remedy

2023.11.20 2023-11-20

Why am I going backwards even though I have retainers? Do I need braces again?

Patient.

Doctor, I am on a retainer and it has gone backwards.
Do I need to correct it again?

dentist

I understand!
In this issue.We will discuss the causes of retroversion despite retainers, countermeasures, and prevention methods.

Table of Contents

Causes of retrogression in spite of retainers
What to do if you have a retainer and it reverts
Preventive measures to avoid going back on retainers.
summary
1. relevance

Causes of retrogression in spite of retainers

There are five causes of retroversion in spite of retainers

Failure to follow mounting instructions
Damaged or deformed retainer
Habits around the mouth
Habits other than around the mouth
wisdom tooth

Failure to follow mounting instructions

Failure to follow instructions for wearing retainersIn some cases, the teeth may go back in alignment even with retainers.

Retainers should be used as directed by the dentist.

I keep the daily wearing time, but I don't use it every day.
I use it every day but not enough time to wear it.

There is a lot of backtracking in these cases.

Damaged or deformed retainer

If your teeth are retracting despite using retainers as directed by your dentist,Damaged or deformed retainers may also be a cause.

Unusual force is being applied to the retainer when detaching it.
Washing with hot water.
Scrubbing hard with a toothbrush.
Not stored in a dedicated case, etc.

This can cause the retainer to break or deform.

Habits around the mouth

The alignment of the teeth is affected by the pressure of the tongue and lips.

Therefore, even though orthodontic treatment can help align the teeth and biteIf tongue and lip habits are not cured, the teeth may retract even with retainers.

Habits other than around the mouth

Cheekbuttoning, chewing on one side of the head, sleeping on one side of the head, etc,Habits other than those around the mouth can disrupt the alignment and bite of the teeth.

Be aware that inappropriate forces applied from the outside of the cheeks, such as cheekbones and slouching, and the habit of chewing with only one tooth can affect the alignment of the teeth and cause retroversion, as can habits of the tongue and lips.

wisdom tooth

Wisdom teeth are teeth that grow in the very back of the dentition beginning in the late teens.

Although they grow, these teeth often do not emerge from the gums, but are buried horizontally in the bone or grow only partially at an angle.

Wisdom teeth,When growing, the entire dentition may be pushed forward in a domino-style, which can disrupt the alignment and bite of the teeth.

Post-orthodontics are no exception, and if the wisdom teeth push harder against the dentition than the retainer does to hold the teeth in place, the teeth and bite may become misaligned.

What to do if you have a retainer and it reverts

Retroversion with retainers is often handled in the following ways

Retainer to correct retroversion.
Rebuild retainer
perform a re-treatment

Since a dentist's diagnosis is needed to determine which method is best to address the problem, consult with your dentist as soon as you become concerned about retroversion.

Retainer to correct retroversion.

If there is no severe pain or misalignment when the retainer is put on,Retainer use as directed by the dentist may correct the retroversion.

However, this method can correct retroversion only when the misalignment is negligible.

Large misalignment when retainer is worn.
Retainer does not fit
Retainers hurt when worn.

In such cases, forcing a retainer will not only fail to correct the retroversion of the tooth,This is dangerous because it can damage teeth and gums.

Rebuild retainer

To prevent the teeth from going backward,This method is to rebuild the retainer and keep it current.

If the teeth are not backed out enough to require retreatment, new retainers should be placed as directed by the dentist to prevent backfilling.

perform a re-treatment

If you have significant dental retroversion or aesthetic concerns,Re-treatment will be done.

There may be an additional cost for re-treatment, so be sure to check the cost.

Preventive measures to avoid going back on retainers.

To prevent the phenomenon of "tooth retroversion despite retainers," keep the following in mind

Observe instructions for wearing retainers.
Be careful how you handle retainers.
Improve habits that disrupt the alignment of teeth
Remove wisdom teeth

Observe instructions for wearing retainers.

How to prevent backsliding,It is important to properly follow the instructions regarding the wearing of retainers.

The pattern of retainer attachment is,

In the beginning, wear it for at least 20 hours a day. Gradually decrease the amount of time you wear them, and eventually wear them only at bedtime.
From the beginning, only at bedtime, etc.

Thus, there are many different patterns.

The length of time and duration of wearing retainers depends on the condition of the mouth and the dentist's approach.

Be sure to follow your dentist's instructions carefully to prevent the teeth from reverting back.

Be careful how you handle retainers.

Depending on how retainers are handled, they may cause tooth retroversion due to deformation or breakage.

Follow instructions on how to put on/off, clean, and store retainers.Do not treat them roughly.

In addition, some types of retainers require periodic adjustments.

If you have a retainer that needs to be adjusted, make sure to visit your dentist for a check-up as directed by your dentist.

Improve habits that disrupt the alignment of teeth

Habit of sticking tongue out in front
Tongue Position
Lip pressure
mouth breathing
bracing (in building)
one side (e.g. of an argument)
Lying on one's stomach, etc.

These habits have a negative impact on the alignment of the teeth.

Especially since tongue and lip habits can greatly affect the alignment of teeth after orthodontic treatment,Be aware that you should try to heal from the correction.

Remove wisdom teeth

Wisdom teeth can disrupt the alignment of teeth after orthodontic treatment.

If you examine the x-rays after orthodontic treatment and see wisdom teeth that are buried in the bone or growing at an angle,Consider extracting the tooth as soon as possible.

summary

Teeth may revert even with retainers due to the following reasons

Failure to follow mounting instructions
Damaged or deformed retainer
Habits around the mouth
Habits other than around the mouth
wisdom tooth

Even if the cause is removed after the reverting occurs, re-treatment is basically required to restore the teeth to their original alignment before the reverting occurred.

Understand that even with retainers, teeth can still revert,It is advisable to ensure that retainers are worn in conjunction with improving habits that may disrupt the alignment of the teeth and considering wisdom tooth extraction.

In 365dentist,