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What are Removable Appliances?
Removable appliances are dental devices used to treat a variety of dental issues, such as misaligned teeth, bite problems, or jaw growth issues. These appliances are designed to be worn inside the mouth and can be easily removed for cleaning or during eating. Unlike fixed braces, which are attached to the teeth, removable appliances can be taken out and put back in by the patient.
Types of Removable Appliances:
1. Retainers: These are used after orthodontic treatment (such as braces) to help maintain the position of teeth.
2. Functional Appliances: Used to help with jaw growth, functional appliances can correct bite problems, such as overbites or underbites.
3. Space Maintainers: These are used to prevent teeth from shifting when a baby tooth falls out early.
4. Upper removable appliance: A type of appliance made of wires and acrylic, which may have springs and screws to actively move the teeth.
Treatment times can vary from a couple of months upwards of a year during which time periodic visits are required for adjustment.
How Do I Use a Removable Appliance?
- Wear as Prescribed: Always follow your orthodontist’s instructions on how long to wear the appliance. Some appliances need to be worn full-time, while others may only need to be worn at night.
- Inserting and Removing: Gently place the appliance in your mouth, ensuring it fits comfortably. To remove, gently pull the appliance from your mouth as shown by your orthodontist. Be careful not to damage the appliance when taking it out of the mouth by pulling on the wrong clip. Avoid using excessive force as this may damage the appliance.
- Cleaning: Always clean your appliance after each use. Use a soft toothbrush and mild liquid soap or a special appliance cleaner. Avoid using hot water, as it can distort the appliance. Do not use toothpaste unless advised by your dentist, as this can scratch the surface of the appliance.
- Storage: When not in use, store your appliance in its protective case to avoid damage or loss.
Tips for Comfortable Use:
- Initial Adjustment: It is normal to experience some discomfort or a feeling of tightness when you first start using a removable appliance. This should subside after a few days.
- Speech: Your speech is likely to be affected at first, and it may take some time to adjust. You may also initially produce more saliva.
- Avoid Eating with It In: To prevent food from getting trapped in the appliance or causing damage, always remove it when eating
What to Expect During Treatment:
- Progressive Changes: Depending on the type of appliance, you may see gradual changes in the position of your teeth and jaws.
- Follow-Up Appointments: Regular visits to your dentist or orthodontist will be required to monitor progress and make any necessary adjustments. Bring your appliance with you to each appointment.
Potential Problems and Solutions:
- Discomfort or Soreness: If the appliance causes irritation or soreness, try using a small amount of orthodontic wax on the areas that are rubbing against your gums. If the discomfort persists, contact your dentist.
- Breakage or Loss: If the appliance breaks or is lost, contact your orthodontist as soon as possible. They may need to take new impressions to create a replacement.
- Difficulty with Fit: If the appliance feels loose or uncomfortable, make an appointment with your dentist to have it adjusted.
You may be charged for replacement of lost or broken appliances.
Important Reminders:
- Consistency is Key: For the appliance to work effectively, it must be worn as prescribed. Failure to wear it regularly may result in delays in treatment.
- Hygiene: Keeping the appliance clean is crucial to prevent bacteria buildup and ensure good oral hygiene.
When to Contact Your Orthodontist:
Contact the Oral Surgery and Orthodontic Department on their direct line 0300 614 0240:
- If the appliance feels uncomfortable or causes significant irritation.
- If the appliance breaks or becomes loose.
- If there are any issues with the alignment or fitting of your appliance.
Contact us
If you have any queries relating to this information, please contact the Oral and maxilofacial surgery service.
About this information
Service:
Oral and maxilofacial surgery
Reference:
M/015
Approval date:
13 January 2025
Review date:
1 January 2028
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Important note
This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.