Question:

I'm trying to order my first set of "temporary retainers" where I have 3 open contacts I'm trying to close. I remember I'm supposed to call it fake IPR, but I can't remember if I'm supposed to ask for the exact space or add extra IPR to make sure my open contact gets closed. In other words, if I measure 0.2mm on the last aligner (of their first set of trays), do I ask for IPR of 0.2 or ask for 0.3mm for good measure (all to be done at the first tray).

Answer:

Temporary Retainers in Orthodontic Treatment

Temporary retainers, also referred to as active retainers, play an important role in stabilizing the teeth and allowing the bite to settle after orthodontic treatment. These retainers are designed to maintain the new position of the teeth while providing flexibility for the patient.

Fake Interproximal Reduction (IPR)

In cases where there are loose contacts between teeth, "fake IPR" is often used. This refers to requesting IPR (the process of reducing the size of the teeth to create space) without the actual reduction. Instead of informing the technicians about the fake IPR, practitioners simply place the IPR by clicking and adding it in the treatment plan. Attachments (small tooth-colored pieces used to help guide tooth movement) are not always required, but they can be added if there are movements that might be more complex and need additional assistance.

Purpose of Temporary Retainers

The main goal of temporary or active retainers is to help the bite settle into a stable position. They give the teeth time to adjust and stabilize after the initial orthodontic treatment. Patients, particularly those aged 18 to 24, are encouraged to wear their retainers consistently but not all the time. It is acceptable for them to remove the retainers during meals, or even if they forget for an hour or two, as long as they continue wearing them regularly.

Removal of Attachments

A key aspect of transitioning to temporary retainers is the removal of most attachments from the teeth. Without attachments, the retainers are no longer functioning like traditional aligners, and patients appreciate this change. Removing attachments provides a more comfortable experience, and patients find it easier to remember to wear their retainers consistently. Over time, as the teeth stabilize, the bite will begin to feel more natural, with gravity helping to pull the teeth into a tight, stable alignment.