Retainers are an important part of your orthodontic treatment. They are necessary to keep the teeth straight after active orthodontic treatment has been completed. Dr. Nickolaychuk and Dr. Kotyk will continue to monitor your retainers for at least six months subsequent to removal of the braces.
Removable Plastic Retainers
Removable plastic retainers are the most popular retainers. They can be made in various colors for no charge. As long as they are worn according to Dr. Nickolaychuk’s instructions, they offer superior retention of the teeth while allowing proper oral hygiene since they are removable. These retainers are included with your treatment as they are the retainers that are normally recommended. Should these be lost or broken there will be a lab fee to replace them. The removable retainers are to be worn full-time for 6 months followed by night-time wear throughout life. This protocol will ensure that the teeth remain straight for a lifetime!
Clear Plastic Retainers
Clear plastic retainers are esthetically pleasing. They can be fabricated for a fee of $100.00. Used alone, they do not prevent relapse as well as the other retainers and they interfere with the bite. This is why it is important that they are used part-time along with the removable plastic retainer or a permanent retainer. Clear plastic retainers are more fragile and they tend to break more often. They are only guaranteed for 6 months.
Permanent Retainers in Conjunction with Removable Retainers
Studies show that 70% of patients will experience some unfavorable tooth movement if retainers are not worn as instructed. Permanent retainers are most suitable for patients who may have started treatment with a large space between the front teeth or with significant incisor crowding. Patients who have experienced relapse previously can also benfit from permanent retainers. Not every patient is a candidate for this type of retainer. Dr. Nickolaychuk or Dr. Kotyk would need to assess whether this type is an option for you. The wire is cemented to the back of the teeth and it is meant to be permanent. The main disadvantage of this retainer relates to oral hygiene. It is difficult to floss around the retainer. Plaque and calculus often accumulate around the wire. This type of retainer is only guaranteed for one year. There will be fees after that time should any maintenance appointments be required.
Retainers are part of your treatment and one set will be provided to you at no cost. A lab fee will be charged for repairs due to abuse or negligence or if they are not worn as instructed. Since permanent retainers are intended to be permanent, there will be a fee for removal or ongoing repairs (i.e.
replacement or rebonding).