For younger patients that require a phase approach to orthodontics, Dr. Andrew Wade recommends a clear and color palate retainer at the end of phase 1 treatment. The device will be worn each night during sleep. 

This particular retainer is multipurpose and can provide incredible growth in the mouth. The purpose of the clear part of the retainer keeps the four anterior teeth straight and stable as the new permanent teeth continue to grow in. The color palate portion of the retainer helps keep the mouth’s arch wide and will be adjusted every six month as the patient loses baby teeth and new permanent teeth grow in. The color palate has a thickness that will create vertical space that will assist in opening up deep bites and creating space for the twelve-year molars to fully grow in. 

A different retainer is worn after Phase 2 treatment completes. This would be a fully clear upper retainer that is recommended to be worn all day and night for the first year post-treatment. After the first year, it is only recommended as a night retainer. Wearing the retainer just two to three times per week throughout life will help preserve your smile.

For patients that have a Phase 1 treatment for bottom teeth, a lower lingual wire will be placed behind the bottom four anterior permanent teeth. At the end of Phase 2 treatment, this wire will be placed on the six anterior teeth. Lower anterior teeth are typically the first teeth to shift as patients enter adulthood, so this type of retainer helps prevent that. This is a permanent retainer and is worn throughout life. Lower clear retainers are an option as well. 

Child and adult patients that only require one phase of orthodontic treatment will typically wear an upper clear retainer worn all day and night for the first year and then only at night afterwards. A permanently cemented lower lingual wire will be placed behind the bottom six anterior teeth, too. 

If you grind or clench your teeth, there is a thicker clear retainer available to ensure it will withstand those habits. Your general dentist can fit you for a bite guard if necessary.