Permanent Retainer - Cost, Comparisons & Pros vs. Cons
Table of Contents
- What is a Permanent Retainer?
- Pros & Cons
- Permanent Retainer Cost
- Permanent vs. Removable Retainers
- Comparing Retainer Options
- How To Clean A Permanent Retainer
A permanent retainer (also called a fixed retainer) is a retainer that’s bonded to the teeth and can only be removed by a dentist or orthodontist.
What is a Permanent Retainer?
Wearing a retainer is an important part of orthodontic treatment. After wearing braces or aligners to correct your bite, the last thing you want is for teeth to shift back. Retainers keep your teeth in their corrected positions, “retaining” your new smile.
A permanent retainer usually consists of a wire and bracket system. Small brackets are cemented to the back of the teeth, and a wire is run through the brackets. The bonded wire keeps teeth in place and doesn’t allow for teeth to shift or migrate.
Permanent retainers can last for years if properly cared for and will keep your teeth from moving over time. Since they’re attached to the teeth, you don’t have to remember to wear them or take them out before eating. They’re also virtually invisible since they are on the back of teeth.
Fixed retainers do have disadvantages, however. They’re usually more expensive than removable retainers and can accumulate plaque and bacteria without a diligent oral care routine.
Permanent retainer cost
According to research conducted by CostHelper, a permanent retainer typically costs $250 to $500 for one arch. This cost includes both the materials used in the procedure and the process to place it in your mouth.
If you break the retainer and need a new one, you may face the same costs if you visit your orthodontist. However, if you visit someone new, that doctor may not have the information required to make the right retainer. You may pay these additional fees:
Additional visit: $100-$200
Dental x-rays: $10-$250
Your dental insurance may cover some of the cost, depending on your policy and benefits.
Your costs can vary by factors you can’t control. For example, if you live in an area with few orthodontist specialists, your fees may be higher due to a lack of competition. The dental professional you choose matters too. Some may charge more than others to replace your appliances. Don’t be afraid to ask multiple professionals and gather quotes before you get started.
You won’t face costs associated with maintaining your permanent retainer. For example, you don’t need to buy a case or a special type of cleanser. However, you will need to keep your teeth clean.
Permanent vs. removable retainers
There are two main types of removable retainers available today: traditional Hawley retainers (usually made with metal wiring and an acrylic or hard plastic base) and clear plastic retainers (sometimes called Essix retainers, after the brand who first brought them to market).
When many people think of a retainer, the image that comes to mind is that of a Hawley retainer — a metal wire goes across the front of the teeth and is attached to a plastic or acrylic base. The base is often tinted to match the gums and inner mouth.
Clear plastic retainers look like clear teeth aligners. They’re made of a clear, durable plastic-like material, and they fit over the teeth.
Removable retainers are a popular option for many after orthodontic treatment. The choice between a removable or fixed retainer is a personal one. Each offers different benefits and drawbacks.
Comparing Retainer Options
This chart can help you understand the differences between commonly available retainers. Note that we used general cost information based on CostHelper. Your price can vary by issues like location or availability of dental professionals. Use these numbers as ballparks only.
| Permanent retainer | Hawley removable retainer | Clear, plastic removable retainer |
Efficacy | Nonremovable, will keep teeth in place | Must be worn as directed to keep teeth in place | Must be worn as directed to keep teeth in place |
Visibility | Not visible as the wire is attached to the back of teeth | Metal wire goes over front of teeth | Clear design; not visible |
Durability | Durable and unlikely to be damaged with normal activities | Made of durable materials but can be damaged from dropping or exposure to heat | May be more likely to be damaged or stain |
Maintenance & replacement | May need replacement every few years; annual orthodontist visits to check on retainer are recommended | Can last 5-10 years with proper cleaning and care; if broken, replacement time may allow for teeth shifting; insurance may not cover replacement | Depending on provider and care, can last 6 months to 3 years; replacement plans may be available to lower replacement time and cost |
Typical cost | $250-$500 for one arch | $150-$300 for one arch | $300-$750 |
Comfort | Can take time to get used to | Can be sharp, especially if it’s broken | Can take time to get used to, unless you’ve already worn aligners |
Pros & Cons
Permanent retainers, like other retainer options, have advantages and disadvantages. Understanding the risks and benefits can help you make a good decision about your oral health and your smile. This chart can help you understand them.
| Removable retainers | Permanent retainers |
Cons | · Easy to break · Easy to lose · Must be taken out when you eat or drink anything · Don’t last as long as permanent versions | · You may feel the wire on your tongue · Requires an appointment to apply and replace · Harder to clean your teeth |
Pros | · Easier to clean your teeth · Easy to replace without another application appointment · Two options to choose from | · Invisible · Won’t impact your ability to talk clearly · Ensures that you stay with your treatment plan · Can eat and drink without removing it |
How to clean a permanent retainer
Anytime there’s hardware in the mouth, there’s an increased risk of bacteria collecting in those hard-to-reach areas between hardware and your teeth. This is why a good oral hygiene routine is so important for anyone with a permanent retainer.
Your permanent retainer treatment plan should include the following products and techniques:
Fluoride toothpaste: Use a gentle product to brush your teeth. Avoid versions that include abrasive ingredients, such as baking soda.
Electric toothbrush: Use a soft head on an electric toothbrush and clean your mouth twice daily. Ensure that you run the brush across the retainer and the gum line.
Water flosser: It’s not easy to use a traditional floss with a permanent retainer. A water flosser can help you to remove any collected food and plaque on your retainer.
Mouthwash: Swish an antimicrobial mouthwash around your mouth after cleaning to help kill or deactivate hard-to-clean bacteria.
Professionals: See a dentist or hygienist every three months for a professional cleaning. They’ll be able to best clean the retainer and alert you to any gum or decay problems before they get worse.