Dentist New York Lawerence M. Spindel, DDS
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Cosmetic Dentist New York-Orthodontic Rentension is for Life

 

Orthodontic Retension is for Life!

By Dr Lawrence Spindel, Tuesday May 6,  2007                                                                                                Dentist New York

 

When I examine a new patient in their late twenties or early thirties, I often notice anterior crowding or spacing between their teeth.  Many of these patients report that they had braces as a teenager, but as they got older their teeth started shifting.  When asked if they stopped wearing their retainer they always sheepishly respond with "yes" or with "My orthodontist told me I no longer need to wear one".  

Often,they inquire what can be done about their malpositioned teeth and often Invisalign braces are a great option for repositioning teeth that have shifted after a  patient has stopped wearing their retainer. In fact, all Invisalign Braces are is a series of clear plastic retainers that when worn twenty three hours a day, move your teeth into a more desirable arrangemnet. I always explain that if they choose to have Invisalign Braces they must have retension provided for or their teeth may shift afterwards.

Retension can be provided for by wearing thin Invisalign retainers on both the top and bottom teeth at night.  Sometimes fixed retension can be placed by bonding a wire along the lingual surfaces of anterior teeth.  Bonded retainers are 'passive retension' and require no action on the part of the patient. They have the disadvantage that they make it harder to floss between the anterior teeth and a patient can feel the wire with their tongue.

 

 

 

 

 

 

 

 

Cosmetic Dentist New York

Cosmetic Dentistry Tip: Brushing alone is usually not enough to ensure that a person won’t develop periodontal disease. Since 40% of a tooth’s surface is not reachable by tooth brushing, some sort of interproximal cleaning device should be used on a regular basis. Floss, Stimudents and small interproximal brushe , and all work well. It doesn’t matter as much which method is chosen, but what counts is that one of these is effectively used on a regular basis. Regular and frequent professional cleaning at the dentist also help, since they remove any accumulations of plaque and tarter that have been missed by a patient by their daily homecare regime. Also a patients home care can be checked at frequent cleaning visits and the hygienist will encourage them to do better. Human nature being what it is, patients often perform their best home care immediately before and after their checkups. .

Friday, February 3, 2012

© 2002 Copyright Lawrence M. Spindel D.D.S