Dr. King Answers: Do You Ever Do Fixed Retainers?

Q: Do you ever do fixed retainers? Wouldn’t they be better than removable retainers in keeping teeth in place after braces treatment?

A: Yes, I do fixed retainers for many patients. The standard of care is a removable upper retainer, and a fixed or bonded retainer on the lower.

The reason that bonded retainers are not used more frequently on the upper teeth is very simple: The lower teeth may have food collide into them, leading to breakage.

It is also important to consider other factors when choosing between fixed and removable retainers. Excellent oral hygiene is required for fixed retention, as plaque and calculus are more likely to build up.

Also, the patient’s original problem is an important consideration. For example, a gap between the upper front teeth would best be retained with a bonded lingual wire. However, gaps on the lower teeth are sometimes better held with a removable retainer.

Keep smiling, and see you soon for a free consultation!