Fixed Retainers vs. Removable Retainers

Finishing your orthodontic treatment is great news, but it’s important to ensure long-term results. Maintenance is key, and retainers can help with that. They’ll prevent your teeth from shifting over time. There are two options you’ve likely heard of: fixed retainers vs. removable retainers.

Fixed retainers use a wire bonded to the back of the teeth and work around the clock. They are useful for patients at higher risk of relapse. Removable retainers are custom-made and can be taken out, offering greater comfort in some cases.

If you visit Gilbert Vista Dental, our Dr. Rita Peck will help you choose the best option for you.

What Retainers Do and Why Skipping Them Undoes Your Treatment

Retainers were invented around 1970 to prevent orthodontic relapse. This is a natural process in which teeth gradually return to their original position after wearing braces or aligners, such as Invisalign. In fact, it is commonly reported that between 60% and 70% of orthodontic patients experience significant relapse within 5 years if they do not wear retainers after treatment.

How Long Relapse Risk Last

The risk of tooth movement never completely disappears. Even if your treatment was successful, it’s recommended that you wear retainers full-time for the first 12 months after orthodontic treatment. Many professionals recommend wearing them at night indefinitely. 

What Are Fixed Retainers?

Fixed retainers are also known as “permanent retainers,” “bonded retainers,” or even “lingual retainers.” They consist of a thin wire made of stainless steel that is bonded to the back of the front teeth, typically from canine to lower canine. Sometimes they can also be placed on the upper arch. This wire is always custom-fitted using an adhesive so that it remains in place continuously.

Pros of Fixed Retainers

The main advantage of fixed retainers is that they work continuously without the patient having to remember to wear them. Therefore, they are a highly effective option for teenagers or people with a history of orthodontic relapse.

Other benefits of fixed retainers include:

• They work 24 hours a day.
• They are virtually invisible when smiling.
• They cannot be accidentally lost.

Many patients appreciate the feeling that the retainer is always working to keep their teeth aligned. This virtually eliminates the possibility of relapse.

Cons of Fixed Retainers

Despite its benefits, there are clear drawbacks in terms of hygiene and maintenance:

• Possible gagging, although, according to the previous study, only 13.2% report this discomfort
• Difficulty flossing, especially around the points where the wire attaches
• The need to use floss threaders or oral irrigators, due to the inability to clean properly
• Accumulation of plaque or tartar around the retainer, only if proper hygiene is not maintained
• Risk of detachment when eating very hard or sticky foods
• Possible gum irritation, only if not cleaned properly and promptly
• Does not prevent movements related to bruxism in molars or back teeth (it only protects teeth attached to the wire)

In any case, by visiting a dental office in Gilbert, you’ll know exactly what to do to avoid these drawbacks and whether it’s right for you.

What Are Removable Retainers?

Removable retainers are custom-made devices. Your dentist in Gilbert will tell you that these retainers can be removed whenever you need to. They are not fixed in place. That said, there are different types of removable retainers:

Learn more about these removable retainers:

Hawley Retainers

Hawley retainers are made with an acrylic base and have a wire at the front. They are very durable (lasting between 5 and 10 years). The orthodontist can adjust them if necessary. However, the front wire makes them visible when speaking or smiling.

Essix (Clear Plastic) Retainers

Essix retainers are clear, thermoformed plastic aligners. They completely cover the teeth. Their main advantage is aesthetic, as they are virtually invisible. They can offer some protection against mild bruxism at night. However, when comparing Hawley vs Essix retainers, we see that the latter wear out faster. They can last between 1 and 3 years.

Vivera and Similar Custom Clear Retainers

Vivera™ is a brand developed by Invisalign and manufactured by Align Technology. These are clear retainers that are easy to replace. Patients undergoing Invisalign treatment often use Viviera, as it is made of the same material. They are comfortable and durable (lasting between 1 and 3 years).

Pros of Removable Retainers

There are many advantages to using removable retainers:

• They allow you to brush and floss normally.
• They can be removed for eating and drinking.
• They cover the entire dental arch.
• They tend to cause less initial discomfort.
• Essix models can serve as light protection against teeth grinding.

Many people appreciate the flexibility, that is, being able to remove them in specific situations.

Cons of Removable Retainers

The main problem with removable retainers is that they rely entirely on the patient’s consistency. According to a study published in the Journal of Dental Research and Review, When comparing fixed retainers to removable ones, 47.4% of patients forget to wear them. This is the main cause of noncompliance and loss of results. 

Other common drawbacks include:

• They are easily lost in restaurants or while traveling.
• They must be cleaned daily to prevent bacteria and bad odors.
• The plastic can warp in the heat.
• Clear models require periodic replacement.
• If not used as directed, the teeth may shift.

To achieve the best results, it is advisable to visit a dental clinic in Gilbert. There, they can determine when replacement is necessary and ensure everything is progressing as expected. 

Fixed vs. Removable Retainers Side-by-Side

Here’s the definitive comparison between permanent retainers vs removable retainers:

Keep in mind that this is just a general guide. It’s always best to make the final decision with the help of a specialist, such as our Dr. Rita Peck.

How Long You’ll Wear Each Type

Let’s look at the differences in durability between fixed retainers vs removable retainers:

Fixed Retainer Lifespan

Fixed retainers last indefinitely as long as the adhesive remains intact. Many people wear them for 10 to 20 years without any problems. They usually need to be replaced because the wire comes loose, not because of wear and tear.

Removable Retainer Wear Schedule

Generally, the removable retainer is worn for 22 to 24 hours a day during the first few months after treatment. After that, it is recommended to wear it every night while sleeping, possibly for the rest of your life.

Maintenance Effort Comparison

Proper care can increase the durability and effectiveness of your retainer. Here’s what you need to know for each type:

• Fixed retainers: These require special attention when brushing and flossing. You can make cleaning easier by using a water flosser or floss threaders.
• Removable retainers: These should always be cleaned with warm water and a soft brush. Do not wash them with hot water, as it can warp the plastic. Always store them in their case.

In general, maintenance is fairly simple in both cases. However, fixed retainers may require a little extra effort.

Can You Wear Both at the Same Time?

Yes, of course. In fact, it’s often recommended to combine both types of retainers to achieve greater long-term stability. When you visit our dental office in Gilbert, we’ll suggest this as one of the best options.

A very common approach is to use fixed lingual retainers along with an upper removable retainer. It’s also possible to have a fixed retainer combined with a clear night guard.

Since the lower front teeth are often at greater risk of relapse, fixed retainers ensure they are always protected. Meanwhile, removable retainers align the entire dental arch.

This is often highly recommended for patients with severe crowding or severely rotated teeth before orthodontic treatment. It’s also recommended for those who want to eliminate the risk of relapse.

Cost Considerations

Generally, retainers are included in the cost of orthodontic treatment. However, future replacements may vary:

• Essix and Vivera retainers typically require frequent replacements.
• Hawley retainers tend to last longer, so they don’t need as many replacements.
• Repairs for fixed retainers involve quick visits to reattach the wire.

It’s important to note that dental insurance coverage for replacements also varies depending on the plan. If you’d like to learn about costs and available options, at Gilbert Vista Dental, we offer plans tailored to each patient’s needs.

Which Retainer Is Right for You?

When choosing the best retainer, several factors are taken into account: dental health, daily habits, orthodontic history, and desired quality of life. Let’s look at each case:

When a Fixed Retainer Usually Makes Sense

Fixed retainers are recommended for patients who:

• Have a history of poor compliance.
• Are adolescents or young adults?
• Had severe crowding in the lower teeth.
• Have experienced orthodontic relapse in the past.
• Had a significant gap between their teeth closed.

In other words, they are ideal for those seeking consistency and optimal results.

When a Removable Retainer Usually Makes Sense

Removable retainers are best suited for these types of patients:

• When good oral hygiene habits are maintained.
• There is a history of periodontal disease.
• There is mild bruxism.
• The entire dental arch needs to be protected.
• Easier cleaning is desired.

It is a good way to ensure quality of life without having to wear the retainer all the time.

When Most Patients End Up With Both

In many cases, the best solution is to use both at the same time. In other words, you can take advantage of the continuous stability provided by the fixed retainer and the full coverage offered by the removable one.

If you receive dental care in Gilbert, you can also have your oral health assessed and ensure proper dental maintenance. This will further maximize the effectiveness of the treatment.

Talk to a Gilbert Orthodontist About Your Retainer Options

When choosing between fixed vs removable retainers, there are many factors to consider. It’s best to consult a professional, such as Dr. Rita Peck and our team at Gilbert Vista Dental.

We offer personalized consultations to help you find the best option. Our patients praise the quality of our care and guidance. Here are some real reviews:

Would you like to learn more about your retention options? Schedule your consultation.

Gilbert Vista Dental Care
2451 East Baseline Road #210
Gilbert, AZ 85234
Phone: (480) 503-5467
Email: [email protected]
Website: https://drritapeck.com/