Do You Really Need a Retainer After Braces? Here's What the Research Says
Braces and aligners are tools for moving teeth—but once they've done their job, it's the retainer's turn to hold the results in place. After all, teeth don't just stop moving once the hardware comes off. The surrounding bone and soft tissue need time to stabilize, or the teeth will slowly shift out of alignment again.
The 2025 article Orthodontic Retainers: Are They All the Same? says it best: 'There's no one-size-fits-all protocol for retainers. Success depends on both the choice of appliance and the patient's compliance' [1].
Science agrees. A 2019 review in The Journal of Contemporary Dental Practice states that retainers maintain not just the look of your smile, but also the function of the stomatognathic system—which includes teeth, jaws, and facial muscles [2]. Without proper retention, bite function and jaw balance may be compromised.
There are two main types of retainers: removable and fixed [3].
Removable retainers, like Hawley retainers or clear plastic trays (similar to Invisalign), are easy to clean and less likely to trap plaque. But they only work if you wear them. Forgetting—or choosing not—to wear a removable retainer can lead to rapid relapse.On the other hand, fixed retainers (thin wires bonded to the back of the teeth) eliminate the compliance issue—they're always working, 24/7. But they come with their own set of trade-offs. A 2023 systematic review in Journal of Oral Biology and Craniofacial Research found that fixed retainers have more plaque buildup and calculus formation than removable ones [8]. This can lead to gum disease and requires extra attention to flossing and hygiene.
Plus, a 2021 article in the British Dental Journal explains how fixed retainers can fail due to bonding issues or wire breakage. Still, with proper monitoring and timely repairs, long-term results are predictable [5].
Even the best appliance won't work if patients don't—or can't—use it properly. And when it comes to retainers, comfort, convenience, and personal preferences matter more than you think.
According to a 2024 review in the European Journal of Orthodontics, many patients initially report minor discomfort or annoyance when wearing a retainer. But these complaints often fade away as they get used to it [4]. Think of it like breaking in a new pair of shoes—awkward at first, but manageable with consistency.
A deeper dive from a 2024 review in Cureus shows that retention habits are influenced by more than just physical comfort. Psychological and social factors, like self-image and cultural attitudes, can impact how likely someone is to follow their orthodontist's instructions [6]. Education and support play a big role in building long-term compliance.
Here's the surprising truth: there's still no universally accepted best method for retention. A 2018 review in International Orthodontics says it best: 'Despite decades of research, no one retainer or protocol stands out as the best' [10]. Much of the evidence is inconsistent, often due to differences in study designs and patient populations [9].
The 2023 review in Children (Basel) agrees, suggesting that patient-specific factors—like age, dental history, and willingness to comply—may matter more than the actual device used [7]. So, rather than searching for a 'perfect' retainer, the key is finding the right one for you, with your orthodontist's guidance.
Orthodontic treatment isn't finished when your braces come off—it's when your teeth have stayed in place for good. Retainers are what make that happen. They protect your investment, prevent costly redo's and support the long-term health of your smile.
[1] Araujo, T. M., Ferreira, P. P., Lisboa, I. A. P. B., Vogel, C. J., & Starling, C. R. (2025). Orthodontic retainers: are they all the same?. Dental press journal of orthodontics, 29(6), e24spe6. https://doi.org/10.1590/2177-6709.29.6.e24spe6
[2] Alassiry A. M. (2019). Orthodontic Retainers: A Contemporary Overview. The journal of contemporary dental practice, 20(7), 857–862. https://pubmed.ncbi.nlm.nih.gov/31597809/
[3] Kirschen, R., Littlewood, S. J., Blazewska-Amin, A., & Fleming, P. S. (2021). Bonded orthodontic retention: a practical guide. British dental journal, 230(11), 709–716. https://doi.org/10.1038/s41415-021-2936-9
[4] Moda, L. B., Bastos, R. T. D. R. M., Flores-Mir, C., & Normando, D. (2024). Patients' perception of orthodontic retainers: a systematic review. European journal of orthodontics, 46(1), cjad068. https://doi.org/10.1093/ejo/cjad068
[5] Kučera, J., Littlewood, S. J., & Marek, I. (2021). Fixed retention: pitfalls and complications. British dental journal, 230(11), 703–708. https://doi.org/10.1038/s41415-021-2892-4
[6] Al Shammary N. H. (2024). Enhancing Orthodontic Renewal and Retention Techniques: A Systematic Review. Cureus, 16(4), e58843. https://doi.org/10.7759/cureus.58843
[7] Lyros, I., Tsolakis, I. A., Maroulakos, M. P., Fora, E., Lykogeorgos, T., Dalampira, M., & Tsolakis, A. I. (2023). Orthodontic Retainers-A Critical Review. Children (Basel, Switzerland), 10(2), 230. https://doi.org/10.3390/children10020230
[8] Quinzi, V., Carli, E., Mummolo, A., De Benedictis, F., Salvati, S. E., & Mampieri, G. (2023). Fixed and removable orthodontic retainers, effects on periodontal health compared: A systematic review. Journal of oral biology and craniofacial research, 13(2), 337–346. https://doi.org/10.1016/j.jobcr.2023.02.015
[9] McNally, M., Mullin, M., Dhopatkar, A., & Rock, W. P. (2003). Orthodontic retention: why when and how?. Dental update, 30(8), 446–452. https://doi.org/10.12968/denu.2003.30.8.446
[10] Bahije, L., Ennaji, A., Benyahia, H., & Zaoui, F. (2018). A systematic review of orthodontic retention systems: The verdict. International orthodontics, 16(3), 409–424. https://doi.org/10.1016/j.ortho.2018.06.023
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- Los Angeles Times
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It's a familiar conversation in the clinic. The adult patient points to a slightly crooked lower incisor. They want it fixed. They want it straight. But they absolutely do not want a mouth full of metal. So we talk about aligners. We lay out the pros and cons. And we know, even as the words are coming out of our mouths, that we're navigating a fundamental conflict between the textbook ideal and the patient's reality. It used to be simpler. Orthodontics was for teenagers, and that was that. Now, one in four of our patients is an adult, and they come with a different set of expectations [1]. For a long time, there was a quiet skepticism in the profession about adult ortho. Was it just vanity? A mid-life crisis expressed through dentistry? The research, however, is pushing back on that cynicism. Studies now show significant, measurable improvements in self-esteem and quality of life for adults who go through treatment [2]. This isn't just about aesthetics. It's about reducing psychological distress and improving dental self-confidence [3]. These patients aren't just chasing a Hollywood smile; they're pursuing a genuine sense of well-being. And frankly, they are often our best patients. Motivated. Compliant. They show up for their appointments and do the work because they're invested [1] [6]. They know what they want. That clarity is a double-edged sword, though. Because what they often want is the impossible: a perfect result with zero inconvenience. This is where the real debate begins. Brackets versus aligners. It's the central tug-of-war in modern adult orthodontics. On one side, we have the fixed appliances—the traditional brackets and wires. A 2020 systematic review spelled it out pretty clearly: if you're chasing the best possible occlusal outcome, fixed appliances still have the edge [7]. Occlusion. It's a clinical-sounding word for something very basic: how your top and bottom teeth meet when you bite down. A good occlusion distributes forces evenly, protects the joints, and provides long-term stability. It's the architectural foundation of a healthy smile. So from a purely mechanical standpoint, braces give us more control to achieve that ideal. But then you have the patient's side of the story. And it's a compelling one. A 2024 study found that while both braces and Invisalign effectively align teeth, the Invisalign patients reported much higher levels of satisfaction [8]. No surprise there. Aligners are more comfortable. They're nearly invisible. You can take them out to eat and clean your teeth properly. They fit into an adult's professional and social life in a way that brackets often don't. So here's the puzzle we have to solve every day: do we push for the technically superior bite, or do we prioritize the patient experience that leads to a happier, more compliant person? What about other options, like lingual braces hidden on the back of the teeth? The evidence for them is still considered weak, with nagging concerns about speech problems and tongue comfort [4]. They remain a niche solution for a reason. Advancements in bracket design are constant, of course, but they don't solve the core aesthetic objection that many adults have [5]. So, what does success actually look like? If we're being honest, the marketing has gotten ahead of the science. We promise life-changing smiles, but a sober 2023 review concluded that orthodontic treatment has 'moderately positive effects on smile attractiveness' [9]. Moderately positive. That's a humbling phrase. It pulls us back to reality. Perhaps the goal isn't a flawless smile ready for a magazine cover. Perhaps the real win is something more durable. The benefits of good orthodontic treatment have been shown to last, with lasting improvements in how teeth function together for years after the appliances come off [10]. That's a tangible health benefit, not just a cosmetic one. This forces us to rethink the finish line. Maybe it's not about achieving the perfect occlusal scheme that will get nods of approval at a dental conference. Maybe success is a functional, stable, and healthy improvement that the patient is genuinely happy with. It means our most important job isn't just bonding brackets or delivering aligners. It's managing expectations. It's having a frank conversation about the trade-offs between the 'perfect' clinical result and the 'best' real-world result for that specific person. The final measure of success isn't just in the post-treatment panoramic X-ray. It's in how the patient feels, functions, and lives with their new smile, years down the road. That's the only outcome that really matters. [1] Nattrass, C., & Sandy, J. R. (1995). Adult orthodontics--a review. British journal of orthodontics, 22(4), 331–337. [2] de Couto Nascimento, V., de Castro Ferreira Conti, A. C., de Almeida Cardoso, M., Valarelli, D. P., & de Almeida-Pedrin, R. R. (2016). Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation. The Angle orthodontist, 86(5), 839–845. [3] González, M. J., Romero, M., & Peñacoba, C. (2019). Psychosocial dental impact in adult orthodontic patients: what about health competence?. Health and quality of life outcomes, 17(1), 110. [4] Auluck A. (2013). Lingual orthodontic treatment: what is the current evidence base?. Journal of orthodontics, 40 Suppl 1, S27–S33. [5] Mundhada, V. V., Jadhav, V. V., & Reche, A. (2023). A Review on Orthodontic Brackets and Their Application in Clinical Orthodontics. Cureus, 15(10), e46615. [6] Glineur, R., & Balon-Perin, A. (2001). L'orthodontie de l'enfant et de l'adulte [Orthodontic treatment in children and adults]. Revue medicale de Bruxelles, 22(4), A299–A303. [7] Papageorgiou, S. N., Koletsi, D., Iliadi, A., Peltomaki, T., & Eliades, T. (2020). Treatment outcome with orthodontic aligners and fixed appliances: a systematic review with meta-analyses. European journal of orthodontics, 42(3), 331–343. [8] Prudhvi Das Reddy, S., Chekka, M., Shah, R., Kauser, A., Pisarla, M., Varma Datla, P. K., & Mahajan, A. (2024). Long-term Outcomes of Traditional Braces versus Invisalign in Orthodontic Treatment. Journal of pharmacy & bioallied sciences, 16(Suppl 3), S2446–S2448. [9] Coppola, G., Christopoulou, I., Gkantidis, N., Verna, C., Pandis, N., & Kanavakis, G. (2023). The effect of orthodontic treatment on smile attractiveness: a systematic review. Progress in orthodontics, 24(1), 4. [10] Linklater, R. A., & Fox, N. A. (2002). The long-term benefits of orthodontic treatment. British dental journal, 192(10), 583–587.
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If you're so scared of shedding dandruff that you haven't worn a black top in forever, you need to try this shampoo. Or a therapeutic Neutrogena shampoo containing salicylic acid to help treat scalp buildup and dandruff. If you find that your psoriasis acts up more in the summer, try this fragrance-free and dermatologist-recommended shampoo. A pair of breathable, moisture-wicking compression gloves to help potentially alleviate pain and discomfort from arthritis and muscle tension. These copper-infused gloves can be worn all day long! An ice roller that'll help freeze those hot spots right in their tracks! Just pop it in the freezer, then roll it over your eyelids, neck, and back for some heat (or body ache) relief. A super powerful massage gun if your muscles have been screaming out in pain since leg day last week. You'll be blissed out in no time thanks to its five speeds and just as many massage heads. 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