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Permanent Retainer vs. Removable Retainer Options

Love Yourself, Love Your Smile

Woman smiling with a permanent retainer behind her teeth, maintaining a beautiful smile after braces.
  • Dr. Monica Madan
  • February 1, 2024

One of the best ways to maintain your investment in orthodontic treatment is to get (and wear) a retainer. After spending the time and money to get your smile just how you want it, the last thing you need is for your teeth to shift out of position. A retainer is an easy way to hold your teeth where they are supposed to be for your best bite. But with so many styles and options, how do you pick between a permanent retainer vs. removable option?

What Does a Retainer Do?

Dental retainers are orthodontic devices designed to maintain the position of teeth after orthodontic treatment is finished. They can be either permanently bonded to your teeth or removable appliances. Because your teeth move constantly throughout your life, retainers help prevent teeth from shifting back to their original positions and ensure the stability of your new bite. To maintain a straight and properly aligned smile, retainers are essential to the post-treatment phase.

Like all orthodontic appliances, you must wear your retainers according to your orthodontist’s instructions and clean them regularly, just like your teeth. Some retainers are worn overnight, while others are worn during the day. Immediately after orthodontic treatment, you may need to wear your retainer longer each day until your teeth have stabilized in their permanent position. Your orthodontist will give you clear instructions for your timeline.ย 

Permanent Retainer vs. Removable Retainer: Which To Choose

There are two main categories of dental retainers. You can choose between a permanent retainer vs. removable options. Each category has its advantages and disadvantages. The table below presents some of the unique considerations for each option.

Long-term replacement with excellent aesthetic outcomes and low additional maintenance.

Differences Between Permanent and Removable Retainers
Permanent Removable
Material
  • Metal
  • Dental cement/bonding
  • Thin, typically clear, plastic
Placement
  • Bonded to the back sides of teeth
  • Typically just the front teeth (incisors and canines)
  • Custom-fit trays
  • Cover all teeth
  • One tray for the top and one for the bottom teeth
Visibility
  • Not visible while talking or smiling
  • Discreet option
  • Visible when talking and smiling
Wear Schedule
  • Worn constantly
  • Not removable
  • Can be taken out for eating
  • Orthodontist will provide instructions
    • Begin with constant wear
    • Move to wearing overnights or a certain number of hours per day
Durability
  • Typically years to decades
  • May require replacement or rebonding
  • Require periodic adjustment or replacement
Oral Hygiene
  • Depending on which/how many teeth the device is bonded to, special floss threaders will be needed to clean under/around the wire
  • Require daily brushing (with their own brush, not your toothbrush) or soaking
  • Teeth can be brushed and flossed like normal
Effectiveness
  • Very effective
  • Based on patient compliance with wear times

Types of Retainers

There are many choices for dental retainers, even beyond permanent retainer vs. removable options, based on your specific dental needs and preferences. The table below lists some available types of retainers for you to choose from after orthodontic treatment.

Types of Dental Retainers
Hawley
  • A combination of acrylic and metal
    • The acrylic rests against the roof or floor of your mouth while the metal holds the retainer to your teeth.
  • Acrylic can be customized with different colors or patterns
  • Removable
Essix
  • Clear trays that fit snuggly along teeth
  • Made from transparent plastic
  • Discreet and less noticeable
  • Removable
Vivera
  • Clear aligners made by Invisalign
    • Similar to Essix retainers but brand-specific
  • Discreet and not noticeable
  • Removable
Fixed or Bonded
  • Metal wires attached to the back of teeth by dental cement
    • Often placed from canine to canine on the lower teeth
    • Occasionally used for the top front teeth as well
  • Provide continuous support
  • Permanent

The type of retainer you will get after braces or after Invisalign treatment will depend on several things. Your orthodontic needs will be first and foremost, as you want to protect your investment and maintain your great smile. Next will be your patient preferences for style, maintenance, and follow-up appointments. Ultimately, the decision will be made after consultation with your orthodontist. Whether you choose a permanent retainer vs. removable one, you will need to follow all of their professional recommendations for care and maintenance. 

Beverly Hills Orthodontics — Your Retainer Experts

Founded by world-renowned Dr. Monica Madan, the BHO team believes you deserve nothing but the best, whether you’re just starting treatment or maintaining your new award-winning smile. We know retainers are vital in keeping your teeth in position, so we work hard to get you the retainers you want to fit your lifestyle and orthodontic needs. 

Curious about the best permanent retainer vs. removable options for your after-treatment needs? Call us at 310-785-0770 or visit our contact page today. We’re here to answer your questions!

NOTE: All blog content is intended to supplement—NOT REPLACE—the expertise of a healthcare professional and should not be construed in any way as medical advice. Consult a professional orthodontist directly, like the ones at BHO, to assess your individual needs and advise the best course of treatment.

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We are thankful for the opportunity to serve our communities with the highest quality care. Check out what our patients are saying about their 5-star experience with us!

Smiling couple with confident smiles, showcasing healthy smiles and orthodontic results.
Masha Perelyubskaya Dey R.
Monica is truly an expert and easy to relate to, I’m so thankful for her help - couldn’t have gotten my teeth in shape without her!
Brandon L.
Beverly Hills Orthodontics has been amazing! The staff is incredibly helpful, and they always provide a clear breakdown of my progress. I’ve really enjoyed my experience so far and absolutely love my results!
Jenny D.
Both of my children see Dr. Madden and we are very happy with both of the results. The office is beautiful. The view is amazing and all of the stuff are lovely. My children feel so safe at this doctor‘s office.
Charlize V.
I’ve been coming here for a few years and it’s always been a great experience. Everyone here is so welcoming and friendly!
Jennifer E.
Dr. Madan and staff are absolutely wonderful and highly skilled. Attentive, responsive, efficient and an added benefit of their beautiful office. We have been with her for over 2 years and we continue to notice the difference in care and quality. Highly recommended!
Response from the owner:Thank you for your kind words about us and our staff. We work diligently day in and day out to provide the best patient experience possible, so itโ€™s wonderful to hear when we meet our goals!
Alexis C.
I’ve been coming here for years and teeth look better than ever. Everyone is knowledgeable and accommodating.
Response from the owner:Thank you for the loyalty over the years and for the kind words about our team. We appreciate you.
Ronny H.
My experience at this ortho has been great. The staff is really kind and the doctors are very professional in their work!
Response from the owner:Thank you for this. Kind and professional is exactly what we want every visit to feel like.
appolo R.
Amazing staff and doctors! Always so efficient! Irene, Meklit and Anthony are the best!
Response from the owner:Thank you for the kind words about our staff and doctors. We will be sure to pass this along to the team.
Julia
Highly recommend. I had a great experience getting Invisalign here. They are experts at what they do and so kind and professional. Beautiful, bright office with an amazing view is a bonus :)
Response from the owner:Julia, thank you! Kind, professional, expert care in a bright space with a nice view is exactly the experience we hope to give.
Jamie K.
Absolutely could not recommend BHO more. Dr Madan, Dr Sinclair, Gabriel, and the front desk are so lovely and so organized. The office is spotless and beautiful, and they are so clear about what to expect as fast as cost and treatment plan. Absolutely love them and highly recommend them!
Response from the owner:Jamie, thank you for such a glowing review! Clear answers, an organized office, and a spotless space are things we work hard at, so it means a lot to hear that Dr. Madan and the team made that impression.
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Related Pages:
  • other treatments retainers
  • retainer after braces: keeping your new smile
  • what are permanent retainers?
  • retainer after invisalign: maintaining that new smile
  • what are the different types of retainers?