A Guide through Orthodontic Treatment
Fitting Retainers & After Care
Fitting Retainers
To   avoid   any   significant   tooth   movement,   this   appointment   should   be   a   week   or   less after   your   braces   are   removed   -   any   more   and   the   teeth   can   move   apart   sufficiently so that the moulded plastic retainers won’t fit. Your   teeth   will   always   have   a   tendency   to   revert   to   their   original   position.   So   after your   braces   are   removed,   you   will   need   to   wear   retainers   to   hold   your   teeth   in   position -   as   long   as   you   want   straight   teeth.   Indeed,   some   adult   patients   I   treat   had   braces   as children, but as a result of not wearing a retainer need orthodontic treatment again. There are two types of retainers:
Plastic   Removable   Retainers   -   worn at      night,      these      are      made      in      a laboratory.   They   should   be   worn   every night   for   a   year   after   debonding,   then     indefinitely,   for   as   long   as   you   wish   to maintain   your   smile.   You   may   be   able to    reduce    your    wear    of    the    retainers after   the   first   year,   unless   they   still   feel tight   and   then   you   may   still   need   to wear      them      every      night.      Plastic Retainers      generally      need      to      be replaced   every   few   years   -   and   more frequently    if    you    grind    your    teeth    at night.
Bonded   Metal   Retainer   -   where   I   will permanently   stick   a   metal   strip   to   run along    the    back    of    your    teeth.    These have    a    long    lifespan    and    may    only need    replacing    every    5    -    20    years, however    this    depends    on    how    you maintain   the   retainer.   You   will   need   to be   careful   how   you   bite   in   crunchy   or sticky     foods,     in     a     similar     way     to wearing braces.
The   bonded   metal   retainer   is   worn   in   addition to   the   removable   retainer.   If   your   oral   hygiene is    not    adequate    I    will    recommend    only    a removable   retainer   to   be   worn   as   there   is   a risk     of     tooth     damage     if     not     adequately maintained.   There   are   only   a   few   situations   in which   a   bonded   retainer   may   be   fitted   after NHS treatment. After    your    brace    has    been    removed,    if    you have   white   marks   on   your   teeth   around   the brackets   as   a   result   of   decalcification,   you   can squeeze   some   tooth   mousse   into   your   plastic retainers   before   you   put   them   on   your   teeth   at night.   This   should   reduce   the   intensity   of   the white   marks.   One   tube   is   enough,   using   more is unlikely to make a difference.
After Care
We   take   great   pride   in   providing   outstanding   orthodontic   treatment   and   in   order   to maintain   your   result   you   will   need   to   take   responsibility   for   wearing   and   maintaining your retainers. If   you   have   had   your   treatment   privately,   we   arrange   for   a   follow   up   at   3,   12   and   24 months   after   your   braces   are   removed   as   part   of   the   initial   treatment   cost.   Following this there will be a fee for review appointments. As   part   of   NHS   treatment   we   arrange   follow   ups   at   3   and   12   months   after   your   braces are   removed,   after   which   you   are   automatically   discharged   back   to   your   dentist,   who may   be   able   to   provide   new   retainers   should   you   need   them.   Alternatively,   I   am   happy to see you, but on a private basis.
copyright 2016 Orthodontics by Eva
Tel: 01962 865560
Email: eva@orthodonticsbyeva.co.uk
Dr Eva Lewin
St James Dental Practice
7 St James Terrace, Winchester, SO22 4PP
copyright 2016 Orthodontics by Eva
A Guide through Orthodontic Treatment
Fitting Retainers After Care
Fitting Retainers
To    avoid    any    significant    tooth    movement, this   appointment   should   be   a   week   or   less after   your   braces   are   removed   -   any   more and   the   teeth   can   move   apart   sufficiently   so that the moulded plastic retainers won’t fit. Your   teeth   will   always   have   a   tendency   to revert    to    their    original    position.    So    after your   braces   are   removed,   you   will   need   to wear   retainers   to   hold   your   teeth   in   position -   as   long   as   you   want   straight   teeth.   Indeed, some   adult   patients   I   treat   had   braces   as children,   but   as   a   result   of   not   wearing   a retainer need orthodontic treatment again. There are two types of retainers:
Plastic   Removable   Retainers   -   worn   at night,   these   are   made   in   a   laboratory.   They should   be   worn   every   night   for   a   year   after debonding,   then      indefinitely,   for   as   long   as you   wish   to   maintain   your   smile.   You   may be     able     to     reduce     your     wear     of     the retainers    after    the    first    year,    unless    they still   feel   tight   and   then   you   may   still   need to   wear   them   every   night.   Plastic   Retainers generally   need   to   be   replaced   every   few years   -   and   more   frequently   if   you   grind your teeth at night.
Bonded    Metal    Retainer    -    where    I    will permanently   stick   a   metal   strip   to   run   along the   back   of   your   teeth.   These   have   a   long lifespan   and   may   only   need   replacing   every 5   -   20   years,   however   this   depends   on   how you   maintain   the   retainer.   You   will   need   to be   careful   how   you   bite   in   crunchy   or   sticky foods, in a similar way to wearing braces.
The     bonded     metal     retainer     is     worn     in addition   to   the   removable   retainer.   If   your oral     hygiene     is     not     adequate     I     will recommend   only   a   removable   retainer   to   be worn   as   there   is   a   risk   of   tooth   damage   if not   adequately   maintained.   There   are   only a   few   situations   in   which   a   bonded   retainer may be fitted after NHS treatment. After   your   brace   has   been   removed,   if   you have   white   marks   on   your   teeth   around   the brackets   as   a   result   of   decalcification,   you can   squeeze   some   tooth   mousse   into   your plastic    retainers    before    you    put    them    on your   teeth   at   night.   This   should   reduce   the intensity   of   the   white   marks.   One   tube   is enough,   using   more   is   unlikely   to   make   a difference.
After Care
We      take      great      pride      in      providing outstanding    orthodontic    treatment    and    in order   to   maintain   your   result   you   will   need to     take     responsibility     for     wearing     and maintaining your retainers. If   you   have   had   your   treatment   privately, we   arrange   for   a   follow   up   at   3,   12   and   24 months   after   your   braces   are   removed   as part   of   the   initial   treatment   cost.   Following this     there     will     be     a     fee     for     review appointments. As   part   of   NHS   treatment   we   arrange   follow ups   at   3   and   12   months   after   your   braces are      removed,      after      which      you      are automatically     discharged     back     to     your dentist,   who   may   be   able   to   provide   new retainers        should        you        need        them. Alternatively,   I   am   happy   to   see   you,   but   on a private basis.
copyright 2016 Orthodontics by Eva
A Guide through Orthodontic Treatment
Fitting Retainers After Care
Fitting Retainers
To   avoid   any   significant   tooth   movement,   this   appointment should   be   a   week   or   less   after   your   braces   are   removed   - any   more   and   the   teeth   can   move   apart   sufficiently   so   that the moulded plastic retainers won’t fit. Your   teeth   will   always   have   a   tendency   to   revert   to   their original   position.   So   after   your   braces   are   removed,   you   will need   to   wear   retainers   to   hold   your   teeth   in   position   -   as long   as   you   want   straight   teeth.   Indeed,   some   adult   patients I   treat   had   braces   as   children,   but   as   a   result   of   not   wearing a retainer need orthodontic treatment again. There are two types of retainers:
Plastic   Removable   Retainers   -   worn   at   night,   these   are made   in   a   laboratory.   They   should   be   worn   every   night   for   a year   after   debonding,   then      indefinitely,   for   as   long   as   you wish   to   maintain   your   smile.   You   may   be   able   to   reduce   your wear   of   the   retainers   after   the   first   year,   unless   they   still   feel tight   and   then   you   may   still   need   to   wear   them   every   night. Plastic   Retainers   generally   need   to   be   replaced   every   few years - and more frequently if you grind your teeth at night.
Bonded   Metal   Retainer   -   where   I   will   permanently   stick   a metal   strip   to   run   along   the   back   of   your   teeth.   These   have   a long   lifespan   and   may   only   need   replacing   every   5   -   20 years,    however    this    depends    on    how    you    maintain    the retainer.   You   will   need   to   be   careful   how   you   bite   in   crunchy or sticky foods, in a similar way to wearing braces.
Mid-treatment with upper and lower metal fixed braces to create a space for missing teeth.
The    bonded    metal    retainer    is    worn    in    addition    to    the removable   retainer.   If   your   oral   hygiene   is   not   adequate   I   will recommend   only   a   removable   retainer   to   be   worn   as   there is   a   risk   of   tooth   damage   if   not   adequately   maintained. There   are   only   a   few   situations   in   which   a   bonded   retainer may be fitted after NHS treatment. After   your   brace   has   been   removed,   if   you   have   white   marks on     your     teeth     around     the     brackets     as     a     result     of decalcification,   you   can   squeeze   some   tooth   mousse   into your   plastic   retainers   before   you   put   them   on   your   teeth   at night.   This   should   reduce   the   intensity   of   the   white   marks. One    tube    is    enough,    using    more    is    unlikely    to    make    a difference.
After Care
We   take   great   pride   in   providing   outstanding   orthodontic treatment   and   in   order   to   maintain   your   result   you   will   need to    take    responsibility    for    wearing    and    maintaining    your retainers. If   you   have   had   your   treatment   privately,   we   arrange   for   a follow    up    at    3,    12    and    24    months    after    your    braces    are removed   as   part   of   the   initial   treatment   cost.   Following   this there will be a fee for review appointments. As   part   of   NHS   treatment   we   arrange   follow   ups   at   3   and   12 months   after   your   braces   are   removed,   after   which   you   are automatically   discharged   back   to   your   dentist,   who   may   be able    to    provide    new    retainers    should    you    need    them. Alternatively, I am happy to see you, but on a private basis.