw. This is necessary to create a stabilizer adapted to the anatomy of the teeth
  2. Installing a metal arch. The tooth surface is pre-treated with a specific solution that promotes adhesion and protection of the enamel
  3. Fixing in the oral cavity. The metal arch is fixed to the teeth using a composite. Excess material is removed, the surface of the teeth is polished

The last stage is dismantling the stabilizer. In this case, the doctor removes all layers of the composite and polishes the enamel.

Removal

To remove the composite material, the orthodontist uses a drill. The process of removing the arch is quick and takes about half an hour. Removing the retainers looks like this:

  1. The attachment points are carefully ground down
  2. The wire is removed
  3. The adhesive residue is carefully removed
  4. The teeth are polished until smooth

It is not recommended to remove the structures yourself. This is fraught with leaving adhesive on the teeth, damaging the enamel, injuring the mucous membrane and (in the most severe cases) infection.

Maintenance of retainers

Maintenance of removable arches is quite simple. They should be washed daily (morning and evening) with warm running water. Periodically (1-2 times a week) they should be cleaned with a brush and toothpaste

Non-removable arches require more thorough care. This is due to the fact that the wire connects several teeth and plaque accumulates in the interdental spaces. It should be removed during the process of brushing your teeth. In addition, periodically (2-3 times a year) you need to visit the dentist for professional cleaning.

Answers to popular questions

Features of bite correction with retainers

Fixed stabilization devices can be permanently installed. Removable ones are usually worn during the day or at night (as directed by a doctor).

How long should you wear retainers?

The duration of using stabilization devices depends on the complexity of the case. The exact period is determined by the orthodontist.

Usually, the period of wearing arches is twice as long as the period spent in braces. Thus, if good braces were used for 2 years, stabilization devices are installed for 4 years.

What Doctors Think About the Impact of Wisdom Teeth on Retainers

“When the “eight” erupts, many people wonder if it will shift the teeth held by retainers. Usually, the upper wisdom teeth grow in an arch and have enough space. The lower wisdom teeth are also unlikely to cause any discomfort. However, to give an accurate answer, it is necessary to analyze the entire dental system during an in-person examination.

If wisdom teeth do not cause discomfort and do not threaten the bite, it is better not to touch them. However, at the first signs of tooth displacement, they should be removed. Otherwise, wearing retainers will be very uncomfortable.

Our clinic (Moscow) installs retainers at affordable (below average) prices and provides many other services. To make an appointment with a doctor, use the application form. Check the cost of installing retainers with the manager of the medical center.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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