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Many patients underestimate the importance of wearing their retainers after their braces come off, but it is one of the most critical post care practices to keep your teeth in alignment. Why spend all that time, energy, and money to straighten your teeth when you don't plan to keep them straightened after treatment?

What is a retainer?

As the name implies, a retainer keeps teeth from moving back to the positions in which they started before treatment was administered; they "retain" your smile and bite. There are many different types of retainers—some are removable and some are permanent. Some retainers are made of plastic and metal (known as Hawley retainers) and others are all plastic or all metal. Some retainers can even be bonded to the back of your teeth!

How long do I need to wear it?

If you've been given a removable retainer by Dr. Neil Oliveira and Dr. Derek Wolkowicz, you may be wondering how long you need to wear it. It takes time for the tissues and bones around your teeth to reorganize and set into place after braces treatment.

The amount of time you’ll need to wear your retainer depends on your unique situation, but typically, retainers should be worn at least as long as the time you spent in braces. You might need to wear them full-time for a while, and then transition to wearing them only at night. Dr. Neil Oliveira and Dr. Derek Wolkowicz will have a treatment plan especially for you, and if you stick to it, you'll always have a straight smile.

Nothing is forever (at least without retainers!)

Research has shown that there is no “permanent” position for your teeth to remain in. In fact, some studies say upward of 70% of patients will see a change to their bite and tooth alignment as they get older. This applies to people who have had orthodontic treatment and those who have not. Of course, some people's teeth never seem to shift—you can consider them the lucky ones, as most people's teeth do.

And this is precisely where retainers come in. The only way to ensure your teeth stay in alignment long-term is by wearing your retainers. If you have any questions about retainers or your treatment plan, please ask any member of our New Bedford or Mattapoisett, MA staff.

Not many people look forward to going to the dentist, especially if you already know that you need dental work done. A small amount of anxiety is one thing, but dental phobia, or odontophobia, is something else entirely. It is an irrational fear of going to the dentist. If you have it, you might be unable to force yourself to go to the dentist, even if you are suffering from bad tooth pain. The effects of dental phobia can be serious, but there are ways to overcome your fear of the dentist to help you achieve and maintain good oral health.

Causes of Dental Phobia

You can develop dental phobia for a variety of reasons, including the following.

• Fear of pain, which you might acquire based on others’ horror stories of their trips to the dentist.
• Fear of needles, such as those used to provide anesthesia.
• A previous bad experience, when something went wrong and pain was intolerable.
• Lack of control from not knowing what is happening or how uncomfortable a procedure might be.

Consequences of Dental Phobia

Avoiding the dentist can have long-term consequences. When caught early, tooth decay is easily stopped with a minor filling. If you let the decay go, you can end up losing your tooth and have chronic pain. A dentist can also check for early signs of gum disease, which, if left untreated, could lead to losing one or more teeth.

Even if you do not have a particular problem, going to a dentist for regular cleanings is a good idea because the hygienist can point out where you need to brush better and remove the plaque from your teeth.

Getting Over Fear of the Dentist

Most patients with dental phobia can get over their condition. These are some approaches that Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team recommend:

• Explain each step of the process
• Let you know that you can stop the procedure at any time
• Encourage you to come with a family member or friend
• Help you with deep breathing techniques

Sports and energy drinks cause irreversible damage to the teeth of teens and young adults. A recent study published in General Dentistry states that energy and sports drinks contain so much acid that they begin destroying teeth after only five days of consistent use. According to the Academy of General Dentistry, an estimated 30 percent to 50 percent of U.S. teenagers consume energy drinks and as many as 62 percent consume at least one sports drink per day. The high acidity levels in the drinks erode tooth enamel and the result is irreversible damage.

Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team at Orthodontic Specialists of Southeastern Massachusetts encourage our patients to limit their intake of sports drinks. The enamel erosion ultimately makes teeth more susceptible to bacteria and that can lead to hypersensitivity, staining, and tooth decay. If you do consume an energy or sports drink, make sure to wait at least 45 minutes until you brush, as consumption of acidic drinks causes tooth enamel to soften, making teeth more vulnerable to wear from the abrasives found in toothpaste.

Tooth decay is the most common chronic childhood disease, five times more common than asthma. It’s also preventable with proper care. Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team can help identify early signs of erosion and offer solutions on how to prevent further damage and more serious problems from occurring.

All over the Internet you'll find videos and articles showing how you can close the gap between teeth or space them out. There is a plethora of DIY orthodontic techniques out there — you can even mail order your own impressions to get clear aligners, without even seeing a dentist or orthodontist. Following the instructions laid out in these videos and articles (by people who have zero training in orthodontics) is about the worst decision you can make for your overall oral health.

Performing DIY or at-home orthodontia can lead to or cause:

• Loss of teeth
• Infection
• Cavities or infections that are missed or undiagnosed
• Gum damage

Dr. Christina Carter, president of the Northeastern Society of Orthodontists, says that DIY orthodontics can have terrible consequences. She spoke to TODAY about closing gaps between teeth using rubber bands or elastics:

"The teeth are connected to the gums and the blood supply and there is a risk of infection, of tearing the gums which might not heal properly, and a risk of damaging the attachment between the tooth and gums so the tooth no longer gets the support it needs." She also noted, "A simple rubber band can actually slide up the tooth and cut all the attachments to it and you can actually lose a tooth."

One of the worst parts about DIY orthodontics is that you never consult with a trained orthodontist, so you're really operating on a dangerous lack of information. It's best not to risk damage to your teeth or infection. Let Dr. Neil Oliveira and Dr. Derek Wolkowicz know what you want to accomplish with your teeth and we will help you find the safest and most cost-effective way to achieve it.

Dr. Neil Oliveira and Dr. Derek Wolkowicz want you to be informed and practical about your oral health. Should you have any questions about orthodontic treatment options, please do not hesitate to give us a call at our convenient New Bedford or Mattapoisett, MA office.