Retention Phase in Orthodontic Treatment: What to Do for a Lasting Smile

A stage of orthodontic treatment that is at least as important as the beginning is the retention period, that is, the period of consolidation. When your teeth are properly positioned, it is imperative to use retention devices to maintain their new position. So, what is retention, why is it so important and what should you do for a lasting smile?

Why is Retention So Important?

During orthodontic treatment, the teeth are moved from their place inside the jawbone to their new position. But it takes time for the teeth to fully adapt to these new positions and for the bone structure to reshape around them. When retention devices are not used after the end of treatment, the teeth naturally tend to return to their former position. To this situation relapse (relapse) is called and can waste all the effort of orthodontic treatment. Although relapse usually begins in the form of a slight shift, over time it can cause the teeth to become significantly crosslinked and return to their pre-treatment state. Retention devices hold the teeth in their new location, allowing the bone and connective tissues to stabilize, so that the smooth sequencing achieved is permanent.

Types of Retention Device: Which One Is Right for You?

There are two main types of retention devices used in orthodontic treatment: fixed (permanent) retention devices and movable (removable) retention devices. Your orthodontist will recommend the most appropriate one according to your case and the condition of your teeth.

• Fixed Retention Devices (Lingual Bonded Retainers): These devices consist of a thin wire, which is usually glued behind the lower and sometimes the upper front teeth, that is, on the side of the tongue. They are completely invisible from the outside and remain constantly attached, as they stand firmly on your teeth. Thanks to this, they do not require patient compliance and constantly prevent the teeth from slipping back. Their main advantage is that they do not require patient responsibility and provide 24/7 protection. The disadvantages are that it is somewhat more difficult to clean, as food can get stuck between the strands, and requires regular brushing and flossing. Rarely, there may be situations such as breakage of the wire or the appearance of glue, in which case an orthodontist should be consulted immediately.
• Movable Retention Devices: These devices are appliances that can be put on and removed by the patient himself. The most common Hawley apparaten and transparent plaque retention devices (Essix retainers)is.
  • Hawley Apparatus: They are traditional apparels with an acrylic palate part and a metal wire that runs through the front surface of the teeth. They are durable and, thanks to being adjustable, can also make light corrections.
  • Transparent Plaque Retention Apparatus (Essix Retainers): It is made of a transparent plastic that sits on the teeth, similar to transparent plaques. They are very preferable from an aesthetic point of view, as they are almost invisible.

The main advantage of movable appliances is that they are removable for oral hygiene. However, the biggest disadvantage is is that they are dependent on patient compliance. They need to be worn regularly for the specified period, otherwise the teeth may slip back. Initially, it may need to be worn full day, then only at night.

Tips for Success in the Retention Process

To succeed in the retention process and maintain your smooth smile for life, you need to pay attention to some important points:

• Follow Your Orthodontist's Instructions: Strictly follow your orthodontist's instructions for how long and how you should use your retention device. This is the most critical step for the success of treatment.
• Regular Checks: It is also important to visit the orthodontist regularly during the retention period. These checks will check the condition of your appliance, make the necessary adjustments and assess whether your teeth have a tendency to slip.
• Oral Hygiene: Both stationary and mobile retention devices need to be cleaned regularly. For fixed strands, you should use special toothbrushes and dental floss, and clean the movable appliances every time you remove them. Poor hygiene can lead to tooth decay or gum problems.
• Aparey Care: Store your moving appliances in a box and keep away from high heat. Contact your orthodontist immediately if they are lost or damaged.
• Be patient: The process of retention is a period as important and requires patience as the treatment itself. Do not neglect this stage to maintain the beautiful smile you have achieved.

Remember, the retention period is the last and most important step in your orthodontic treatment. Successfully completing this step will ensure that you have that perfect smile that you have dreamed of for a lifetime.

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