Permanent Retainer Removal: Reasons, Procedure & Costs

Permanent Retainer Removal: Reasons, Procedure & Costs
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Permanent Retainer Removal: Reasons, Procedure & CostsClinical Content Reviewed by Dr. Jay Khorsandi, DDS
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Table of Contents

  1. Damaged Retainer
  2. Tartar Buildup
  3. Mouth Pain
  4. Completion of Treatment
  5. Removing a Permanent Retainer
  6. References

A permanent retainer is not actually a dental appliance that you will keep forever. The “permanent” label usually just means that it cannot be removed without the help of an orthodontist or dental professional.

The four main reasons for needing to remove a permanent retainer are:

  • Damage to the retainer.
  • Tartar, or calculus, buildup underneath or around the retainer.
  • Pain in the mouth caused by the retainer.
  • Treatment completion, so the retainer is no longer necessary.
reasons to remove a permanent retainer

Retainers are used at the end of orthodontic treatment to hold your teeth in place after they have been actively moved by braces or aligners. They can be both removable (the kind you take in and out) or permanent.

Permanent retainers are placed by your orthodontist and “fixed” on the back of your top or bottom teeth.1 These retainers are designed to keep your teeth from shifting out of the position they have been moved into with orthodontic treatment.

These retainers often have a lifespan, however. They will usually need to be removed at some point.

Permanent retainers will need to be removed by an orthodontist. The cost is often included in your orthodontic treatment.

Damaged Retainer

Just like with any other dental appliance, a permanent retainer can become damaged or broken. Injury or trauma to the mouth, biting into hard foods, or even general wear and tear can cause wires to snap or brackets to break off the teeth. If this happens, the permanent retainer will need to be taken off.

Your orthodontist will need to see you to determine if the permanent retainer can remain off or if a new one will need to replace the broken one. Your dentist will monitor your permanent retainer during routine checkups to make sure it is not damaged and still functioning as it should be.

Tartar Buildup

The main reason people ask to have a permanent retainer removed is due to tartar buildup. Tartar is plaque that has hardened. It can only be removed through a professional dental cleaning.

A permanent retainer can make it more difficult to clean the teeth properly. Tartar, often called calculus, can build up behind it and on your teeth.

Ultimately, permanent retainers can complicate oral hygiene practices.2 In some cases, the retainer will need to be removed to clean behind it properly.

Left untreated, calculus buildup can lead to tooth decay, cavities, and gum disease. It should be removed by a dental professional as soon as possible.3

Maintaining good oral hygiene — including brushing and flossing your teeth over, behind and around the permanent retainer — as well as maintaining regular dental appointments can help to prevent the buildup of tartar.

Removing a Retainer Due to Mouth Pain

A retainer is designed to hold your teeth in place after orthodontic treatment. It should not cause the same sort of discomfort that the active stage of braces or aligners can when your teeth are moving. Your teeth can continue to shift slightly over time, however, which can cause some strain on the retainer and some mouth pain.

If your retainer is causing tooth pain, see your orthodontist to determine what is going on. They will assess if your permanent retainer needs to be removed or possibly replaced.

Completion of Treatment

A permanent retainer often has a lifespan. After several years of wearing one, your orthodontist may decide that your treatment is complete, and you no longer need to wear one.

Permanent retainers can last as long as 20 years. Some orthodontists will recommend that you wear one as long as possible.

It is important to understand that your teeth can still shift even if your treatment is deemed complete. Often, your orthodontist will recommend that you still use a removable retainer, at least for part of the day or only at night.

Removing a Permanent Retainer

Only an experienced and trained orthodontist should remove your permanent retainer. The retainer is designed to stay on, so it requires special tools to remove it.

The cost of removing the retainer is usually rolled into your total cost for orthodontic treatment. If it is not part of this plan, the cost for removal can range from $150 to $500, depending on where you go, whom you see, and the difficulty of the procedure.

To remove a permanent retainer, your orthodontist will need to remove the bonding cement first with a specialized tool, generally a dental drill. Then, the wires and brackets can be detached. The final step will involve polishing your teeth. You will need to see your regular dentist to have your teeth properly and professionally cleaned at some point following the removal.

Do not try to remove a permanent retainer on your own without the help of a trained orthodontist. If you are experiencing mouth pain, if you notice tartar buildup behind your retainer, or if your retainer breaks or becomes damaged, talk to your dentist and orthodontist about your next steps. They will assess whether you are ready to have the permanent retainer completely removed or if you need to have it replaced.

General References

Reality Check: Do You Really Need That Metal Wire in Your Mouth? (May 2019). Global News. Date Fetched: September 24, 2021.

Medical References

1 Taking Care of Retainers. (October 2017). American Association of Orthodontists (AAO). Date Fetched: September 24, 2021.

2 Fixed Orthodontic Retainers: A Review. (June 2019). Turkish Journal of Orthodontics. Date Fetched: September 24, 2021.

3 Plaque and Tartar on Teeth. (September 2021). U.S. National Library of Medicine (NLM). Date Fetched: September 24, 2021.

Disclaimer: This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to serve as dental or other professional health advice and is not intended to be used for diagnosis or treatment of any condition or symptom. You should consult a dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

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