Retainers

Retention is the final, and essential, phase of orthodontic treatment. Once your braces or aligners come off, retainers help keep your teeth in their beautifully corrected positions while the bones and gums stabilize around them. Without proper retention, natural shifting can occur over time, even if you’ve never had orthodontic treatment before. Dr. MacKenzie will guide you through a customized retention plan designed to maintain your results for life. With consistent wear and check-ins, you can protect your investment and enjoy a healthy, confident smile for years to come.

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There are many types of retainers, but the most commonly used in our office are the clear/invisible retainers. Here are some general rules for caring for your retainers:

  • Wear your retainers as instructed by Dr. MacKenzie. Usually, the retainers are worn for 12 hours a day for the first year after orthodontic treatment. Afterward, you may wear your retainers less but we advise that you try them in and wear them at least several times a week.
  • Clean your retainers every day, use mild soap and water, and brush them with a toothbrush. Avoid cleaning them with toothpaste, they may become cloudy.
  • Keep the retainers stored in your case whenever you are not wearing them. Do not place them in a tissue or put them in your pocket – you may break or lose them.
  • Keep retainers away from pets.
  • Do not leave your retainers in the sun (in the dashboard of a car or in the window) – any excess heat will distort them. Do not put them in hot or boiling water because they will melt.
  • If your retainers become cloudy, soak them in a 50:50 mixture of water and white vinegar for 15 minutes. Occasionally, to disinfect the retainers, you may use a solution of 1 tablespoon of bleach to 1 cup of water and soak for 15 minutes.
  • If your dentist is placing fillings or crowns or is changing the shape of the teeth, take your retainers to your dental appointment or schedule an appointment in our office to make sure that the retainers are adjusted and fit properly after the dental work is done.

Retainers are adapted to the final ideal positions of your teeth. If the retainers do not fit properly, this means that the teeth are shifting. If you have any questions about your retainers, if your retainers do not fit, or you would like your retainers checked, please call us as soon as possible to schedule an appointment.

Why Retainers Matter

After your teeth are moved into their ideal position, retainers hold them in place while the surrounding bone and tissue stabilize. Without consistent retainer wear, teeth can gradually shift back toward their original position, undoing some of the progress made during treatment.

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Vivera Retainers: the MacKenzie Orthodontics Difference

Dr. MacKenzie is the only orthodontist in the Saint John area who uses Vivera retainers for all her braces and aligner patients. Vivera retainers are clear and made from a premium, multi-layer material by the company that makes Invisalign. Vivera retainers are more durable and longer lasting than standard removable clear retainers, holding their shape and clarity through years of daily wear.

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The Vivera Retainer Subscription

Patients can enroll in a Vivera retainer subscription for as little as $30 a month, with no down payment and no setup fees. Your subscription includes one new set of retainers each year, so you always have a clean, fresh set on hand. Regular replacement helps protect your teeth and ensures no unwanted movement, rather than waiting until a retainer is visibly worn, cracked, or lost to replace it.

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Free Retainer Consults

We offer free retainer consultations to any patient, even if MacKenzie Orthodontics was not your original treating orthodontist. If you have moved to the area, lost touch with your original provider, or simply need a retainer checked or replaced, we are happy to help.

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Caring for Your Retainers

A few general guidelines for caring for your removable retainers:

  • Wear Schedule: Retainers are typically worn 12 hours a day for the first year after treatment, and several times a week afterward, as instructed by Dr. MacKenzie.
  • Daily Cleaning: Clean retainers daily with a toothbrush and toothpaste. The ultrasonic retainer cleaner is very effective at keeping them bright and shiny.
  • Safe Storage: Always store retainers in their case when not in use, not in a tissue or pocket, where they can be lost or broken, and keep them away from pets.
  • Avoid Heat: Keep retainers away from direct sun, hot cars, and boiling water, which can distort or melt them.
  • Cloudy Retainers: Soak in a 50:50 mixture of water and white vinegar for 15 minutes. For disinfecting, a solution of 1 tablespoon of bleach to 1 cup of water can be used for 15 minutes.
  • Dental Work: If you’re having fillings, crowns, or other dental work done, bring your retainers to the appointment or schedule a check with our office afterward to confirm they still fit.

 

What About “Permanent” (Bonded Lingual) Retainers?

Bonded lingual retainers, sometimes called permanent or fixed retainers, are a thin wire bonded to the back of the front teeth. While they have a place in certain cases, Dr. MacKenzie rarely recommends them, for a few reasons:

  • They are harder to keep clean than a removable retainer, since floss and brushes have to work around the bonded wire.
  • They tend to collect plaque and tartar around the wire over time, which can contribute to gum irritation or decay if not cleaned carefully.
  • Patients with bonded lingual retainers still need to wear a removable retainer over top at night, so a fixed retainer does not actually eliminate the need for a removable one.

For most patients, a well-cared-for removable retainer offers better long-term oral hygiene with the same reliable results.

Frequently Asked Questions

Do I really need to wear my retainers forever?

Yes. Teeth can shift throughout life due to normal changes in the jaw and surrounding tissue. Long-term retainer wear, every single night, is the best way to protect your results permanently.

How long do retainers last?

Vivera retainers are designed to be more durable than standard retainers and can last several years with proper care, though how long any retainer lasts depends on wear patterns, grinding, and how well it is cleaned and stored. The average rate of replacement of retainers in our office is every 2-3 years. There are some patients who have been wearing the same retainers for many years and their teeth and bite are still aligned.

What happens if I get my wisdom teeth removed? Do I still need to wear my retainer?

Yes. Having your wisdom teeth removed does not replace the need for a retainer. It is a good idea to keep wearing your retainer as usual after wisdom teeth removal, and to have your retainer checked at your next visit to confirm it still fits well.

How do I get a new set of retainers?

Simply book a free retainer consultation with us, even if you were not originally treated at MacKenzie Orthodontics. We can assess your current retainer, take new scans if needed, and get a fresh set made for you. If you are a MacKenzie Orthodontics patient, all you have to do is call or email us and we’ll let you know if you need to come in for a new scan.

What if my retainer feels tight or doesn’t fit the way it used to?

This can be an early sign that your teeth have started to shift. Please call us as soon as possible to schedule a check rather than waiting for your next regular visit.

Can I eat or drink with my retainer in?

Removable retainers should be taken out before eating or drinking anything other than water, to avoid damage and keep them clean. Fixed retainers do not need to be removed to eat, which is one reason some patients consider them, though they come with maintenance trade-offs.

When to Call Us

Retainers are custom fit to the final position of your teeth. Call us if:

  • Your retainer feels tight, doesn’t seat properly, or doesn’t fit the way it used to
  • Your retainer feels uncomfortable
  • Your retainer is cracked, broken, or severely stained
  • Your retainer is lost, or your dog (or any pet) got to it

If you’re an existing patient and your retainers still fit well, you don’t need to come in for a new scan.

MacKenzie Orthodontics provides orthodontic retainers and post-treatment care for patients in Saint John, Quispamsis, Rothesay, and St. Stephen, New Brunswick. Contact us if you have questions about your retainers or would like one checked or replaced, even if we were not your original orthodontist.

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Written by: Dr. Liliya MacKenzie, an orthodontist in New Brunswick, Canada, and a graduate of Mount Allison University, McGill University, and the University of Rochester. Dr. MacKenzie is a specialist in Orthodontics and Dentofacial Orthopedics and a Fellow of the Royal College of Dentists of Canada. She has treated over 10,000 patients, has 20+ years of experience and is an orthodontist on the Cleft Lip and Palate Team at the Saint John Regional Hospital.