Perhaps the happiest day of treatment for orthodontic patients is the day the braces come off. Patients are happy. Parents are happy. Doctors are happy! Getting your braces off however is more like a “commencement” from high school than a graduation from college. No matter what treatment was provided, no matter how perfectly the teeth were aligned, the day the braces come off is just the start of a life-long need to retain (or hold) the teeth in the best position possible. Lifetime retention should not come as a surprise to anyone as there is nothing else on the human body that does not sag or wrinkle with age. Your teeth are no different.

Three common reasons you'll need to replace your retainer
One of the first questions I hear after I deliver a new retainer is, “How will I know when I need to replace it?” Everyone is different, but here are three clues that it is time to invest in a replacement: 1) your retainer doesn’t fit any more, 2) it is damaged, or 3) it is worn out from normal wear. Let’s look at each reason more closely.

It doesn't fit because your teeth change
Your retainer must fit correctly on the first day that you receive it. It is naive to believe that it will fit better with time. If your retainer doesn’t fit when you receive it, tell your orthodontist and demand that a replacement be provided. Once you have a retainer that fits, however, it is up to you to wear it as prescribed so that movement will be kept to a minimum. Please understand that there is NO retainer of any kind that will prevent all movement. If you’re using your teeth, they’re going to change. If you get lackadaisical in your retainer wear, your teeth may move so much that your retainer won’t fit right any more. When you get to that point it is time to return to your orthodontist. If he cannot adjust your retainer so that it will fit the new position of your teeth, you will need to buy a new one.

Damaged retainers need to be replaced
Second, if your retainer is damaged so that it no longer fits or holds your teeth effectively, you will need to have it repaired or replaced. Some examples of things that will damage a retainer include sitting or stepping on it, leaving it out so that your dog can chew it up, or in the case of thermoformed retainers, placing the retainer in water that is too hot. The best way to prevent damage is to store your retainer in its case when it is not in your mouth. A colleague of mine tells his patients “Keep your retainer in your face, in its case, or you will need to replace.”

Like everything else, retainers wear out with normal use
The final reason you’ll need to replace a retainer is because it is just worn out. This happens with anything that we use on a daily basis. How do contacts look after they’ve been worn every day for a year or two? How do sneakers look when you’ve worn them daily for a year? The length of time a retainer stays in decent shape varies from patient to patient. While most last two to three years, I’ve seen some patients who need to replace theirs every year while others have had theirs for more than 20! Some signs that your retainer is worn out include discoloration, calcium buildup, distortion, solder joints that come apart, and a loose fit even though the retainer has not been damaged. If you go to put your retainer in your mouth one night and you think to yourself, “I am not sticking that gross thing in my mouth again,” it is probably time to invest in a new one.

NOTE: The author, Dr. Greg Jorgensen, is a board-certified orthodontist who is in the private practice of orthodontics in Rio Rancho, New Mexico (a suburb on the Westside of Albuquerque). He was trained at BYU, Washington University in St. Louis, and the University of Iowa in the United States. Dr. Jorgensen’s 25 years of specialty practice and nearly 10,000 finished cases qualify him an expert in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems (including conventional braces, Damon and other self-ligating brackets, Suresmile, and lingual braces). This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. Jorgensen is licensed to diagnose and treat patients only in the state of New Mexico. He cannot diagnose cases described in comments nor can he select treatment plans for readers. Because he has over 30,000 readers each month, it is impossible for him respond to all questions. Please read all of the comments associated with each article as most of the questions he receives each week have been asked and answered previously. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.