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Brackets and wires, clear aligners, lingual braces, regular brackets, self-ligating braces, elastics, spacers—you and your orthodontist have had to narrow down a lot of choices to discover the best treatment for your orthodontic needs. Now that the end of treatment is in sight, there’s one more important choice left—your retainer!

Do I Need a Retainer?

No retainer at all is probably the one option that’s off the table from the start. It’s not just your teeth that have changed position; it’s the bone and ligaments holding them that have changed as well.

A retainer prevents your teeth from moving away from their new, ideal location while your bones and ligaments are stabilizing. This process takes months, so keeping your teeth in place as your bone rebuilds and regains density is crucial.

What Are Your Retainer Options?

Three of the most popular retainer options available at our Hampstead, NC and Jacksonville, NC office include:

• Hawley Retainers

This is the traditional retainer, with wires to hold your retainer in place and to keep the teeth properly aligned. The wires are attached to an acrylic plate molded to fit the roof of your mouth or around your bottom teeth. You can customize the acrylic base with colors and patterns for a one-of-a-kind look.

Hawley retainers are adjustable, so minor realignments can take place if necessary. The wire in front of your teeth makes these retainers visible, but, after several months of wearing them all day long, you may end up wearing them only at night.

Hawley retainers are removable, so you need to make sure they are safely in a case when you’re not wearing them. Minor damage can often be repaired, but it’s better to be proactive.

• Clear Plastic Retainers

These retainers look like clear aligners. They are formed by heating a thin piece of plastic and vacuum-forming it around a model of your teeth to create a custom, comfortable fit.

Clear retainers are almost invisible when worn, and can be removed when you eat or drink—which they should be, because food particles and liquids can be trapped inside them.

When you’re not wearing it, a clear retainer should always be in its case, because it must be replaced if the plastic is warped, cracked, or broken.

• Fixed Retainers

A fixed retainer is a small single wire bonded to the back of specific teeth, commonly the six bottom front teeth. Because fixed retainers don’t allow the teeth to move at all, they are often recommended for patients who had serious misalignments, extremely crowded teeth, or teeth with large gaps between them.

Many patients like fixed retainers because they keep teeth in perfect alignment, they won’t be seen, they’re comfortably small, and they can’t end up in the cafeteria recycling bin because you forget to replace them after lunch!

Fixed retainers are usually quite durable, but you’ll need to pay attention to your diet, because crunchy and chewy foods can put pressure on the retainer and damage it. These retainers also require special care with brushing and flossing, to make sure the teeth bonded to the wire stay clean and plaque-free.

The Right Retainer

The process of stabilizing your teeth in the jaw takes time. Choosing your retainer will depend in part on how long and how often you need to wear it: fulltime for months or for years, at night after several months of day-and-night wear, or long-term to make sure your orthodontic work lasts.

And there are other variables, as well. Your retainer might need to be removable. It might need to be adjustable. You might need a retainer for just your upper teeth, just your lower teeth, or both. All these factors and more need to be taken into consideration before deciding on your ideal retainer.

Fixed, removable, wire, plastic, colorful, clear—which retainer is right for you? The one that helps you retain the beautiful smile you’ve worked for all these months. Talk to Dr. Kevin Mancini to discover the retainer that will protect that smile for years to come.

As we start our summer, our team at Mancini Orthodontics wants to remind our patients who have completed treatment that it is very important to wear your retainer as prescribed even while away for vacations and summer camps.

If you are away from home and only wearing your retainer at night, here is a helpful tip: after removing and brushing your retainer in the morning, place it back in the case and then put it with your PJ’s or on your pillow. That way you have a reminder to put your retainer back in at night.

Remember, retainers should be worn every night, not just some nights.

We wish you safe travels and adventures this summer!

Now that you’ve graduated from your braces or aligners, you might think you’re finished with orthodontic cleaning tips. Not quite yet! Your retainer needs love, too—not just because it can look or smell “less than appealing” without your help, but because it’s good for your dental health.

Removable Retainers

If you have a Hawley retainer or a clear retainer, cleaning it whenever you remove it is a great idea. Unappetizing white patches mean plaque or mineral deposits from your saliva have dried and hardened on your retainer’s surface. And if you notice an unpleasant taste or odor, it probably means that germs and bacteria have made themselves at home and are growing in and on your appliance.

You don’t want old plaque or new bacteria in your mouth! Here are some ways to keep your retainer clean and fresh:

• After wearing it, you can clean your retainer with a toothbrush, but don’t brush too vigorously. You might scratch it. Use a soft or even extra-soft brush to clean out all the nooks and crannies, and then rinse.
• Use cleaning products which have been recommended by Dr. Kevin Mancini if your retainer needs a deeper clean. Denture cleaners, retainer cleaners, and even toothpastes can be too abrasive or cause discoloration, so use the products made for your specific retainer.
• Let your retainer dry before storing it in a dry place after cleaning. Shutting a damp retainer into a closed case provides bacteria with the damp, dark environment they thrive in. (PS—clean your case regularly, too!)
• One of the benefits of a clear retainer is that it’s almost invisible. And you can help keep it that way by removing it whenever you eat or drink. Your retainer can become stained from colored foods or liquids.

Fixed Retainers

A permanent retainer is a small piece of wire that is custom-fit and bonded to the inside of selected teeth to keep them from shifting. Because food particles and plaque can accumulate around a fixed retainer, brushing after meals and at least twice a day is recommended. Bacteria and plaque cause bad breath, cavities, and tartar buildup, and removing tartar might require removing your retainer.

While a fixed retainer can be tricky to clean, there are techniques and products that make cleaning easier and more effective:

• An orthodontic toothbrush with a smaller head might reach behind your teeth more comfortably.
• Don’t forget to floss! Using a floss threader will help you get that wriggly floss behind the retainer and between your teeth.
• Try a water flosser. These handy devices direct a stream of water right into hard-to-reach places for more thorough cleaning.

If you’re having trouble keeping your retainer clean, our Hampstead, NC and Jacksonville, NC orthodontic team can teach you all you need to know about tools and techniques to keep your retainer—and your teeth and gums—healthy. An attractive smile is a great thing. A healthy, attractive smile is even better!

It’s only natural when you’re waiting for something good—you count down the weeks until your birthday, or until the summer holidays, or until your braces come off. But while your birthday and your vacation won’t come any faster no matter what you do, you can help determine just how fast that happy day arrives when you’re done with your orthodontic treatment.

When you first got your appliance, Dr. Kevin Mancini gave you an estimate of how long your treatment would take. Of course, that estimate is based on everything going according to plan. What are some detours that can delay your progress?

• Missing Appointments

With every adjustment at our Hampstead, NC and Jacksonville, NC office, you are moving closer to the ideal positioning for your teeth. If you miss or postpone appointments, it can take just that much longer to complete your orthodontic work.

• Eating the Wrong Foods

You have a list of foods that are on the do-not-eat list. Hard, chewy, sticky bites are famous braces-breakers, but don’t forget that size also matters! Biting into a juicy apple or a buttery ear of corn can damage your brackets and wires just as much as chewy candy can. Be sure everything you eat is size-appropriate and braces-friendly. Obviously, damaged braces can’t straighten teeth as effectively as intact appliances!

• Sticking with Bad Habits

Pressure from nail biting, chewing pencils, or crunching on ice can cause chips and cracks in your teeth, so just think what they can do to your appliance. Ask us for tips for quitting if you’ve picked up any of these habits. We know habits can be hard to break, but they are harder on your teeth and braces. If you bend or break a wire or loosen a bracket, you might be delaying your orthodontic progress. Which leads us to . . .

• Ignoring Appliance Accidents

Accidents happen. Brackets or metal bands can become loose; wires can bend or break; spacers can fall out. If you notice a problem, call our office right away. Sometimes a minor problem can wait, but if your appliance is damaged, your teeth aren’t moving into position on schedule.

• Blowing Off Bands

If you have bands to help correct your bite, be sure that you wear them as directed. If you skip hours or days of band-wear, you are adding to the time it will take to correct the bite problems they are meant to fix. And don’t double band to speed things up—that might put too much pressure on your teeth. Just follow our recommendations, and you will be done with those bands—and those braces—as soon as possible.

But, wait! We promised you one sure way to keep your orthodontic progress on track:

• Follow Your Treatment Plan

If you keep your appointments, take care of your braces, call us promptly if they are damaged, and wear your appliance as directed, you will be doing your part to keep your treatment on track. And that happy day when your braces come off? It will arrive right on schedule!