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Permanent Retainer vs. Removable Retainer Options

Love Yourself, Love Your Smile

Beautiful woman with perfect teeth posing on pink shiny background
  • 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. 

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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patient reviews

Enjoy our 5-star experience.

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!

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appolo R.
Amazing staff and doctors! Always so efficient! Irene, Meklit and Anthony are the best!
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.
Annabelle D.
This place is so awesome the people are all so sweet and good vibes and the office has such a beautiful atmosphere and view as well.
Response from the owner:Annabelle, thank you! Sweet people, good vibes, and a beautiful space with a view are a pretty great combination, and we love that you noticed.
Kimberly T.
Great Orthodontist office! They have been amazing to fix my smile!! Highly recommend!
Response from the owner:Kimberly, thank you for the recommendation! We are thrilled that you are happy with your smile.
Brian L.
Beverly Hills Orthodontics absolutely exceeded my expectations and has provided an exceptional service and experience! Dr. Madan and her team are friendly, professional, and genuinely care about their patients. In Oct 2024, I inquired about Invisalign to a handful of orthos. Due to my smile at the time, I was told I needed braces instead of Invisalign from other orthos. Dr. Madan was the one that said she can use Invisalign but I would have to wear bands as well and be disciplined in wearing them to see the results. She was honest and realistic in her approach and I’m glad I decided to go with BH Ortho. Fast forward to July 2026, my gap in my teeth has closed and my teeth are incredibly straight. So thankful for Beverly Hills Orthodontics! The office is clean, appointments are efficient to make via text, and conveniently there are multiple locations across LA. My first two pics show my new smile using Invisalign with Beverly Hills Orthodontics, and my last two pics are before. If you’re looking for an orthodontist who delivers exceptional care and outstanding results, I highly recommend Beverly Hills Orthodontics.
Response from the owner:Thank you so much for your wonderful review! We are thrilled to hear about your incredible experience with Dr. Madan and our team, and we are so happy to see your amazing new smile. Providing honest guidance, personalized treatment options, and convenient, top-tier care across all our locations is always our highest priority. We deeply appreciate your high recommendation and for trusting Beverly Hills Orthodontics with your smile journey!
Rachna S.
My favorite place and all the doctors and staff are very polite, attentive and caring. Love coming for my appointments
Response from the owner:Thank you, Rachna! We appreciate your kind words about our team. It's our goal to provide exceptional care and a friendly environment. We look forward to seeing you again soon!
M K.
Friendly and honest. I’m very happy my daughter is being serviced here. Would recommend it to others.
Response from the owner:Hearing that you are happy with your daughter’s care truly means the world to us! We take a lot of pride in being completely honest, transparent, and friendly with our families every single day. Thank you so much for trusting us with her smile and for recommending us to others!
Kate L.
I got my Invisalign here and the process was absolutely incredible and easy. They took really good care of me and everyone at the office was very nice and polite. One of the technicians, Anthony, went above and beyond during the appointments and Dr. Maden was always there overseeing everything and making sure everything was going smoothly. 10/10 recommend coming here
Response from the owner:Thank you so much for the exceptional 10/10 recommendation! We are thrilled to hear that your Invisalign process was so seamless and that you felt incredibly well cared for by our team. We truly appreciate your support!
Lisa L.
My son has been seeing Dr M and has had a great experience with her and the entire BHO team. Everyone is so warm and welcoming, making the Invisalign journey way more bearable. Another plus- the office is immaculate!
Response from the owner:Thank you for your wonderful feedback, Lisa! We're thrilled to hear that you had a great experience with our team and appreciated our environment. Your support means a lot to us!
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