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After completing orthodontic treatment with braces, many patients look forward to enjoying a straight, healthy smile without brackets or wires. However, once braces are removed, wearing a retainer becomes a critical next step in orthodontic care. Retainers are essential for maintaining proper tooth alignment and preventing teeth from shifting back to their original positions after braces.

Although orthodontic treatment moves teeth into ideal alignment, the surrounding bone and gum tissue need time to stabilize. Wearing a retainer helps protect the results of braces and supports long-term oral health. Understanding why retainers are necessary and how long they should be worn is an important part of post-braces care for patients.

The Importance of Wearing a Retainer

Retainers are essential for keeping your teeth in their newly aligned positions after braces are removed. While orthodontic treatment successfully moves your teeth, the surrounding bone and gum tissue need time to adapt and stabilize. Immediately after braces, these supporting structures are not yet strong enough to hold your teeth in place on their own.

A retainer provides the support your teeth need during this transition period. As you talk, chew, and go about your daily routine, your teeth gradually become more comfortable in their new positions. Over time, the bone and gums adapt and help secure your smile.

Unfortunately, it’s common for patients to underestimate the importance of wearing their retainer. Teeth naturally want to shift back toward their original positions, a process known as relapse. This movement often happens slowly and subtly, making it easy to miss until noticeable changes occur. In some cases, failing to wear a retainer consistently can result in teeth shifting enough to require additional orthodontic treatment.

Retainers are not nearly as restrictive as braces, which is why they are considered as “insurance for your smile.” Wearing your retainer as directed helps protect the time, effort, and investment you made in orthodontic treatment.

How Long Do You Have to Wear a Retainer?

Once you receive your retainer, Dr. Basil will provide specific instructions based on your treatment and individual needs. In most cases, patients are advised to wear their retainer full-time at first, removing it only to eat and to brush and floss.

As your teeth begin to stabilize, your orthodontist may allow you to transition to wearing your retainer only at night. This stage often feels like a major milestone and gives you more freedom during the day while still protecting your results.

The length of time you’ll need to wear your retainer depends on several factors, including how much your teeth were moved, the complexity of your orthodontic treatment, and how well your teeth respond to retention. Many patients wear their retainer nightly for the first year and then gradually reduce usage to a few nights per week.

That said, teeth can continue to shift throughout life. For this reason, many orthodontists recommend wearing a retainer at night indefinitely. Even wearing it a few nights per week long-term can significantly reduce the risk of unwanted tooth movement. At Basil Orthodontics in High Point, Dr. Basil can help you determine the best retention plan for your lifestyle and smile goals.

Learn More About Retainers in High Point, NC

At Basil Orthodontics in High Point, NC, we offer the best retainer options designed to fit comfortably into your daily routine while helping you maintain your straight, healthy smile. Our team will work with you to determine the best retainer type and wear schedule for your individual needs.

If you have questions about retainers, or other orthodontic treatment options, we’re here to help.  Call (336)-882-1111 today to schedule a consultation or request an appointment. We look forward to helping you protect your smile for years to come.

The best age to get braces is a question we hear often from families in High Point, Greensboro, and throughout the Triad area. While braces on pre-teens and teens are a familiar sight, orthodontic experts point to specific timing that delivers the most effective and efficient results. At Basil Orthodontics in High Point, NC, we guide every patient toward the treatment window that works best for their unique smile whether they're a child, teen, or adult.

Why Early Adolescence Is Often the Ideal Time for Braces

Early adolescence, typically between ages 10 and 14, is widely regarded as the ideal time for comprehensive braces treatment. By this stage most or all permanent adult teeth have erupted, giving the orthodontist clear access to align them precisely. The jaw is still growing and the bone tissue remains relatively soft and responsive, so teeth move more readily into their ideal positions. Treatment during this window is frequently shorter and more predictable than when started later, after growth has slowed or stopped. Starting in the range where adult teeth are mostly in but second molars have not fully erupted often creates an especially favorable scenario for guiding teeth naturally into alignment.

That said, there is no universal “perfect” age. Every smile develops differently, so the right timing depends on individual factors such as dental eruption patterns, crowding, spacing, bite relationships, and jaw alignment needs. Many children begin braces a little later in their teens and still achieve outstanding outcomes.

The Importance of Early Orthodontic Evaluations – By Age 7

The American Association of Orthodontists recommends that all children have their first orthodontic evaluation by age 7. At this point a combination of baby teeth and permanent teeth is usually present, allowing the orthodontist to identify potential issues early such as crowding, crossbites, deep overbites, underbites, or harmful habits like prolonged thumb-sucking. An early visit does not always lead to immediate treatment. Instead it provides valuable insight into future growth patterns and may lead to interceptive (Phase 1) care when beneficial. Early interventions, such as palatal expanders to gain arch width or short-term appliances to influence jaw development, can simplify the later comprehensive phase. This two-phase approach often shortens total treatment time, reduces the complexity of Phase 2 braces, and helps avoid more invasive procedures down the road.

Braces Aren’t Just for Kids – Adults Benefit Too!

Braces are by no means limited to younger patients. Adults across High Point, Greensboro, Winston-Salem, and the surrounding communities choose orthodontic treatment every day to correct crooked teeth, close gaps, improve bite function, and boost confidence. Modern options include clear ceramic braces, self-ligating systems like Damon Smile, and virtually invisible Invisalign aligners. This variety of options makes care discreet and comfortable for busy professionals and parents alike. While adult treatment can be highly successful at any age, it sometimes takes slightly longer because bone density is greater and natural jaw growth is complete.

How Basil Orthodontics in High Point, NC Can Guide You

At Basil Orthodontics, Dr. Anthony Basil and our team are committed to personalized care tailored to children, teens, and adults. We offer traditional metal braces, clear braces, Invisalign clear aligners, and a full range of advanced appliances to meet every need.

If you have noticed crooked teeth, gaps, bite concerns, or if your general dentist has suggested an orthodontic consultation, the smartest next step is a no-obligation evaluation. We will perform a thorough exam, explain your options clearly, and design a plan that fits your goals, schedule, and lifestyle.

Early evaluation and well-timed treatment lead to healthier teeth, smoother care, and a confident smile that lasts a lifetime. Contact Basil Orthodontics today at (336) 882-1111 or visit us at 2017 Eastchester Dr, Suite 107, High Point, NC 27265. We proudly serve families throughout High Point, Greensboro, Winston-Salem, and the entire Triad region. Schedule your free consultation and start your journey toward the smile you’ve always wanted!

Once your orthodontic treatment is complete and your braces are removed, your orthodontist will transition you into wearing a retainer. While braces are responsible for straightening your teeth, a retainer plays a critical role in keeping them in their new position. Teeth naturally want to shift over time, and wearing your retainer as directed helps protect the time, effort, and investment you made in your smile.

Retainers are often worn long term. Because of this, proper cleaning and care are essential. Developing good habits early helps your retainer remain effective, comfortable, and hygienic, while also supporting long-term oral health.

The Importance of Cleaning Your Retainer

Keeping your retainer clean is extremely important. Since it sits in a warm, moist environment inside your mouth, it can easily collect bacteria, plaque, and food particles. Over time, this buildup can lead to unpleasant odors and may impact your oral health.

Patients often ask whether poor retainer hygiene can cause dental issues, and the answer is yes. Not cleaning your retainer properly can contribute to bad breath, gum inflammation, and an increased risk of cavities. In some cases, bacteria on a dirty retainer can transfer back to your teeth and gums, undoing some of the progress made during orthodontic treatment.

Consistent retainer cleaning helps reduce bacteria buildup, supports healthier gums, and keeps your smile looking its best.

Cleaning Your Retainer

Cleaning your retainer does not have to be difficult or time consuming. The key is consistency. By making retainer care part of your daily oral hygiene routine, you can prevent buildup before it becomes a problem and keep your retainer clean and odor free.

Daily Retainer Care

Each time you brush your teeth, you should also clean your retainer. Start by rinsing it under lukewarm water to remove saliva and loose debris. Then, using a soft-bristled toothbrush and a non-whitening toothpaste, gently brush all surfaces of the retainer. Whitening or abrasive toothpastes can scratch the retainer material, making it easier for bacteria to cling to the surface.

Some High Point orthodontic patients prefer brushing their retainer while it is in their mouth, while others find it easier to remove it first. Either approach can work, but if you brush while wearing it, be sure to remove the retainer afterward and clean any areas that were covered.

Mouthwash can help reduce bacteria when brushing is not immediately possible, but it should never replace brushing. Rinsing your mouth and retainer with mouthwash can help limit plaque buildup between cleanings.

Drinking plenty of water throughout the day also supports good retainer hygiene. Staying hydrated helps wash away bacteria, prevents dry mouth, and reduces the risk of tooth decay. While water does not replace proper cleaning, it helps maintain a healthier oral environment overall.

Weekly Deep Cleaning

In addition to daily care, it’s important to deep clean your retainer about once a week. Weekly deep cleaning helps remove stubborn plaque, bacteria, and mineral buildup that brushing alone may not fully eliminate.

One effective option is creating a paste using baking soda and water. Apply the paste to your retainer with a soft-bristled toothbrush, gently scrub all surfaces, and rinse thoroughly.

Another option is soaking your retainer in a mixture of equal parts vinegar and warm water. Place the retainer in the solution for 15 to 20 minutes, gently brush it, rinse thoroughly, and then soak it again for another 15 to 20 minutes before giving it a final rinse.

Setting aside time for weekly deep cleaning helps extend the life of your retainer and supports better long-term oral health.

Learn How to Care for Your Retainer in High Point, NC

If you have questions about your retainer, are unsure about the best way to clean it, or notice changes in how it fits, your orthodontist can help. Proper retainer care is an important part of maintaining your smile after treatment.

To learn more about retainer care or to get started with orthodontic treatment, contact Basil Orthodontics today at (336) 882-1111 to schedule an appointment or a consultation.

A palatal expander is a custom-made orthodontic appliance designed to widen the upper jaw (maxilla). It's typically recommended for growing patients because the mid-palatal suture, the cartilage joint connecting the two halves of the upper jaw, is still flexible in children and young teens.

The device consists of a metal framework attached to the upper back teeth (usually molars) with bands or bonds, and a central screw mechanism that gradually applies gentle pressure. When activated (by turning the screw with a special key), the expander pushes the two halves of the palate apart, stimulating new bone growth in the gap. This process is known as maxillary expansion and can correct issues like:

• Crossbites, where upper teeth sit inside lower teeth instead of outside.
• Narrow upper arches leading to crowding or impacted teeth.
• Breathing problems related to a constricted nasal airway (expansion can increase nasal volume and improve airflow).
• Asymmetric jaw development that could worsen over time.

According to the American Association of Orthodontists (AAO), early intervention with a palatal expander during childhood can prevent more complex problems later, such as the need for tooth extractions, prolonged braces, or even jaw surgery in adulthood. Dr. Basil specializes in orthodontics and dentofacial orthopedics, allowing him to integrate expanders seamlessly into comprehensive treatment plans that guide both tooth alignment and facial growth.
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The best time for expansion is typically between ages 7 and 14, when the suture is most responsive. In High Point, NC families often bring their children in for early evaluations around age 7, as recommended by the AAO, to catch these issues early.

How Does the Turning Process Work?

During the active phase, parents or patients turn the expander using a small key inserted into the central screw. Instructions are always customized. Some require one turn per day, others every other day, for a set number of weeks.

Each turn applies controlled pressure, creating a small gap (diastema) between the front teeth, which is normal and temporary. This space closes naturally once turning stops and the bone stabilizes.

Important note: Never turn the expander without specific instructions from your orthodontist. Over-turning can cause discomfort, uneven expansion, or other issues. If a turn is missed, do not "catch up" by doing extra. Resume the normal schedule and inform your provider.

At Basil Orthodontics, we provide clear demonstrations, written instructions, and support to make the process smooth for families in High Point and beyond.

Should I Keep Turning the Expander?

No, at this time, if you have not been instructed to continue your turns, you should stop and wait until your next appointment with Dr. Basil.

Many patients reach the end of their prescribed turning phase but aren't sure what to do next. Perhaps the scheduled turns are complete, or an appointment was delayed. Continuing without guidance risks over-expansion or complications.

Dr. Basil and our team at Basil Orthodontics monitor progress closely with regular check-ups. We assess expansion via exams, photos, and imaging to ensure the jaw has widened appropriately and stabilized. Stopping turns when instructed prevents unnecessary pressure and allows the new bone to form solidly.

If you're unsure about your child's specific instructions, call our High Point office right away, we're here to clarify and schedule if needed.

Is It OK to Leave the Expander in Place?

Yes. The expander is usually in for 9-10 months.

After the active expansion phase ends, the appliance stays in place for several months (often 6-12, averaging 9-10) as a retainer. This "holding" period lets the new bone mature and prevents relapse, where the palate might narrow again.

During this time, the expander remains fixed with no more turning required. Patients adapt well, and speech/eating normalize. Good oral hygiene is key: brush around the appliance thoroughly, use a water flosser or proxy brush for hard-to-reach areas, and avoid sticky/hard foods that could damage it.

At Basil Orthodontics, we see many High Point patients thrive during this phase, transitioning smoothly to braces or other treatments afterward.

What If My Child Was Due to Have It Removed During an Office Closure?

Please be patient and sit tight. A few extra weeks will not cause any harm.

Office closures, holidays, or unexpected delays happen. A short extension with the expander in place is safe and common. The holding period is designed to be flexible, and brief delays won't undo progress or cause issues.

Dr. Basil will evaluate at the next visit and determine the best time for removal. In the meantime, maintain excellent hygiene and monitor for any concerns.

What If It Is Causing Pain or Discomfort?

Please call our office and we will be happy to help you out.

Some mild discomfort is normal during active turning with pressure in the palate, nose, or teeth, temporary speech changes, excess saliva, or a small gap between front teeth. These usually subside within a few days.

However, if pain is severe, persistent, or accompanied by swelling, loose bands, broken parts, or difficulty turning, contact Basil Orthodontics immediately. We prioritize quick responses for High Point families to keep treatment on track.

Over-the-counter pain relief (like children's acetaminophen or ibuprofen, per dosing guidelines) can help mild soreness, along with soft foods and warm salt water rinses.

Additional Tips for Palatal Expander Success

• Hygiene: Clean the expander daily to prevent plaque buildup and irritation.
• Diet: Stick to soft foods during active turning; avoid gum, caramels, popcorn, and ice.
• Follow-ups: Attend all appointments, progress checks ensure optimal results.
• Signs of issues: Watch for loose appliances, persistent pain, or unusual gaps.

Palatal expanders are a proven tool for creating lasting, healthy smiles. When used correctly under professional care, they can transform bites, improve breathing, and set the stage for beautiful alignment.

At Basil Orthodontics in High Point, NC, Dr. Basil and our team are committed to making your orthodontic journey comfortable and successful. We serve patients from High Point, Greensboro, Winston-Salem, and nearby communities with personalized care, including braces, Invisalign, and advanced appliances like palatal expanders.

If your child has a palatal expander or you're considering orthodontic treatment, don't hesitate to reach out. Schedule a complimentary consultation today by calling (336) 882-111. We're here to answer questions, provide guidance, and help create the confident smile your family deserves.