Types of retainers – pros, cons, and process

Woman holding Vivera retainer

You've taken the first step towards a beautiful smile by completing your teeth straightening treatment, whether with traditional braces or Invisalign® clear aligners. Now, it's time to maintain that perfect alignment with a retainer. Whether you're deciding between different types or wondering how they're fitted, we're here to guide you through the process. By understanding your options and the benefits of each, you'll be able to confidently preserve your new smile for years to come, enjoying the confidence that comes with it. Let's explore how you can make your beautiful smile last.

Types of retainers at a glance

Traditional (Hawley)1

Clear (Essix)1

Permanent (Lingual Wire)1

Vivera ™ Retainers

Cost (per one arch)

$150-$340

$100-$300

$225-$550

Variable, consult doctor

Durability

1-20 years

6-12+ months

Indefinitely

At least 30% stronger and twice as durable as other clear retainer materials2

Material(s)

Plastic or acrylic with metal wire

Plastic or polyurethane

Metal wire (copper, nickel, titanium, or combination)

Medical-grade, high molecular weight thermoplastic polymers

Why you need to wear a retainer

Wearing a retainer is an essential step in maintaining your straightened smile after orthodontic treatment. Without it, your teeth may begin shifting back into their original positions – a process called orthodontic relapse.3 This happens because teeth aren’t immediately secure in their new positions after straightening, leaving them susceptible to movement.4 Retainers provide the necessary stability while your gums, bones, and muscles adjust to changes, ensuring your new smile stays in place.3 Everyday activities like chewing, along with natural growth and wear, can also contribute to shifting teeth,1 making retainers a vital part of maintaining your results.

Pros and cons of each retainer type

Each type of retainer has its own advantages and drawbacks, so it’s important to choose one that fits your lifestyle. When deciding, consider factors such as the type of orthodontic treatment you completed, appearance, durability, maintenance, and overall cost. Below is a comparison of the pros and cons of the most common types of retainers: Hawley, Essix, Lingual Wire, and Vivera retainers.

Type

Pros

Cons

Traditional (Hawley)5

• Can be repaired

• Easy to put in and take out

• Adjustable

• Fairly durable

• Easy to maintain oral hygiene

• Customizable with different colors

• Resistant to staining

• Can be lost or misplaced

• Requires daily cleaning

• May affect speech

• Visible when worn

• Can cause excess saliva production

• Can harbor bacteria

Clear (Essix)1

• Nearly invisible

• Easy to put in and take out

• Easy to maintain oral hygiene

• Better retention due to snug fit

• Convenient to create multiple backups

• Thinner and more comfortable

• Can be lost or misplaced

• Requires daily cleaning

• May affect speech

• Prone to tearing or yellowing

• Not adjustable

• May need replacing annually

• New impressions needed after major dental work is done

• Can harbor bacteria

Permanent (Lingual Wire)1

• Discreet and not visible

• Doesn’t impact speech

• Always in place, no additional patient compliance needed

• Can be repaired or adjusted

• Long-lasting durability

• Hard to floss around

• Requires a dental professional for placement and removal

• Bond can loosen or break

• Plaque buildup around the wire can increase gum disease risk

• Metal wire may irritate the tongue

• Teeth can still shift slightly over time

Vivera Retainers

• Designed for comfort with a clear and comfortable fit

• Built to last longer, with material at least 30% stronger and twice as durable as other leading clear retainer materials2

• Have the strength and durability to withstand teeth grinding.6

• Nearly transparent

• Pricing varies based on individual needs, consult a doctor for specific costs

• Requires consultation with an Invisalign-trained provider to order

What to expect during the retainer process

For removable retainers like Hawley and Essix, your provider will first take dental impressions using a soft dental putty that resembles play-dough.3 The putty is placed into trays, which are then inserted over your teeth to create an imprint of your unique bite–a process that typically takes around 1–2 minutes.3 Once the impressions are made, they are sent to a dental lab where a plastic or acrylic retainer is customized based on the mold.3 After this step, you’ll usually need to wait a week or more to receive your new retainer.3

In contrast, permanent retainers require a slightly different process. Instead of impressions, your dental provider will use a metal wire to measure and position the retainer along the backs of your teeth.3 Dental glue is then used to secure the wire in place.3 One of the key differences with permanent retainers is that you won’t need to wait for a lab to make the retainer. Instead, the procedure is completed during your dental visit, and you’ll leave with your new retainer already in place.3

If you're considering Vivera retainers, you'll appreciate the streamlined process. Your provider will utilize an iTero™ intraoral scanner to capture a highly accurate digital impression of your teeth. This cutting-edge technology replaces traditional putty impressions, making the experience more comfortable and convenient. The digital impression is then used to design and fabricate your custom Vivera retainer from durable, high-quality material.

Talk to your orthodontist

To find the best retainer for your smile, start by consulting with a dental provider who offers a range of retainer options, including Hawley, Essix, permanent, and Vivera retainers. This consultation will allow you to discuss your specific needs and preferences with a professional who can guide you in making an informed decision. If you don't have an orthodontist yet, you can use the Find a Doctor tool to locate a trusted provider near you who offers multiple retainer types, ensuring access to a comprehensive range of options tailored to your needs and budget.



Disclaimer: The information provided on this website is for educational and informational purposes only and does not constitute medical advice. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. You should consult your healthcare provider regarding any dental or medical condition and not disregard or delay seeking advice based on information found here. Individual experiences with treatments, such as Invisalign, may vary. Comparative statements are based on cited studies and are not intended to imply clinical superiority. Always seek professional advice for your specific needs.

Wonder if Invisalign treatment is right for you?

  1. Frank C (2018 May 29) What to Know Before You Get a Retainer Healthline. https://www.healthline.com/health/retainer-types#comparison-chart
  2. Such as Essix Plus, Essix Ace, Essix C+, Invisacryl A. Data on File at Align Technology as of January 13, 2022
  3. Chacon-Moreno, A (2022 Sep 28) Relapse and inadvertent tooth movement post orthodontic treatment in individuals with fixed retainers: A review Rev Client Odontol. https://pmc.ncbi.nlm.nih.gov/articles/PMC10880701/
  4. Cleveland Clinic. Teeth Retainer (https://my.clevelandclinic.org/health/treatments/10899-teeth-retainer) Accessed 11/26/2024
  5. LeBrun N (2023 Dec 5) What Are the Different Types of Retainers for Teeth? Verwellhealth. https://www.verywellhealth.com/types-of-retainers-5235272
  6. Durability is defined as the ability to withstand cracking and breakage of the retainer. Strength is verified by retention force, the ability of the retainer to provide sufficient corrective mechanical loads to retain teeth in their defined positions. Vivera retainers are not cleared for the treatment of bruxism. Data on File at Align Technology, as of May 08, 2023.