Following the completion of orthodontic treatment, the removal of braces or clear aligners indicates that the active treatment process has come to an end. To preserve the treatment outcome over the long term, the retention process applied after active orthodontic treatment is just as important as the treatment process itself. This process is called the retention period and aims to reduce the tendency of teeth to shift back toward their original positions.
After orthodontic treatment, the bone and soft tissues surrounding the teeth require a certain amount of time to adapt to the new alignment. For this reason, the regular use of retainers or clear retention aligners recommended by the orthodontist contributes to preserving treatment success.
Serving in Adana, Orthodontic Specialist Spec. Dt. Emin Serhat Arıkan evaluates his patients' dental structure and treatment outcome after orthodontic treatment to create a personalized retention plan, supporting the preservation of treatment results through regular check-ups.
What is Post-Orthodontic Treatment?
The post-orthodontic treatment process is the follow-up period applied after the completion of braces or clear aligner treatment to preserve the achieved dental alignment.
Thanks to fixed or removable retention appliances used during this process, the aim is to reduce the tendency of teeth to shift position again. At the same time, the time necessary for the bone and surrounding tissues to adapt to the new dental alignment is supported.
Because every individual's oral structure, orthodontic problem, and treatment plan are different, the retention method to be applied is also determined on a personalized basis.
Why is Post-Orthodontic Treatment Important?
After orthodontic treatment is completed, teeth may exhibit a tendency to move back toward their old positions over time due to the natural adaptation process. The main reason for this is not solely tooth movement, but the adaptation process of the bone, periodontal ligament tissues, and perioral muscles surrounding the teeth to the new position.
The purpose of retention treatment is to:
- Help preserve the new alignment of the teeth
- Support the long-term success of orthodontic treatment
- Reduce the risk of relapse (reoccurrence of crowding)
- Support the continuity of a functional bite
- Contribute to preserving the aesthetic treatment result.
Why Can Teeth Move Again After Orthodontic Treatment?
There are many biological and functional factors that can cause teeth to undergo position changes again following orthodontic treatment.
Among these are factors such as:
- Incomplete adaptation of the bone tissue surrounding the teeth to the new position
- The tendency of periodontal ligament tissues to maintain their old position
- Continued forces exerted by the tongue, lip, and cheek muscles
- Persistence of habits such as tongue thrusting or improper swallowing
- Failure to use retainers or retention aligners as recommended
- Breakage of or damage to a fixed retainer
- Teeth-clenching and teeth-grinding habits
- Habits that can harm the teeth, such as nail-biting or biting on pens or hard objects
- Pressure that may be exerted by wisdom teeth
- Jaw changes related to growth and development processes.
Therefore, it is important to continue regular check-ups even after active orthodontic treatment is completed.
Which Retention Appliances Are Used After Orthodontic Treatment?
Different retention methods can be applied to preserve the new positions of teeth after orthodontic treatment is completed. Which appliance will be used is determined on a personalized basis depending on the patient's treatment plan, jaw bite structure, and the response of the teeth to treatment.
The most commonly preferred retention methods are:
- Fixed retainer (thin wire bonded to the inner surface)
- Clear retainer (Essix aligner)
- Hawley retainer
While only a single method is applied in some patients, fixed and removable appliances can be used together in certain cases.
Fixed Retainer (Wire Bonded to the Inner Surface)
A fixed retainer consists of thin metal wires bonded to the back surfaces of the front teeth with special materials. This system, which is unnoticeable from the outside, helps reduce the risk of re-crowding that may occur, particularly in the lower and upper front teeth. Regular oral care and orthodontic check-ups at specified intervals are important for individuals with fixed retainers.
Clear Retainer (Essix Aligner)
A clear retainer is a thin, transparent appliance that covers all of the teeth. It is generally used regularly for the duration recommended by the orthodontist during the initial period following orthodontic treatment. In subsequent periods, wear duration can be re-planned according to the individual. Due to its transparent structure, it can provide aesthetically comfortable use in daily life.
What is a Hawley Retainer?
A Hawley retainer is a removable retention appliance consisting of an acrylic plate and metal wire components. It can be used to help preserve the position achieved for teeth after orthodontic treatment.
Regular use of the appliance for the recommended duration, ensuring its hygiene, and conducting scheduled check-ups on time help preserve the dental alignment achieved through treatment.
What Should Be Taken Care of After Orthodontic Treatment?
To preserve the outcome achieved after orthodontic treatment is completed, certain recommendations should be observed:
- The retainer or clear retention aligner should be used as recommended by the orthodontist.
- When a removable appliance is not in use, it should be stored in its protective case.
- Care should be paid to oral hygiene in areas where fixed retainers are present.
- Caution should be exercised when consuming hard and sticky foods.
- Habits such as teeth-clenching, nail-biting, and biting hard objects should be avoided.
- Scheduled control appointments should be followed regularly.
How is Care Performed for Retainers and Clear Aligners?
Regular cleaning of retention appliances contributes both to preserving oral health and extending the usable lifespan of the appliance.
Areas with fixed retainers should be carefully cleaned using a toothbrush, dental floss, or interdental cleaning products.
Clear retainers should be cleaned daily with lukewarm or cold water, applying the cleaning methods recommended by the orthodontist. High-temperature water should not be used, as it can cause structural deformation of the appliance.
Storing removable appliances in their protective case when not in use can reduce the risk of breakage or loss.
Why Are Check-ups Important After Orthodontic Treatment?
Control examinations performed during the retention period allow for evaluating whether teeth are preserving their new positions.
During check-ups, various criteria play an important role in evaluating overall oral and dental health, such as:
- the integrity of the retainer,
- the fit of the clear aligner,
- the presence of any unwanted tooth movement,
- oral hygiene,
- and gum health.
Noticing potential problems at an early stage can help make necessary adjustments on time.
How Long Does the Post-Orthodontic Process Continue?
The duration of retention treatment is not the same for every individual.
This process may vary depending on:
- the orthodontic treatment method applied,
- the degree of initial crowding,
- the patient's age,
- the biological movement characteristics of the teeth,
- and the retention method used.
Complying with the usage duration determined by the orthodontist can allow for preserving treatment outcomes.
How Are Retainer Prices Determined After Orthodontic Treatment?
The fee for retention treatment to be applied after orthodontic treatment may vary depending on:
- the type of retainer to be used,
- the preference for fixed or removable appliances,
- the scope of the procedure to be performed,
- additional applications required,
- and the personalized treatment plan.
Exact price information is determined following an orthodontic examination and treatment planning.
Adult Orthodontics