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Top (left) and bottom (right) retainers Vacuum form retainer in the foreground (used on upper); illustration of an early Hawley retainer in the background. Orthodontic retainers are custom-made devices, usually made of wires or clear plastic, that hold teeth in position after surgery or any method of realigning teeth.
Viggo Andersen first used this appliance on his daughter's mandibular teeth in the summer of 1908. He took the mechanical braces off from his daughter, and he had her wear the "Biofunctional Retainer" throughout the summer in the mandibular arch. The maxillary arch received Hawley retainer. After a while, Viggo realized that her daughter's ...
The fixed functional appliances have to be bonded to the teeth by an orthodontist. A removable functional appliance does not need to be bonded on the teeth and can be removed by the patient. A removable appliance is usually used by patients who have high degree of compliance with their orthodontic treatment.
It often includes braces before and after surgery, and retainers after the final removal of braces. Orthognathic surgery is often needed after reconstruction of cleft palate or other major craniofacial anomalies. Careful coordination between the surgeon and orthodontist is essential to ensure that the teeth will fit correctly after the surgery.
Orthodontic spacer removal. [2] Spacers are usually used to put spaces in between teeth before braces are established. It can be agitating or painful, but patients are often warned not to pick at them or they will fall out. They are usually rubber, but sometimes they can be metal. They can be used when a patient's teeth are too close together.
Fixed retainers are a simple wire fixed to the tongue-facing part of the incisors using dental adhesive and can be specifically useful to prevent rotation in incisors. Other types of fixed retainers can include labial or lingual braces, with brackets fixed to the teeth. [47]
An orthodontist may recommend headgear for a patient if their bite is more severely out of alignment. The device typically transfers the force to the teeth via a facebow or J hooks to the patient's dental braces or a palatal expander that aids in correcting more severe bite problems or is used in retention of the teeth and jaws of the patient.
The expansion process usually results in a large gap between the patient's two top front teeth, often known as diastema. This gap is closed naturally and the teeth may overlap which leads to braces being needed. Some may develop a large space while others do not develop a space at all.