Miller Orthodontic Specialists in Keene, Rindge, NH and Brattleboro, VT

Smiles by Dr. Miller

Retainers

The benefits of orthodontic treatment will last a lifetime if you keep these important patient responsibilities in mind:

Removable Retainers

Once the active orthodontic appliances are removed, the patient will receive retainers to stabilize the dental correction. Because the bone and soft tissues surrounding the teeth are stabilizing for several months after braces are removed, it is imperative that the retainers are worn as instructed. Failure to wear the retainers may result in undesirable movement of the teeth, which could necessitate re-treatment.

How retainers are worn

Because teeth can continue to move throughout life, we feel that individuals who have undergone orthodontic therapy should wear retainers indefinitely. A patient should wear retainers all the time for one year following the removal of braces.

After approximately one year, the patient can wear the retainer just at night. This is to allow the wisdom teeth to develop without ruining the patient’s beautiful smile. Dr. Lance Miller will see you every six to nine months to make recommendations on the wisdom teeth and an X-ray will be taken every one and a half years.)

Once the wisdom teeth have been decided on, wear your retainer at least one night per week. This is because, as you get older, the muscles that surround your teeth will get tighter and place pressure on your teeth, causing them to move or crowd.

How to care for retainers

  • Retainers are made of a thermoplastic material that is sensitive to excessive heat, so they should be kept away from heaters, dishwashers, car dashboards or any place where the temperatures exceed 115 degrees (Fº).
  • Retainers should be kept in the proper retainer case when they are not in the patient’s mouth.
  • Keep away from any family pets, as they like to chew on them.
  • Clean before and after placement in the mouth. Because the material used for fabrication is slightly porous, plaque tends to cling to the surfaces. Gentle scrubbing with a toothbrush and a mild liquid soap will remove the plaque. A denture cleaning solution, such as Efferdent, will aid in the removal of plaque and tartar. Be sure to rinse the retainers thoroughly after cleaning to remove any cleanser residue.

Because retainers are worn for years, they will need periodic replacement. Your original treatment contract includes one set of retainers after the braces are removed. If the retainers are lost or damaged due to neglect, there will be a charge for replacement. If the retainers become loose or break, contact our office immediately.

Fixed retainers (Bonded Wire)

This wire should stay on forever. The only exception is if your family dentist says you are not keeping it clean and it is beginning to cause gum or bone problems. If this should occur, please have the wire removed and replace it with a removable retainer. The removable retainer should then be worn as Dr. Miller prescribes. The fixed wire will protect the teeth as the patient gets older and your facial muscles get tighter. Please have this wire monitored by your family dentist at your six-month check ups.

Habits or Conditions that Require Stronger Retention

  • Mouth breathing
  • Clenching and/or grinding of teeth (muscle hyperactivity)
  • Tongue thrusting, low tongue posture or abnormal tongue posture
  • Playing a musical instruments with a reed
  • Lip sucking
  • Pen or pencil biting
  • Spacing between the teeth prior to treatment
  • Severely rotated teeth

Our goal is to help your smile stay beautiful and healthy for a lifetime. Your cooperation is essential in order to achieve this goal.

Dental examinations and cleanings

The patient should continue with proper oral hygiene procedures at home, to include thorough brushing and flossing techniques. His or her family dentist should see the patient at least every six months for cleaning and dental examinations.

Nicole Goncalves
Nicole Goncalves
21:15 16 May 22
My experience with Miller Orthodontic Specialists was nothing short of amazing. The office is very... clean and welcoming.The staff are all extremely kind and knowledgeable about what they are doing. They always asked me how I was doing, made me smile and laugh when I was there. They let me know what they were going to do before they did it which was comforting to know.I came to them with my concerns about my teeth and what I wanted. The treatment plan I had was to have braces for 24 months and they explained it all thoroughly to me every step of the way. Any questions I had were answered and my concerns were addressed in a professional manner.The payment plan worked perfectly for me. I am very satisfied with the outcome of my treatment and highly recommend going to see them for a consult if you want a beautiful smile! 😁 Thank you to everyone at Miller Orthodontic Specialists for being so kind to me and helping me get the smile I've always wanted!! 💙 Especially Ashley for being super kind to me and going out of your way to connect and converse with me, making me feel welcomed and comfortable.read more
LoveMyZJ
LoveMyZJ
16:47 29 Mar 22
I had multiple orthodontic problems for years; cross bite, over bite, crowding, overlapping, you... name it. Over the course of two years, four months and three days, Dr. Miller and his team took outstanding care of me, explaining every step of the process, accommodating my busy schedule, and providing flexible financing. Now my teeth look and feel better than ever! At 33 years old, I'm one of the many examples of proof that it's never too late to have the smile you deserve.read more
Heather Shepa
Heather Shepa
21:41 17 Mar 22
My daughter started her journey with Dr. Miller in May of 2019. She had to do some adjustments... before we could start the actual process. Rosemary was very understanding and explained the whole process to her and I, and the whys for every step. She kept scheduling appointments to make sure that my daughter was doing what she needed to, before the process started. Finally, January of 2020, we got the braces put on. At the height of Covid and the shutdowns, and the restrictions of what we needed to do to complete this process, Dr. Miller's team worked with us every step of the way. They worked with us with scheduling appointments and rescheduling appointments and what we needed to do when she got there. They were amazing with communicating with me on what the next process was. Today, she got her braces removed. Her teeth and smile look absolutely amazing and I am blown away at the work they put in to make this happen. It wasn't always easy for my daughter when she had her wires changed, and adjusting to what foods she could or couldn't eat, but we did it. Not just her and I, but the amazing team of professionals at Miller Orthodontics. I will be forever grateful for what they were able to accomplish for my daughter. I recommend them to anyone who asks.read more
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