When can you Phase Down your Essix or Vivera Retainers to Nights Only?

● Recommended pre-requisite: Watch Dr. Amanda’s retention videos or read her blogs on her Straight Smile Solutions website for foundational knowledge.
● Retainer policy: A comprehensive retainer policy should be established, including a warranty and clear information on what is included in the retainers.
● Retainer options: Patients recommend one set of retainers, but additional sets are strongly recommended, especially for clear Essex or Vivera retainers.
● Labs and equipment: For in-house retainers, proper equipment like Biostar, mini star, or durable mat should be used. Otherwise, reliable ortho labs can provide sets of retainers.
● When to switch: The decision to switch from full-time to night wear depends on each patient. Bite stability is crucial, with solid posterior contacts on all teeth.
● Checking bite stability: Patients can use articulating paper to check for solid posterior contacts. Refinement, step-down bends, re-bracketing, settling elastics, or bonded retainers may be needed if contacts are not achieved.
● Full-time wear: Patients are advised to wear retainers full-time for three months, ensuring the bite is stable.
● Upgrading sets: Patients will likely need additional sets of retainers as the first set may warp or stretch out. Vivera instructions suggest wearing the first set full time for three months, then switching to night wear with the second set.
● Retainer warranty and policy: The importance of having a retainer warranty and policy in place is emphasized, including the requirement for additional sets of retainers for optimal outcomes.
● Retainer fit documentation: It is recommended to take photos of the patient wearing the retainers to show they fit properly, which can help address any issues or disputes in the future.
● Importance of regular switching and wear: Properly fitting retainers, when switched out regularly and worn as directed, help maintain straight teeth.