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After completing orthodontic treatment with braces or clear aligners, many people assume their work is done. However, the real challenge often begins once the appliances are removed. This is where orthodontic retention appliances play a crucial role. These devices are designed to prevent tooth movement while the surrounding bone remodels and settles. Without retention, teeth have a natural tendency to return to their pre-treatment position, a phenomenon known as orthodontic recurrence.

Retention appliances come in several forms. The most common are custom-made retainers, such as Hawley retainers made of acrylic and wire, or clear plastic retainers that resemble invisible aligners. Fixed retainers, which are unobtrusive metal strands cemented behind teeth, are also widely used, especially for patients at increased susceptibility to movement. Each type has its own pros and cons and is chosen based on unique dental anatomy, treatment goals, and patient compliance.

The length of time you need to wear a retainer varies. In the first few months after treatment, most orthodontists recommend wearing the retainer full time except when eating or brushing. Over time, this may be reduced to nighttime wear only. Some patients are advised to wear retainers permanently on a nightly basis, to ensure sustained results. This is because the alveolar bone and gingival tissue continue to change gradually over decades, and without retention, gradual shifting can occur even years after treatment.

Proper care of your retainer is essential. wearable devices should be cleaned every morning with non-abrasive detergent, or with a orthodontic cleaning tablet. Avoid exposing them to elevated temperatures that distort the material. Fixed retainers require meticulous oral hygiene to prevent plaque buildup and gum disease. Regular retainer evaluations are important to assess wear and ensure proper alignment.

Many patients dismiss the need for retainers, leading to disappointment when their teeth shift. Remember, orthodontic treatment is not just about achieving straighter teeth—it’s about securing long-term aesthetics. A retention appliance is not a final afterthought but a vital part of your long-term oral health. Following your orthodontist’s instructions carefully will help you preserve your beautiful, straight smile for 表参道 歯科矯正 years to come.