Is It Normal to Wear a Retainer Before Braces? Expert Insights - Dentistry

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Before orthodontic treatment, it is necessary to wear a retainer?


Hello, doctor.
Due to my front teeth being protruded and having a significant gap between them and my canine teeth, I would like to undergo orthodontic treatment.
However, the doctor suggested that I first wear a retainer on my upper teeth for about six months before getting braces.
He mentioned that the purpose is to push the protruded front teeth inward.
Is this approach normal? Are there cases where this has been done? Thank you for your response.

Ke Ke, 40~49 year old female. Ask Date: 2023/08/28

Dr. Lin Jiayong reply Dentistry


Hello: If you are already prepared to undergo orthodontic treatment at your own expense, it is advisable to find an orthodontist you "trust" and follow their instructions throughout the process.
Orthodontic treatment typically lasts at least 2 to 3 years, and if there is a lack of trust between the doctor and patient, each step may cause you anxiety and hesitation, ultimately making it difficult to achieve your treatment goals and increasing the likelihood of disputes.
If you cannot find an orthodontist you "trust," it is recommended to seek treatment at the orthodontics department of a "medical center" in your area.
Medical centers emphasize peer review and case discussions, so any deviations during the treatment process will be promptly corrected.
Regarding the statement about pushing the protruding front teeth inward, is this approach normal? >> Individual cases vary, so it cannot be generalized.

Reply Date: 2023/08/28

More Info


Wearing a retainer before braces is not a common practice, but it can be a part of a comprehensive orthodontic treatment plan in certain cases. The primary goal of orthodontic treatment is to achieve proper alignment of the teeth and jaws, and sometimes, preliminary steps are necessary to prepare the mouth for braces.
In your situation, where you have protruding front teeth and significant spacing between your canine and front teeth, your orthodontist may have recommended a retainer to help reposition your teeth before applying braces. This approach can be beneficial for several reasons:
1. Initial Alignment: A retainer can help to gradually move the teeth into a more favorable position. By applying gentle pressure, it can help to push the protruding teeth inward, which may create a better foundation for braces later on. This is particularly useful if the teeth are significantly misaligned or if there is a need to reduce spacing before more extensive orthodontic work.

2. Preventing Further Movement: If your teeth are already in a compromised position, using a retainer can help prevent them from shifting further while you wait for braces. This is especially important if there are concerns about the teeth becoming more misaligned over time.

3. Customized Treatment: Every patient’s dental situation is unique. Your orthodontist may have identified specific issues that warrant this approach based on your dental examination and treatment goals. It’s not uncommon for orthodontists to use a variety of appliances, including retainers, to achieve the desired results.

4. Case Studies: While there may not be extensive literature specifically detailing the use of retainers before braces, orthodontists often share anecdotal evidence and case studies from their practices. Many orthodontists have successfully used this method to prepare patients for braces, especially in cases where initial alignment is crucial for the overall treatment outcome.

5. Patient Comfort and Compliance: Using a retainer before braces can sometimes make the transition to braces more comfortable for patients. It allows for a gradual adjustment to the feeling of having dental appliances in the mouth, which can help with compliance when braces are eventually placed.

However, it is essential to follow your orthodontist's instructions closely and attend regular check-ups to monitor progress. If you have any concerns about this approach or if you feel uncertain about the treatment plan, it is always a good idea to discuss them with your orthodontist. They can provide you with more detailed information about the rationale behind their recommendations and how this step fits into your overall treatment plan.

In summary, while it is not the most common approach, wearing a retainer before braces can be a valid and effective strategy in certain orthodontic cases. It is crucial to maintain open communication with your orthodontist to ensure that you are comfortable with the treatment plan and understand the reasons behind each step.

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