From Start to Finish.
Let us help determine any orthodontic problems and all of your treatment options. We’ll even discuss next steps and what to expect from treatment.


When the team at Mary Cay Koen Orthodontics in Goodlettsville, TN removes your braces, we will begin the retention stage of your treatment. We actively monitor your retainer wearing for 12 months after the removal of your braces. Your final orthodontic result depends on your retainers, so follow through with the hard work you’ve put in so far. Remember to remove your retainer before eating, and brush your retainer before placing it back in your mouth. Feel free to call with any questions, or for more retention information.


Removable Retainers

  • Retainers should be worn as requested by Dr. Koen. Remove them when eating and brushing your teeth. Initially, your speech may be affected but should return to normal after a few days of wearing the retainer.
  • Please do not pop the retainer in and out with your tongue (called “clicking”). It will cause the clear retainers to stretch and can bend the smaller wires in wire retainers. Remove the upper retainer by pulling it down with your fingers in the molar area. Remove the lower retainer by pulling up on the metal loops by the cuspids.
  • Keep retainers clean by brushing them with your toothbrush and water. Toothpaste works well to clean retainers. Retainers can be cleaned with commercial retainer cleaner specified for use with retainers. Denture cleaner can be used occasionally but because of stronger chemicals, these solutions may hurt the solder on wire retainers over time.
  • When retainers are not being worn, they should be kept in their case (not wrapped in a paper towel or in your pocket). If retainers get thrown in the garbage, don’t try clean it it with boiling water! Retainers can be cleaned with antibacterial soap and rinsed well. If further disinfecting is requested, please contact our office for instructions.
  • Retainers should be kept away from pets, as they can make a very expensive chew toy!! Keep the retainers in their case and in a drawer or cabinet when not being worn. Dogs can be very persistent in their pursuit of a retainer.
  • Retainers should not be left in hot cars. They can warp.
  • Please bring retainers to EVERY adjustment appointment.


Fixed Retainers

  • A fixed retainer will remain in your mouth permanently or until Dr. Koen approves its removal.
  • When brushing, be careful to clean the wire and the tongue side of your lower teeth.
  • Our office recommends flossing at least once a day with a floss threader between the retainer and gums. Floss threaders can be used in the same manner as with braces.
  • Occasionally the bond between the retainer and the tooth can come loose. Please call our office so that it can be repaired. If the bonded retainer comes off completely, wear your nighttime removable retainer full time until your appointment to replace the bonded retainer.