Congratulations! You’ve done the hard work necessary to create your beautiful smile! You’ve carefully completed all the steps needed to reach the end of your orthodontic journey. Well, nearly all the steps. We can’t forget that last step which will ensure that all your hard work is rewarded.

When you first began orthodontic treatment, Drs. Cartsos and Zavras decided on the best plan for straightening your teeth and perfecting your bite, whether you wore traditional braces, lingual braces, aligners, or other orthodontic appliances. And now that you’re finishing treatment, there’s one more option to consider—your retainer.

Why do I need a retainer?

While you’ve spent time in treatment, more has changed than just the position of your teeth. The periodontal ligament, the connective tissue that connects the teeth to the jawbone, is stretched as the teeth shift. The bone in your jaw changes, too, reforming and rebuilding around the roots of your teeth as they move to their ideal locations.

These changes happen because your braces or aligners apply gentle, constant pressure to move your teeth. When you’ve finished wearing these appliances, the pressure stops. Ligaments will try to return to their original shape, which can shift teeth back toward their old positions. And the rebuilding bone isn’t dense enough yet to stop teeth from shifting due to the normal, everyday pressures of eating, chewing, and smiling.

A retainer prevents your teeth from moving back, or “relapsing,” by giving your bones and ligaments time to stabilize and rebuild. The process takes months, so keeping your teeth in place as bones rebuild and grow denser is crucial. This is especially important for patients with more serious misalignments. Drs. Cartsos and Zavras will let you know which kind of retainer will be best for you and just how long you’ll need to wear your retainer.

Are there different kinds of retainers?

There are! Retainers can be removable or fixed, visible or nearly invisible, metal, plastic, or metal and plastic. Three of the most popular retainer options include:

• Hawley Retainers—the traditional removable retainer, which uses a molded acrylic plate with wires attached to keep your teeth properly aligned and to hold your retainer in place.
• Clear Plastic Retainers—a removable retainer made of custom vacuum-formed plastic, which fits over the teeth like a clear aligner.
• Fixed Retainers—a small single wire bonded to the back of specific teeth, which holds them in place and prevents any movement.

Drs. Cartsos and Zavras will let you know whether a removable or fixed retainer is best for making sure your teeth don’t start to relapse, and fill you in on the benefits and care of each type of retainer.

How long do I need to wear a retainer?

There’s no standard answer to this question. Just like your retainer is custom-built to fit your individual teeth, the amount of time you’ll spend in that retainer depends on your individual needs. Retainers might be worn fulltime for months or years, be worn only at night after several months of daily wear, or be worn long-term to make sure your orthodontic work lasts.

Because you’ve done the hard work already, and your beautiful, healthy smile is the result. Talk to a member of our Chestnut Hill, Massachusetts team about which retainer option will be best for making sure that this smile lasts a lifetime.

Your teeth are precious. Once your permanent teeth come in, they need to last you a lifetime. Extensive tooth decay can lead to dental caries and the need for fillings, crowns, bridges, and dentures.

While these fixes can go a long way toward maintaining your quality of life, they cannot compare to your natural teeth. Getting braces is no excuse to let up on your thorough oral health routine: You need to take good care of your teeth before, during, and after braces to benefit completely from the gains you get from newly straightened teeth.

Why You Should Maintain Good Oral Health for Life

Begin a complete oral health regimen as early as possible in life, and maintain this routine throughout your life. Keeping your (or your child’s baby) teeth clean establishes a routine. It preserves healthy baby teeth whose function is to save space for the permanent teeth when they are ready to come in. Care of your permanent teeth helps preserve the enamel and prevent decay.

Take Special Care with Braces

It is important to pay attention to oral health when you have braces. If you do not take special care of your teeth during the months or years that you have braces, you risk irreversible damage to your teeth. Care is more difficult with braces because food can easily get stuck. In addition to brushing twice daily and flossing each day, Drs. Cartsos and Zavras and our staff suggest avoiding sticky foods.

One of the best ways to take care of your teeth is to brush them twice each day for two minutes each time. And brushing works even better when you take care of your toothbrush! Let’s look at some easy toothbrush rules to keep yourself, your teeth, and your brush healthy.

• Don’t Share

You can share toys, or share games, or share stories—but don’t share your toothbrush! Germs can hide on your brush. If you have a cold, you don’t want to give it to others. And if your family member or friend has a cold, you don’t want to catch it! This also means that toothbrushes shouldn’t touch each other while they’re drying. Separate brushes are healthy brushes.

• Keep Your Brush Clean

After you finished brushing your teeth, you might notice some toothpaste suds sticking to your brush—or even bits of the food you’ve just brushed off your teeth. Keep your brush clean by rinsing off all the toothpaste and food crumbs before you put it away. And it’s always a good idea to wash your hands before you brush to get rid of any germs which you don’t want to share with your brush—or your mouth.

• Stand (It) Up Straight

Let your toothbrush dry standing up, with the bristle end on top. That way your brush can air-dry quickly.  Germs like to grow in dark, damp spaces, so don’t put your toothbrush in a case while it’s wet. If you take your brush to school or on a trip, make sure your brush is dry before you pack it away.

• Don’t Keep Your Brush Too Long

After about three months, no matter how well you take care of your toothbrush, you’ll be needing a replacement. Bristles get worn out after weeks and weeks of brushing twice a day, and just can’t clean as well as they did when they were new.

• Don’t Forget Regular Checkups

Regular cleanings at our Chestnut Hill, Massachusetts pediatric dental office and exams with Drs. Cartsos and Zavras will remove any plaque you missed and keep your smile clean and bright.

Keep your toothbrush to yourself, keep it clean, keep it dry, and don’t keep it too long—and you’ll help keep yourself, your teeth and your toothbrush in good health!

No matter how careful you are, accidents can happen. Perhaps it’s a slice of apple that was a little bit larger than it should have been. Or you were chewing on your pencil while you were trying to work out an algebra problem. Or you tried a piece of candy that your friend really, truly thought didn’t have a caramel center.

No matter the cause, when something‘s wrong with your braces, you know it. And you want to fix it as soon as possible. What can you do to make yourself more comfortable? And which repairs are best left to orthodontic professionals?

First things first. If you have been injured, and suffered a trauma to your mouth or jaw that has damaged your braces, we want to make sure that you get any medical attention you might need before we worry about your appliance. Call Drs. Cartsos and Zavras, and your doctor, immediately if you have suffered a medical or dental injury.

Even if your braces are the only injured party, you might need a special appointment if the damage is something that shouldn’t wait and can delay your orthodontic progress. Broken wires, brackets that have fallen off, and loose orthodontic bands, for example, need to be replaced in our office.

But what about minor problems? First, call us to see if it’s something that really is minor, and whether you can do some home repairs to keep you going until your next regular visit.

• Wayward Wires

One of the most common—and most annoying—problems is a broken or out-of-place wire. If a wire end is poking you, dental wax can be applied to the loose end to protect your cheeks and gums. If that doesn’t work, we can let you know how to apply gentle pressure to move the wire away from delicate tissue. Don’t try to cut a broken wire or remove it without talking to us—small pieces can be swallowed accidentally. We’ll give you suggestions for how to handle a broken or loose wire and protect your mouth until you can see us.

• Breakaway Brackets

If your bracket becomes loose, this is another good reason to give us a call. Brackets are specifically placed to let your archwire guide your teeth where they need to be. Without a firmly bonded bracket, the wire isn’t doing you much good! If a loose bracket is irritating your cheeks or gums, you can try a bit of dental wax to stick it in place and cover hard edges until we can re-bond it. If the bracket comes off all together, bring it with you to your next appointment.

• Balky Bands

Spacers are little rubber bands we put between your teeth if we need to create some room between your molars before you get your braces. They have a tendency to fall out after several days. We’ll let you know if their work is done, and you’re ready to start your orthodontic treatment. If you lose one of your ligatures, those colorful bands around your brackets, give us a call and we’ll let you know if replacement can wait.

We’re happy to help you with any braces problems, large or small. It’s best to check with us for even small fixes to make sure you avoid injury. Larger repairs can be handled in our Chestnut Hill, Massachusetts office—and we can give you tips on how to prevent future ones. Accidents happen, but they don’t need to delay your progress toward a beautiful, healthy smile.