As a dental expert, I have extensive knowledge about orthodontic retainers and their importance in maintaining the results of orthodontic treatment. Dental Code D8680, also known as Orthodontic Retention, is a crucial part of the orthodontic process, ensuring that the corrected position of teeth is maintained after the active phase of treatment has been completed.
In this article, we will delve into the details of D8680, including what it entails, the different types of retainers, and the importance of proper retention in ensuring the long-term success of orthodontic treatment. We will also discuss the role of the orthodontist in the retention process and provide guidance on how patients can maintain their retainers and protect their investment in their smile.
What Is D8680: Orthodontic Retention?
D8680 is a dental code that describes the process of removing orthodontic appliances, such as braces or aligners, and constructing and placing retainers. This code is typically used at the end of active orthodontic treatment, when the teeth have been aligned and corrected to the desired position.
The primary purpose of D8680 is to ensure that the teeth remain in their corrected position and prevent relapse, which is the tendency for teeth to shift back to their original position. By wearing retainers as prescribed by the orthodontist, patients can maintain the beautiful smile they have achieved through their orthodontic treatment.
Types of Orthodontic Retainers
There are two main types of orthodontic retainers: removable and fixed.
Removable Retainers
Removable retainers are custom-made appliances that fit over the teeth and can be easily taken out for cleaning and eating.
These retainers are typically made of clear plastic or acrylic and are designed to be comfortable and discreet. Removable retainers are often preferred by patients for their flexibility and ease of use, as they can be adjusted or replaced if necessary.
Fixed Retainers
Fixed retainers, also known as bonded retainers, are thin wires that are bonded to the back surfaces of the teeth. These retainers provide continuous support and are less noticeable than removable retainers.
Fixed retainers are often recommended for patients who are prone to shifting or who may not be diligent in wearing their removable retainers.
SEE ALSO: How to Tighten An Orthodontic Expander
The Orthodontic Retention Process
The orthodontic retention process typically involves the following steps:
Removal of Orthodontic Appliances: The first step in the retention process is the removal of the orthodontic appliances, such as braces or aligners. This is usually done by the orthodontist, who carefully removes the appliances and ensures that the teeth are in the desired position.
Construction of Retainers: Once the appliances have been removed, the orthodontist will take impressions or scans of the teeth to create custom-made retainers. The retainers are typically made in a dental laboratory and may take a few days to be ready.
Placement of Retainers: When the retainers are ready, the orthodontist will place them in the patient’s mouth. For removable retainers, the orthodontist will ensure that they fit snugly and comfortably over the teeth. For fixed retainers, the orthodontist will bond the wire to the back surfaces of the teeth using dental adhesive.
Instructions for Wear: The orthodontist will provide the patient with instructions on how to wear and care for their retainers. For removable retainers, patients may be instructed to wear them full-time for a certain period, then transition to nighttime wear. For fixed retainers, patients will be advised on how to clean around the wire and maintain good oral hygiene.
The Importance of Orthodontic Retention
Orthodontic retention is crucial for maintaining the results of orthodontic treatment and ensuring that the teeth remain in their corrected position. Without proper retention, the teeth are prone to shifting back to their original position, a process known as relapse.
Relapse can occur even years after the completion of active treatment, and it can be frustrating and costly for patients who have invested time and money into their orthodontic treatment.
By wearing their retainers as prescribed by the orthodontist, patients can protect their investment in their smile and enjoy the benefits of a healthy, beautiful smile for years to come. Retainers also help to maintain the proper function of the teeth, ensuring that patients can chew and speak comfortably.
The Role of The Orthodontist in Retention
The orthodontist plays a crucial role in the retention process, providing guidance and support to patients throughout their treatment. The orthodontist is responsible for evaluating the patient’s teeth and determining the appropriate type of retainer based on their individual needs and preferences. The orthodontist also provides instructions on how to wear and care for the retainers and monitors the patient’s progress throughout the retention phase.
If a patient experiences any issues with their retainers, such as breakage or discomfort, they should contact their orthodontist immediately. The orthodontist can assess the problem and provide appropriate treatment, such as adjusting or replacing the retainer.
Maintaining Orthodontic Retainers
Proper maintenance of orthodontic retainers is essential for ensuring their effectiveness and longevity. Patients should follow the instructions provided by their orthodontist on how to clean and care for their retainers. This typically involves brushing the retainers with a soft-bristled toothbrush and mild soap or denture cleaner.
Patients should also be careful not to lose or damage their retainers. Removable retainers should be kept in a protective case when not in use, and patients should avoid placing them in hot water or leaving them in the sun, as this can cause them to warp or discolor. Fixed retainers should be cleaned carefully with floss threaders or interdental brushes to remove plaque and food particles.
Conclusion
D8680: Orthodontic Retention is a crucial part of the orthodontic process, ensuring that the corrected position of teeth is maintained after active treatment has been completed. By wearing their retainers as prescribed by the orthodontist, patients can protect their investment in their smile and enjoy the benefits of a healthy, beautiful smile for years to come.
As a dental expert, I encourage patients to work closely with their orthodontist throughout the retention phase and to follow their instructions carefully. By maintaining good oral hygiene and caring for their retainers properly, patients can ensure the long-term success of their orthodontic treatment and maintain their beautiful smile for a lifetime.