Learn Orthodontics

Fitting of Removable Retainer

Equipment Required

  1. URA adjust kit (Adams pliers, Round-flat pliers, Mauns cutters)
  2. rem instruments
  3. Straight handpiece , acrylic cutting bur (preferably tungsten carbide).

Procedure for Hawley style retainers

  1. Check
    • That the appliance is for the patient.
    • The design is the one requested.
    • The appliance fits the working model
    • The appliance has no sharp or rough surfaces, edges etc.
  2. Fit the appliance to the patient and check
    • It fits properly
    • The base plate fits closely
    • The retention (Adams clasps) fit correctly
    • It is not producing any discomfort
  3. IF required, adjust the acrylic using the straight handpiece and acrylic bur
  4. Adust the labial bow so that it is just touching teeth
  5. Adjust the Adams clasps to ensure good retention
  6. Instruct patient and parents on appliance removal, insertion and care.
    • Retainers are worn FULL TIME for the first 6 months, then 6 months nights only
    • They removed only for cleaning
    • Give patient a set of written instructions
    • Make next appointment for 10-12 weeks

Procedure for Essix style retainers

  1. Check
    • That the appliance is for the patient.
    • The design is the one requested.
    • The appliance fits the working model
    • The appliance has no sharp or rough surfaces, edges etc.
  2. Fit the appliance to the patient and check
    • It fits properly
    • It is not producing any discomfort
  3. IF required, adjust the Essix using the straight handpiece and acrylic bur
  4. Instruct patient and parents on appliance removal, insertion and care.
    • Retainers are worn FULL TIME for the first 6 months, then 6 months nights only
    • Essix appliances must be removed for eating and stored safely
    • Otherwise they are removed only for cleaning
    • Give patient a set of written instructions
    • Make next appointment for 10-12 weeks