Braces and Appliances

Removable Appliances

Removable appliances, unlike conventional braces, are used to retain teeth in their corrected positions and in some cases, to make minor adjustments in tooth positions. In addition, they are often used before, and in conjunction with, fixed appliances.

Removable appliances are not utilized to treat all orthodontic problems. It takes skill, and experience to recognize conditions that will respond favorably to removable appliances. Timing of such therapy also is very important.

Because the patient can easily take out removable appliances, there may be a tendency not to wear them as they have been prescribed. For this reason removable appliances may not move teeth as efficiently as fixed appliances. Research has shown us that it takes 6-8 hours of constant force before the bone remodeling process begins. This process is responsible for the changes seen during orthodontics and is usually marked initially by tooth soreness. If appliances are worn intermittently then the teeth will remain sore and tooth movement will be minimized. After 2-3 days of constant wear the soreness usually subsides and tooth movement is maximized.

Removable appliances require some care. Most removable appliances are made with a plastic material, and therefore, may warp if they become too hot. Clean plastic appliances with a toothbrush, cold water and a small amount of toothpaste. If desired, you can soak your retainer in mouthwash. Although you may notice an effect on eating and speaking along with an increase in the flow of saliva, you will eventually adjust to the appliance.