Our Blog

Retention is the most important part of the orthodontic journey. Once treatment is complete, retainers help maintain the position of your teeth after braces or clear aligners. They help make sure your smile stays straight forever! However, the retainers themselves do not last forever and occasionally need to be replaced.

What Are Essix Retainers?
Essix retainers are clear, plastic retainers that fit snugly over your teeth. They are custom-made to ensure a perfect fit and are designed to maintain your teeth's position after braces or other orthodontic treatments.

Lifespan of Essix Retainers
The lifespan of retainers depends on several factors, most importantly how well they are taken care of. For most patients, retainers last somewhere between 2-8 years, however can range based on your individual habits. It is somewhat similar to tires on a car; they do need to be replaced occasionally, and how quickly they wear depends on several factors including how they are handled, road conditions, aggressive driving, hard braking, etc.

Factors

Habits: Patients that clench and grind their teeth, find that retainers will wear down faster than patients that do not.
Care and Maintenance: Proper cleaning, storage and handling significantly impact how long your Essix retainer will last.
Dental Changes: Changes in your dental structure(Fillings, crowns etc) may necessitate a new retainer.

How to Care for Your Essix Retainer
Proper care is essential to maximize the lifespan of your Essix retainer. Here are some tips to keep it in optimal condition:

1. Cleaning
   Daily Cleaning: Clean your retainer daily using a soft toothbrush and mild, non-abrasive soap. Avoid toothpaste, as it can be abrasive and cause scratches.
   Deep Cleaning: Periodically, soak your retainer in a retainer cleaning solution or a mixture of water and a bit of baking soda to keep it fresh and free of bacteria.
2. Handling
   Avoid Heat: Do not expose your retainer to hot water, direct sunlight, or heat sources, as it can warp the plastic.
   Storage: Always store your retainer in its protective case when not in use to prevent damage and loss. Avoid napkins for storage as they will end up in the trash!
3. Usage
   Gentle Removal: Remove your retainer gently to avoid cracking or bending it. Use both hands to pull it out evenly. Avoid pulling the retainer out from the front.
   Avoid Certain Foods: Refrain from eating or drinking anything other than water while wearing your retainer to prevent staining and damage.

   Signs It’s Time to Replace Your Essix Retainer
   Despite your best efforts, Essix retainers will eventually need to be replaced. Here are some signs that it’s time for a new one:

Cracks or Breaks: Any visible damage means the retainer is no longer effective.
Loss of Fit: If your retainer feels loose or doesn’t fit as snugly as it used to, it’s time for a replacement.
Discoloration or Odor: Persistent discoloration or an unpleasant odor, even after cleaning, indicates it’s time for a new retainer.
Wear and Tear: General wear over time will reduce the retainer’s effectiveness in maintaining your teeth’s position.

Conclusion
Essix retainers are a fantastic option for maintaining your smile post-treatment, but they do require care and eventual replacement. By following the care tips outlined above, you can maximize the lifespan of your retainer and keep your smile looking its best.

Age: 15.6
Treatment Duration: 24 months

Before Treatment:

This patient came to our office looking to improve her crowding and give a more esthetic smile.

On exam, the findings were
Mandibular skeletal asymmetry
Right side class 3 malocclusion
Left side class 2 malocclusion
Upper crowding
Lower Crowding
Full posterior crossbite on left side
Anterior crossbite of Upper left canine
Mild mandibular(lower crowding)
Narrow smile

Treatment Journey:

Our patients treatment plan involved upper and lower metal braces with the use of rubber bands. A decision needed to be made of whether or not to use a palate expander to address the posterior crossbite. At 16 years old, females are typically done growing and palate expanders without surgery are much less predictable so a decision was made to use rubber bands to address the crossbite.

After Treatment:

In this amazing transformation we were able to correct all of the pre-existing orthodontic issues, improving the asymmetry, eliminating the crowding, and correcting all of the bite issues with rubber bands to achieve an ideal bite in all dimensions, all while widening and broadening the smile.

A challenging case like this is not possible without the cooperation of the patient, which we certainly had in this case. Amazing compliance with rubber bands, as well as keeping the teeth clean allowed us to obtain a truly incredible result in this case.

Orthodontics can not only play a pivotal role in optimizing both oral health and functional well-being, but more importantly can elevate one's self-confidence. Our practice is committed to serving patients of all ages and embraces the belief that it's never too late to embark on the journey to your dream smile.

I invite you and your family to reach out to our office to schedule a complimentary consultation. Allow me the privilege of discussing the orthodontic solutions tailored to your unique needs. Your journey to your dream smile begins with an orthodontic specialist!

Dr. Strouse

Many people believe they need a referral from their dentist to see an orthodontist, but at Strouse Orthodontics, and most orthodontic offices, no referral is needed! You can schedule a free consultation with us directly, bypassing the need for a referral from a dentist. Often, dentists are not specifically looking for orthodontic issues during routine exams, and are not trained to do so, which means potential problems could go unnoticed. In some situations, dentists will even suggest orthodontic treatment to do themselves, and only work to straighten the front teeth, leaving patients with bite issues that lead to additional dental work over the years.

Whether you are an adult or thinking about your child, seeing an orthodontist can help identify and treat these issues early, potentially preventing future dental problems. With children, often times parents are the first to notice that something may not be right with their child's teeth. Straight, healthy teeth function better, making it easier to maintain good oral hygiene and reducing the risk of cavities and gum disease. Contact us today to book your complimentary consultation and discover how we can help you achieve the smile of your dreams.

A patient recently presented to my office for a consultation who informed me their dentist advised them to use a special mouthpiece in order to avoid the need for braces(orthodontics) with the premise of guiding jaw growth and alignment of the jaw.

As a practitioner that is very current with the current orthodontic literature and trends in the industry and a member of numerous research study groups, it struck my attention when there was an orthodontic therapy I was not familiar with.

Upon looking in to this further, consulting the literature along with various orthodontic colleagues, it appears that the Healthy Start and various similar appliances are making the rounds for pediatric dentists and general dentists. This is true not just in our communities in Hernando and Citrus County Florida, but throughout the country. Could there be special mouthpieces that Orthodontic Specialists who do orthodontics exclusively, have been to ADA Certified Residency programs, and countless hours of Continuing Education are not familiar with that general dentists have solved?

On the Healthy Start website for instance, there is no literature or research to support the claims made of the system and the before and after photos on the website are from different patients. There is no explanation on the website or anywhere for that matter how the appliance works. Sensationalist marketing is used with claims that Math, Science and Spelling will approve with this mouthpiece, while Reading and Writing are not affected. They also claim that ADHD will be eliminated, the need for braces will be eliminated and the Temporomandibular Joint function will not only be improved, it will eliminate any disfunction 80% of the time. Additionally, the appliance can even cure Sleep Disordered Breathing(SDB), bedwetting, irritability and fatigue all while improving school performance!!

These types of treatment are advertised as a way to "prevent" children from ever needing orthodontics. While these appliances are unlikely to do any harm, and may even provide some mild benefit to early tooth alignment, they are mostly sold to general dentists and pediatric dentists who do not have training or knowledge in orthodontics. As the prevalence of cavities decreases, offices are often looking for additional revenue sources. Prefabricated mouthpieces are an easy way for dental and pediatric offices to present something to parents of young children with claims that they need that will eliminate the need for braces or any orthodontic treatment. In reality, it is likely that a child will still need orthodontics in the future and any type of orthodontic treatment that is completed by a practitioner without a firm understanding of tooth movement, growth and development can potentially do more harm than good, all while using the families insurance benefits. Additionally, while it is possible these types of appliances can provide some additional space for adult teeth, they do not perform bite correction. Given that these kids are unlikely to see an orthodontist, bite issues will likely go undiagnosed, and the patient will have more wear and tear to their teeth, and issues such as gum recession throughout life.

In short, when it comes to Orthodontics, tooth movement, growth and development, it is important to seek the advice of an expert. At Strouse Orthodontics, in Spring Hill and Lecanto, Florida as well as most orthodontic offices, Orthodontic Specialists perform complimentary initial exams and an Orthodontist can complete a proper comprehensive evaluation and determine a treatment plan best for your child in the long term. When you hear a marketing pitch of a new magic appliance that will cure Sleep Apnea, eliminate ADHD and improve Math scores(but won't be able to improve Reading scores), it is probably best to consult with an expert and avoid potential damage to the teeth and surrounding structures, not to mention the additional time and money involved.