Once the orthodontic treatment has been carried out, the practitioner places a retention system to hold the new dentition in place. The greater the tooth displacement, the stronger the retention must be. The objective is to stabilize the new dentition so that it does not return to its initial shape (this is called recurrence), or that it does not present new anomalies when moving.
Stabilize the Dentition
The jawbone, gums and alveo-dental ligament were crushed by orthodontic treatment. They need to get used to their new positioning and solidify to ensure the stability of the new dentition. The time required to achieve this stabilization varies greatly from patient to patient. Wearing the restraint, associated with monitoring the dentition via a few appointments during the year with the orthodontist helps prevent many recurrences. Find the best retainer online now.
Fixed Or Removable Restraints
The choice of the restraint device varies according to the patient, his age and his teeth.
It may be a fixed retainer such as a metal alloy wire, glued to the inner face of the top or bottom teeth. The thread is thus made invisible and the patient does not feel any discomfort. On the other hand, he will have to take care of his brushing, to avoid the accumulation of tartar. He should avoid chewing hard fruit with his incisors, chewing gum and consuming hard or sticky candies.
In other cases, a removable retainer will be prescribed, such as a transparent plastic splint. It must be worn 24 hours a day, 15 hours a day or only at night, from one year to the whole of one’s life, depending on the practitioner’s indications. The gutter should be cleaned every day.
A damaged or lost restraint device, or which is no longer suitable for dentition, must immediately be the subject of an appointment. Once the active orthodontic appliance has been removed, it is necessary to maintain the results acquired by a restraining appliance under penalty of recurrence of the initial anomaly or the appearance of a new pathology.
This restraint can be fixed or removable. If it is removable, it will be worn as indicated, 24 hours a day, 15 hours a day or at night, 8 hours a day. The duration of the port is at least one year. Sometimes it is necessary to keep it for 5 years, 10 years or for life.
The Problem of the Recurrence of the Initial Malocclusion
This is a major concern for the orthodontist because no treatment results can be guaranteed permanently. Indeed, the phenomena of aging, occlusal wear, weakening of the periodontium, the appearance of new dysfunctions or the loss of dental units are all factors which can disturb the quality of the result at the end of orthodontic treatment. Restraint plays a major role here.