Retreatment Options for Adults

If you’ve had orthodontic treatment in the past, you may believe your new smile is set in stone. Later on, you may find those orthodontic corrections backsliding, and your teeth shifting back into their old positions. This can be concerning if you’ve spent a long time treating your well-earned smile. Don’t worry, you’re not alone!

Here at Smiles of Palmetto Bay, we see adult patients all the time who are experiencing what is called an orthodontic relapse. The smile they spent so much time correcting has begun to shift and they want to know if there’s a way to get it back on track again. 

Lucky for you, there is a solution. Dr. Martinez and Dr. Ross have years of experience working with orthodontic patients of all ages, including adults who need treatment to correct an orthodontic relapse. Let’s take a look at what can cause an orthodontic relapse, why you should treat them, and what we can do to get your smile back in shape!

What is an orthodontic relapse?

Orthodontic relapse is the tendency of the teeth to return to the original positions they were in before orthodontic treatment. Short-term relapse happens less than one year after the completion of treatment. Long-term relapse occurs more than a year after completing treatment. 

Orthodontic relapse is a more common occurrence than you may think. Some studies estimate that more than 50% of patients will experience some level of relapse within ten years of finishing their treatment. This chance for relapse is one reason orthodontists have changed their approach to retainer wear in recent years. In the past, many adults dealing with relapse were told they could discontinue wearing their retainers after a year or two. Nowadays, orthodontists agree that retainers should be worn for life.

Don’t let that kind of commitment scare you! In most cases, you’ll only need to wear your retainers at night after the first few months. This will be enough to stabilize your newly straightened smile and help keep your teeth in their optimal positions.

Retreatment Options for Adults

What causes an orthodontic relapse? 

The most common reason for teeth shifting after orthodontic treatment is not using a retainer as directed by an orthodontist. Many patients underestimate the importance of retainers. It’s important to remember that the work doesn’t stop once your braces come off! 

After the initial phase of treatment is done, the teeth, surrounding bone, and gums still need time to solidify in their new locations. Wearing your retainers will help protect your teeth from the forces trying to pull them back to their previous positions and assist with the stabilization effort over time. 

There can be other contributing factors for them as well. These include, but are not limited to:

Genetics and Aging

Genetics can give you a beautiful smile to work with, but you still may experience some natural shifting of your teeth as you grow older. This is a common occurrence because, whether you had braces in the past or not, the back teeth tend to shift forward over time, reducing the amount of space available for the front teeth, which get crowded out of the arch alignment.

Teeth Grinding

Chronic tooth grinders will already know the damage it can cause, but the force places a strain on teeth over time that can alter the bite and result in misalignment. 

Tooth Loss

If you’ve lost teeth due to trauma, decay, or tooth disease, the teeth surrounding that empty space can start to drift towards it over time. If this is left uncorrected, it can eventually lead to misalignment of the teeth and the bite.

How is orthodontic relapse treated?

It can be concerning to see your teeth shifting for any reason, but our expert orthodontic office is here to help! There are typically a few different options when it comes to addressing an orthodontic relapse.

Monitoring the teeth

Even with the best retainer and perfect compliance, you may still experience some very minor tooth movement over time. As we discussed above, the bone and gums that support your teeth change as you age, and retainers can become slightly distorted with wear. If you’ve worn your retainer exactly as directed by our orthodontists and there has only been minor shifting of your teeth, we’re  able to leave things as they are for the time being and just monitor your teeth for any further movement.

Creating new retainers

There are types of minor movements we’ll want to treat, and these cases can sometimes be corrected with a new or replacement retainer. If you’ve lost or broken your retainer, this will be one of the first things we do. In general, fixed retainers are good for maintaining the alignment of the lower teeth, while removable aligners will typically be recommended for the upper teeth. 


If you’ve suffered a more severe relapse, we may recommend retreatment with braces or aligners. As an adult, you may resist the idea of dealing with traditional braces again, but we’re able to offer a wide variety of treatment options to correct your relapse. These include discreet options like clear braces and Invisalign clear aligners. 

What are the benefits of retreatment?

The idea of retreatment can be daunting, but there are good reasons for addressing your orthodontic relapse! The first is improved oral health. Crowded teeth create crevices where food particles can accumulate, leading to plaque and tartar buildup. Teeth that are properly spaced and aligned are easier to keep clean with a good dental hygiene routine. 

Retreatment can give you back the aligned smile you had before. This can help you feel more confident in your daily life, and improve your overall self-esteem. The good news is that correcting a relapse often takes much less time than your original treatment. Whether you choose braces or aligner treatment to correct your orthodontic relapse, the results will be more than worth it when you recognize your smile again.

Retreatment Options for Adults

Your best smile is waiting for you at Smiles of Palmetto Bay

It’s never too late to get a better smile. Dr. Martinez and Dr. Ross are experienced orthodontists, both skilled in providing high-quality care to patients of all ages in Palmetto Bay and the surrounding communities. Our team offers personalized care from our state-of-the-art office, using advanced technology to give patients exceptional results! If you’re looking for the best in orthodontic care in the area, look no further—Smiles of Palmetto Bay is ready to help you achieve the beautiful smile you’ve always wanted. Get in touch today to schedule your FREE consultation!