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The Longevity of Retainers: A 58-Year Success Story at Packard Family Orthodontics

October 4th, 2023

Watch the full video on Dr Packard's YouTube channel

Are you in need of a retainer? Perhaps you should consider this option. Read on so I can guide you through the journey of achieving straight teeth and beautiful bites.

Recently, during a consultation, I came across something fascinating that I just had to share with you all. This discovery is all about teeth, specifically, retainers. The patient I met had gone through orthodontic treatment years ago—braces, aligners, the whole shebang. Remarkably, after 58 years, they found themselves back in the orthodontic office because their retainer had broken. Yes, you heard that right, 58 years later!

Now, not everyone might be thrilled about having a retainer for nearly six decades, but for those of you passionate about maintaining your straight teeth and not letting them shift back to their pre-braces state, retainers are crucial. Did you know that some people become members of the "relapse club"? This means that after getting their teeth straightened and closing any gaps or fixing their bite, they gradually stop wearing their retainer. Over time, the retainer stops fitting, and their teeth start to shift again.

A general rule of thumb, or rather, a rule for life, is that you should wear retainers for as long as you want to keep your teeth straight and your spaces closed. If you decide to give up on this endeavor, you'll likely see your teeth shifting again over time, and that might not make you very happy.

Now, let's get back to that incredible 58-year-old retainer. It might not be the exact design, but it's commonly known as a Hawley retainer. It features acrylic in the middle, which is a somewhat harder material, surrounded by wires that are embedded into the acrylic and go around the teeth. This type of retainer is very effective and durable. Orthodontists often use Hawley retainers because of their reliability.

Unfortunately, there's no definitive research suggesting that one retainer type is better than another in terms of how they hold teeth in place. Different retainers have different uses and advantages. For example, Hawley retainers like this one may not be the most cosmetic option, but they are sturdy and effective.

That said, just because one person managed to keep their retainer for 58 years doesn't mean you will too. Everyone's bite is different, and factors like teeth grinding or the occasional misplacement by a curious pet can affect the lifespan of a retainer. So, it's essential to consult your local orthodontist to determine the best retainer type for your unique needs.

In conclusion, while it's impressive that one patient's retainer lasted for 58 years, it doesn't mean you should aim for the same duration. The key takeaway here is that retainers are essential for maintaining straight teeth and closed spaces. Don't hesitate to reach out to us for a consultation. We look forward to welcoming you to become a part of the Packard Family Orthodontics community!

Understanding Impacted Teeth and Expose-and-Bond Procedure at Packard Family Orthodontics

September 27th, 2023

Introduction

Do you have an impacted tooth, and are you considering an expose-and-bond procedure? Welcome back, everyone! I'm Dr. Ryan Packard, your local orthodontist at Packard Family Orthodontics. Today, we'll delve into the world of impacted teeth and discuss the traditional approach known as the expose-and-bond procedure. We've touched on this topic before, but it's essential to understand the options available when dealing with impacted teeth.

Impacted Teeth: A Recap

Before we dive into the expose-and-bond procedure, let's briefly revisit what impacted teeth are. An impacted tooth is one that fails to emerge or align correctly with the surrounding teeth. This can happen for various reasons, such as lack of space, deviation from its natural path, or other factors.

In some cases, you may wonder if it's necessary to address impacted teeth at all. As previously mentioned, leaving them untreated is an unconventional but viable option for some. We recently encountered a fascinating case where a patient had chosen not to address their impacted canines, and it turned out surprisingly well. Despite having four impacted baby canines, these teeth had remained in place for decades. However, it's crucial to understand that while leaving impacted teeth untreated can be an option, there are potential consequences to consider. We always recommend discussing your specific situation with your local orthodontist.

Traditional Approach: Expose-and-Bond Procedure

Now, let's explore the traditional approach to dealing with impacted teeth, which involves the expose-and-bond procedure. This procedure is typically employed when it's deemed beneficial to bring the impacted tooth into its proper position.

Here's a step-by-step overview of the expose-and-bond procedure:

  1. Creation of Space: First, your orthodontist may use braces or Invisalign to create enough space for the impacted tooth to move into its intended location. This process may take several months and involves gentle shifting of surrounding teeth to make room.
  2. Consultation with Specialists: Once adequate space is achieved, you'll likely be referred to a dental specialist, such as an oral surgeon or a periodontist. These specialists will perform the expose-and-bond procedure.
  3. Exposure: During the procedure, the specialist will numb or anesthetize the area to ensure your comfort. They will then make an incision to expose the impacted tooth, which may be encased in gums and bone.
  4. Attachment of Bracket: A bracket, similar to the ones used in traditional braces, is affixed to the exposed tooth. This bracket typically features a chain, similar to an anchor, attached to it.
  5. Closing the Incision: After attaching the bracket and chain, the specialist will carefully close the incision with stitches, ensuring the tooth remains accessible.
  6. Alignment and Movement: Once the impacted tooth is exposed and bracketed, your orthodontic treatment continues. Your orthodontist will use various techniques, such as springs or wires, to gently pull the tooth into its correct position over time.
  7. Patience and Monitoring: The process of moving an impacted tooth can be lengthy and requires patience. Regular check-ups with your orthodontist and specialist are crucial to monitor progress and make necessary adjustments.

Conclusion

The expose-and-bond procedure is a traditional but effective approach to dealing with impacted teeth, ensuring they move into their proper positions within your mouth. While it can be a lengthy journey, with the right care and patience, most impacted teeth can be successfully aligned.

If you have an impacted tooth or are considering this procedure, consult with your local orthodontist, such as Packard Family Orthodontics in McKinney and Anna, Texas. They can provide personalized guidance and develop a treatment plan tailored to your unique needs.

Remember, your oral health is essential, and addressing impacted teeth is a step toward achieving a healthy, beautiful smile. Book your appointment with Dr. Ryan Packard today for your initial consultation. Don't hesitate to reach out to us for a consultation. We look forward to welcoming you to become a part of the Packard Family Orthodontics community!