hey it's dr amanda with straight smile solutions straightsmilesolutions.com
and today i wanted to talk to you a little bit more about thorough retainers which happen to
be like my favorite retainers for phase one well one of my favorite retainers for
phase one retention so let's talk a little bit about phase one retention what the options are
i've done some other videos on that if you wanna go into my playlist if you go into
my youtube channel not youtube in general but street smile solutions youtube channel
you can scroll down on the home page and there is a playlist just for retention so what are our
options for phase one retention remember phase one is a first set of orthodontics that's done usually
six seven eight nine um just to fix bites you know transverse issues sagittal issues ap issues that's
pretty much the same thing grow jaws expand arches and often include straightening the front teeth
as well as needed sometimes it's necessary you know like there's an impacted canine or there's
trauma or there's an anterior crossbass sometimes it's cosmetic but anyways that's phase one okay
then we wait a couple years and then we do phase two sometimes we do retainers for phase
one sometimes we don't it depends on what we did because teeth will always want to go back right
so let's say for example you had an anterior cross bite and you just popped the front tooth forward
you probably don't need retention in that case because it's going to stage forward but let's say
you had some impacted canines and you smushed and consolidated the space from seven to ten or upper
two to two together yeah then you'd probably wanna do retention because it's gonna spread back open
unless those canines have jumped out okay so there are three types of retention that i like for phase
one retention one of them is your regular bonded retainer that just goes behind the lingual teeth
on top or on bottom depending on which ones you need to do the second one is i really like is
basically a pre-finisher or a healthy start g that could be very a lot more expensive especially if
you're doing healthy start g because they charge a lot for those unless you are able to buy that a la
carte without buying their treatment plans if so it's a fantastic phase one to phase two retainer
it's probably my favorite just the pricing is kind of crazy third one would be this thorel which is
another one of my faves you can order it from odl by the way i am showing the odl website thank you
odl i didn't ask permission but i'm assuming you'll like that i'm talking about it because
you're one of the only as far as i know a lot of other ortholabs don't advertise thoreau so odl
is one of the only ones that does maybe they all do it i don't know if they do but odl is usually
where i send people to get it so this is a thoreau retainer usually the thickness of the thoreau is
more than a regular asics i don't know if it's 040 or more essex regular essex is usually 0.3504
oh so it's probably 0. it's pretty darn thick and if you have upper and lower together let's
say that's almost a full that's that's that's thick between the two of them together right
so you just have to make sure any time that you have phase one to phase two retention that you're
checking the patient um every three to six months in office just to make sure the retainers are
still fitting see if the patient's ready for phase two the issue that can come and
i recently saw one of these and unfortunately i can't show you the patient's photos because
it's not my property nor did we have a release but i'm going to explain it to you what happened
is that you know sometimes you deliver a removal retainer and you're like oh it's removable it's
fine um patient moves or something and then uh oh so if the patient keeps wearing the thoreau
after these teeth have come in and you've got upper and lowers together right then these are
not going to extrude but these are have a space in between them and they'll keep erupting until
they touch something so what's going to happen is ultimately when you take the thoroughs out
upper and lower you're only going to have contact on these teeth and then you're going to have a
posterior open bite here and you're going to have an anterior open bite here so not a huge
deal can be easily fixed in phase two but it's also very much preventable if you keep an eye on
your retention patients which is where you kind of need to have a system for your retention patients
even if they're no longer in treatment with you and they're wearing removables
um you know unless the retainer covers all the teeth like in phase two and this
the same thing can happen honestly if you did in as6 and you didn't include the sevens same
thing can happen right so make sure you keep an eye on your thoreau patient you almost want to
keep a list of them just to keep an eye on them and if they if they ghost you and they vanish
you want to remind them they need to come in and to be honest you probably actually want to
send them a letter discontinuing them if you can't reach them because funky things can happen and you
don't want to be liable so anyways just a little tip just because i saw something that i i knew
it could potentially happen but i didn't know it could get that severe so all right thanks so much