Here at DiMarzio Orthodontics, we often hear from adults who are missing the straight smile they once had. Although they had treatment in their younger years, they’ve noticed their teeth shifting as they get older. If this sounds familiar, the good news is that orthodontic relapse treatment can bring back the smile you once loved. We offer a variety of retreatment options in our Quincy office, from traditional braces to Invisalign clear aligners. When you schedule a complimentary consultation with us, we’ll help you find the right solution for touching up your teeth and improving your oral health. To learn more about retreatment with Dr. DiMarzio and Dr. Marczak, keep reading below!
What causes the teeth to shift over time?
It’s not unusual for teeth to begin shifting back toward their original positions after orthodontic treatment has been completed. This is called orthodontic relapse, and it’s more common than most people realize. Relapse can show up within the first year after treatment or develop slowly over many years.
There are many possible reasons for a relapse, but the most common cause is irregular retainer use. Unfortunately, many patients underestimate the importance of this appliance and neglect to wear their retainer as directed after the initial treatment is completed. Once the braces come off, a patient’s teeth, surrounding bone and gums will still need a bit of time to solidify in the new places. Wearing a retainer regularly protects the teeth from shifting and helps these tissues stabilize over the long term.
Other factors can be involved with orthodontic relapse, too. Chronic tooth grinding is a good example. This habit produces a continuous force that can strain the teeth, which can alter the bite and cause misalignment over time. It’s also normal for teeth to experience some natural shifting as we age. This is especially true of the lower front teeth, which tend to crowd slightly over the years.
Signs your teeth are shifting
Relapse usually starts small. You might notice:
- Your retainer feels tight or no longer fits
- Small gaps opening back up between teeth
- Front teeth starting to overlap or twist
- Your bite feeling different when you chew
Catching these changes early usually means a simpler fix, so it’s worth having them checked sooner rather than later.
How can orthodontic relapse treatment restore your smile?
Our practice is proud to offer touch-up and retreatment options for adults as well as full orthodontic treatment for patients of all ages. When you schedule a consultation with us, one of our experienced orthodontists will perform a thorough oral examination to determine what issues you’re dealing with and provide a diagnosis. They will then discuss which elements of your smile are most important to you before creating a customized treatment plan to help you meet your goals.
We have a few different options available for treating orthodontic relapse. If you’ve been good about wearing your retainer over the years and have noticed only minor shifting, our doctors may choose to simply monitor your teeth for the time being without taking any corrective action. Some minor movements will need to be addressed, however. This can sometimes be accomplished with a new or replacement retainer. Touch-up treatment may also be an excellent option here, since it’s limited in nature and can often be completed in a shorter timeframe than full treatment.
If Dr. DiMarzio or Dr. Marczak find that you’ve had a fairly significant relapse, they may recommend retreatment. Some of our adult patients are hesitant to take braces on again in adulthood, but today’s options make it easier than you might expect. We have a variety of treatment options available to correct orthodontic relapse, including the following.
Invisalign clear aligners
The innovative Invisalign system uses a series of customized clear aligners to move the teeth over time. Unlike traditional braces, these aligners are designed to be removed for short periods, like when a patient is eating or brushing their teeth. They’re almost invisible, which patients love, and their removability offers an extra measure of freedom throughout the treatment process. When worn as directed, Invisalign aligners can be just as efficient as braces at treating many of the most common orthodontic issues.
Clear braces
Clear braces function the same way metal braces do but come with the added benefit of semi-translucent brackets. These clear brackets are able to blend in well with a patient’s natural smile, especially when they’re paired with clear, white or tooth-colored wires and elastic ties. This makes them a popular choice with older teens and adults!
Metal braces
Metal braces are one of the most popular treatment options and are available for patients of all ages. Today’s braces are much more comfortable than they used to be and can even be customized with fun-colored elastics! Traditional braces deliver excellent results and can be especially helpful in more severe or complicated cases.
Keeping your results this time
Once your teeth are back where they belong, a retention plan keeps them there. Most patients wear a removable retainer full-time at first and then switch to nighttime wear, and some benefit from a fixed retainer bonded behind the front teeth. Bring your retainer to your checkups so we can make sure it still fits well. Our guide to retainers and retention covers the details, and if a retainer ever goes missing, here’s what to do if you lose or damage your retainer.
Orthodontic relapse: common questions
Can teeth shift years after braces?
Yes. Teeth can move at any age, and shifting is most likely when a retainer isn’t worn as directed. Natural changes as we get older, along with habits like grinding, can also play a part.
Can my old retainer move my teeth back?
If the shifting is minor and your retainer still fits comfortably, wearing it again may help. If it feels very tight or won’t seat properly, don’t force it. Have it checked so it doesn’t put the wrong kind of pressure on your teeth.
How long does retreatment take?
It depends on how much your teeth have moved. Minor touch-ups often take less time than your original treatment, and you’ll get a realistic timeline at your consultation.
Do I need to go back to the orthodontist who treated me originally?
No. You can see any orthodontist for retreatment. At your consultation, we’ll look at where your teeth are now and plan from there.
Rediscover a smile you love with DiMarzio Orthodontics
You deserve a smile you love, and our expert team is here to help you achieve that! Whether your teeth just need a little touching up or retreatment is in the cards, we’ve got you covered with a range of options. We see adults from across the South Shore, including many looking for a Milton orthodontist or Braintree orthodontist close to home. If you’re ready to get your oral health back on track, get in touch today to schedule a free consultation with our Quincy office and take the first step towards the confident smile you’ve been missing!