Retainers or caps after braces

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The retentional is the period necessary to fix the achieved result in the form of an aligned dentition.

Provide the desired effect help the retainers and kapy, having the characteristic features of design and use.

Contents of

  • Why continue orthodontic treatment after removal of braces?
  • Features and types of
    • retractors Fixed designs
    • Removable
    • designs How much should I wear?
    • Price
    • Reviews for retention treatment
  • Features cap
    • Duration
    • Price
    • Patient Reviews
  • Which option is preferable?

Why continue orthodontic treatment after removal of braces?

When the teeth take the correct position as a result of wearing bracket systems, many believe that this can be stopped by stopping treatment. But this opinion is erroneous. To understand the need for further orthodontic treatment, it is worth remembering the peculiarities of the structure of the teeth, namely, the presence between the root of the tooth and the jawbone of a small space with vessels located in it and holding the tooth ligaments. During the wearing of braces due to the action on the ligaments of a certain effort, the teeth begin to move in the desired direction.

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Stretching the ligaments causes painful sensations, as they tend to take their original position. After removal of the system, the ligaments take advantage of the opportunity and gradually move back, so in the absence of a restraining effort, all results will go to blame.

What is put after removing braces?

Modern orthodontics offers several options for fixing the right bite. It's about the retiners and the kapahs.

How to choose the right retention design?

Features and types of

storage units. The installation of the retainers is carried out immediately after removal of the brackets, if as a result of examination of the oral cavity there are no defects in the form of caries or inflammation of the gums. Beforehand, the teeth are cleaned of plaque and tartar and a special compound is applied to increase the adhesion properties with the fixing material.

Positive qualities common to all the retailers are compact dimensions, fast attachment to the teeth, reliable preservation of the shape of the dentition, invisibility to others.

Fixed constructions

This type of containers are glued to the inside of the tooth row without causing uncomfortable sensations. Among the shortcomings can be noted the inconvenience of care and daily hygiene procedures, the need for frequent check-ups by the orthodontist. This is due to the possibility of peeling off the arc, which can be returned only by the attending physician.

In the photo, the non-detachable

retarder The external, non-removable container looks like a metal arc, for fixing which a special glue is used on the teeth. Sometimes fixation is carried out by means of an indirect method, making a cast of a jaw, attaching a wire to the received model and transferring it to the patient's mouth with a special key.

Thanks to the use of modern materials, non-removable structures do not leave grooves on the teeth. Painful sensations during the installation and wearing do not arise.

Removable structures

The material of removable containers is metal wire or plastic. They can be worn as for the whole day, and dress only for the night sleep. In orthodontics, two types of such retention elements are used, distinguished by the nature of their use:

  • For one jaw - can be used both permanently and periodically;
  • For both jaws - designed for periodic wearing.

The disadvantages of removable structures include:

  • On the photo the removable structure

    The probability of irritating effect on the tissues of the oral mucosa;

  • Provoking too active work of salivary glands - hypersalivation;
  • Violation of speech due to poor pronunciation of certain sounds;
  • Frequent visits to the orthodontist.

Among the most popular variants of removable options are:

  • Holley , developed by specialists in the 20s of the last century. In the construction there are materials such as stainless steel and plastic. To ensure proper care, a toothbrush and soap are enough;
  • The Osamu , which appeared in 1980 in Japan. Due to the presence of two rows of plates, the teeth are held in the required position as reliably as possible.

How much should I wear?

Term of carrying of the retiners is determined for each patient individually and often stretches for a long period, exceeding twice the duration of wearing bracket systems. If braces are used in adulthood, there may be a need for a longer retention process.

Incorrect cross bite

In general, the timing is determined by:

  • The type of bite anomaly;
  • Initial position of teeth;
  • Duration of use of brackets;
  • The presence of bad habits( in particular, smoking);
  • The number of teeth removed before orthodontic treatment.

The cost of

The most budgetary options include removable structures, the price of which is about 2-3 thousand rubles. Fixed containers usually cost at least twice as much, the estimated cost of such elements is from 6 to 10 thousand rubles when installing for one dentition .

Reviews on retention treatment

Braces were worn for a year. After removal within an hour, the retiners were installed( the doctor previously polished his teeth and covered them with a special lacquer).Immediately after the installation, I did not feel any discomfort, but after a while some unpleasant sensations started to appear due to the presence of a foreign body in my mouth. Soon the condition has normalized and now I feel myself with the retiners as a whole.

Marina, Moscow

After a year of wearing braces for five years wore retainers. Over the past three years, I do not use retention structures. Teeth still remain flat, there are no trends for their displacement.

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What is worn after the braces are removed?

Depending on the situation, ready-made standard models or individual post-bracket kappa created using the jaw of a particular patient can be used.

The positive qualities of the cap include the absence of uncomfortable sensations, the preservation of diction, the convenience of eating. Such devices can be easily put on and removed.

Duration of use

The duration of the retention period is affected by the type of corrected anomaly, the age of the patient, and the structure of the jaw. As a rule, the minimum duration of wearing is similar to the duration of use of bracket systems. During the first months, the capes are worn almost constantly, without removing even the time of a night's sleep. The doctor will assess the progress and tell you when you can remove the designs at night.

Approximately one year after the beginning of the retention correction, it is allowed to wear the cap once a week. It should be noted that the most effective result directly depends on the duration of wearing cap.

Price

When choosing a cap, you should calculate the approximate range within 600-10000 rubles .

Patient feedback

First-hand experience of the need and effectiveness of the cap after the braces were removed. Convenient transparent overlays are absolutely imperceptible for associates, do not influence speech. I will wear the kapi until the result of correction is fixed to 100%.

Ekaterina, Smolensk

Worn kapy for two years. At first, there were difficulties with adaptation, there was a feeling of wearing a false-jaw because of the need for regular removal and cleaning several times a day. Otherwise, there was no discomfort. A few months later I was used to treatment, so the process became almost invisible.

Svetlana, Voronezh

Which option is more preferable?

As dentists note, it is impossible to give a completely unambiguous answer to such a question. A suitable variant of supportive treatment is chosen by the orthodontist, based on the patient's material capabilities and clinical picture. Only after the ratio of all the pros and cons is approved the optimal solution.

Receptors of a removable design and a kapa are often used simultaneously. The containers help to smooth out the transition after long wearing of rigid structures, and the kapy is worn for the night period to enhance the result. In case of correct use, both types of correction overlays allow to achieve the expected result.

To wear the cap and the restraint did not cause any inconvenience, it is important to follow the following recommendations:

  • When installing the non-removable option, brushing the teeth from the inside should be done as carefully as possible to avoid peeling off the arc;
  • For the care of removable devices, disinfectants or usual soap should be used;
  • To maintain a constant cleanliness of the teeth and gums should be with the help of floss and irrigator;
  • Before putting on a cap or a retainer, the designs are carefully rinsed in running water;
  • To avoid disruption of the enamel condition, daily rinsings with fluoride-containing solution are recommended.

Wearing such devices implies mandatory consultation visits to the orthodontist and dentist to assess the quality of supportive correction and professional cleaning of teeth from the resulting plaque.

The stability of the dentition achieved by using bracket systems is quite a fragile state, which, if not properly supported, can be broken again, leading to disappointment. In order not to start the alignment of teeth from scratch, it is necessary to start retention treatment in a timely manner, switching to kapy or retainers, which will effectively fix the result.

  • May 17, 2018
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