amanda with straight smile solutions straightsmithsolutions.com and today
we're going to talk about the age-old question do you need retainers after phase 1 treatment and
every orthodontist you ask is going to give you a different opinion my answer is always well it
depends let's talk about what the patient started with and what we did so i'm not gonna go ahead
and circle back because i have like 13 hours of phase one interceptive education and this isn't
gonna make any sense unless you've already learned everything because it's gonna make zero sense so i
recommend that you go ahead and listen to that at the very moment you can find that education kind
of all dispersed within my youtube channel i stuck it on my um i stuck the playlist on my website at
straight smile solutions you can look there you can go to my youtube channel which is street
smile solutions scroll down find the playlist but if you want something a little more concise
where it's all organized and like neatly in a flow i've created it yay and it's launching today
so it is available on my website the phase one intercept of course it's a 13-hour course
without ce with help on two cases and it's 999 dollars you have 90 days to finish it
or in about a month or two it'll be available with ce without the help on the two cases
um a little bit cheaper you know even though it's with ce of course you have to take a 65
question quiz in order to get your ce and it's not a joke i'm writing the quiz right now i
actually have to make a real quiz um it's not going to be crazy easy so you'll have
to know the stuff to pass the quiz and actually watch the course but um it won't you won't get
help on the two cases but um it's going to be launched by the company ce zoom is the one that
i picked to host my platform and give the ce it's currently getting certified it should be available
by i'd say december 2022 if not january 2023 check in with ce zoom about their phase one intercept
of course they're the ones that are doing it i turned it over to them they're building it for me
um and they're going to get it um certified for c but um that would be on demand ce so make sure
that your state allows on demand ce i know my state um only allows 20 of your 50 ce units to be
on demand ce but i mean that would pretty much fill my my need for the two-year period so um
excited to help you out and to teach you this but yes uh basically depends on what you did certain
types of movements are pretty stable um so if the phase one was only fixing a bite say transverse
correction as long as you held that transverse for the normal period of time of three to six months
you should be fine but you could put in a tpa or something which would hold the transverse um
let's see what else if you did vertical correction like a deep bite correction again you got to hold
it for four to six months um as long as you did that should be fine you usually get a tiny bit of
relapse 10 20 but it should be fine but you could bake that into some type of retainer for sure
um lower jaw growth is generally pretty stable you might get 10 20 relapse i tend to like to try
to over correct almost take it to edge to edge but again shouldn't relapse should be fine but
if you align some teeth now it depends how did you align teeth did you expand the arches and
then align teeth or did you just pull out baby canines and align teeth right
so for the most part if you're aligning teeth they're going to relapse because those
fibers um they have memory right the pdl's so they're going to relapse so if you want the
teeth to stay straight for phase two then you need some type of retention
i go over all the different retention options for phase one in our phase one course take a look i'm
not going to go over it because it'll take me an hour but lots of different options out there
if you just let's say you expanded the top arch did a two by four or did phase one aligners
to try to consolidate the space from seven to ten or upper two to two so that you had
less likelihood of impacted canines um if the canines are coming down vertically and they're
already past the height of contour of the adjacent teeth nah you know you don't need a retention um
you know will everything be completely straight when you enter phase two no probably not you're
gonna have a tiny bit of relapse that's normal so i mean it really depends on what you did and what
the parents expectations are if they're gonna get upset if eight and nine move a little bit
well then okay do a retainer if they recognize that most patients that have phase one need phase
two most not all and the need is an air quote because need i talk about medical need like
we need phase two because we have an impinging overbite we need phase two because we have an
eight millimeter over jet and we need phase two because we have an impacted canine yeah
that patient needs phase two do we need phase two if there's a one millimeter diastema distal two
upper right two no you don't need that that's that's cosmetic right so need okay so if the
parents are already 100 committed to phase 2 and they don't want to deal with retainers
totally fine you know as long as they realize there's going to be a tiny bit of relapse on
the aesthetic portion i'm cool with that probably have them decline the retention and sign a little
paper just to make sure um but if they're kind of you know parents that would get upset about that
then i mean i'd give the options and let them know that we'd be hey we're glad you a bonding retainer
we're glad to do a thoreau um we're glad to do some type of lower lingual arch for the lower
you know a lot of things that we can do um so yeah it's a personalized approach so you
got to refer back to the original records and what mechanics you did all right thanks so much