Finishing Treatment & Retainers - FAQs
PermaForm™ Retainers by ProMonitoring allows providers to order retainers for patients who have not gone through ProMonitoring treatment.
Features
Materials
Capabilities
Case Submission
Features
Accuracy: Effective retainers need to be accurate and match your patients’ biology.
Durability: It’s important retainers are durable for longer hold and lifespan.
Comfort: Comfort equals compliance…which means your patient’s smile is protected.
Customization: Each of your patients is unique, and their retainers should be too.
Value: Quality retainers should be accessible to all of your patients.
Materials
- PermaForm™ Retainers
- Zendura A plastic
- .03” thickness
- Straight edge cut
Capabilities
Treatment Goals will provide the option to select features below:
- Do you want to use bite ramps?
- NOTE: bite ramps will be placed on upper centrals, or moved outward to earliest occlusal contact.
- If a bonded lingual retainer is present, you may choose to have it removed or maintain it.
- Specify teeth where you would like to place a pontic:
Case Submission
- The submission flow offers:
- Product selection
- Comprehensive aligners
- PermaForm™ retainers
- Order quantities
- Up to 4 retainers may be ordered at a time
- Product selection
**Reminder: We only do dual arch retainers. We do not do single-arch retainers, unless "Re-use the last step" is selected from an Aligner case that only treats a single arch. If both arches are necessary, select "Use new scans" OR contact support to have both arches of the final step produced.**
Please note that ProMonitoring offers a 60 day warranty on PermaForm™ retainer products.
Finishing Treatment & Retainers - FAQs
Can a patient use the last aligner as a retainer?
Retainers are designed for the retention phase based on the final step of treatment, while aligners are specifically made to achieve tooth movement. The treating physician should decide when the retention phase starts and what type of retainer or retention protocol is most suitable for the patient.
When is the best time to request retainers?
The ideal time to order retainers is once the doctor's treatment goals and the patient's preferences have been fully addressed and agreed upon by both parties.
**Reminder: We only do dual arch retainers. We do not do single-arch retainers unless "Re-use the last step" is selected from an Aligner case that only treats a single arch. If both arches are necessary, select "Use new scans" OR contact support to have both arches of the final step produced.**
How long do patients need to wear retainers? Should they wear them for at least 22 hours per day? When can they switch to wearing them only at night? How long after completing treatment should they wear the retainers?
The duration for wearing retainers is determined by the retention protocol set by the doctor. This decision considers factors such as the type of treatment provided, the complexity of the tooth movements, patient compliance, and other relevant factors.
How often do we recommend patients replace PermaForm retainers?
While on average PermaForm retainers last between 6 - 12 months, it truly depends on the patient. Some things to consider that may reduce the life of a patient’s retainer are:
- Bruxism (teeth grinding): Bruxism puts excessive force on the retainer, leading to faster wear and tear.
- Nail-biting or chewing on objects: These habits can damage the retainer, causing cracks or chips.
- Smoking: Smoking can stain the retainer and weaken the material.
- Dry Mouth: Some medications like antidepressants or antihistamines can contribute or cause dry mouth. Saliva naturally helps to neutralize acids and lubricate the mouth but its absence can create an environment that's more favorable to retainer breakdown.
When are permanent retainers recommended?
Permanent retainers are beneficial for retaining teeth that have undergone significant rotation during treatment and when a patient strongly prefers them. They are also advisable for patients with a tongue thrust habit or for those who are at a higher risk of relapse due to inconsistent retainer use.
What type of wire should be used for a fixed lingual retainer?
The choice of wire for a fixed retainer depends on the doctor's preference and experience. Some doctors prefer using a single round wire, like a .032, which is contoured to fit the lingual surfaces of the aligned anterior teeth and bonded at the ends directly to the cuspids. Others opt for a "braided" or "twisted" wire, which is applied to the lingual surfaces of specific teeth and must be bonded to each individual tooth. Permaform retainers can be used in conjunction with lingual bars. If you place a lingual bar, please use new scans when submitting the case.
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