Cleaning that has become fiddly again
Contacts that were once easy to floss may now catch or shred. Show us where, and we can suggest tools that help in the meantime. Gum inflammation or decay are addressed before any retainer or appliance is made.

The retainer went missing years ago, and now the teeth your braces straightened are overlapping again. From Rockwood, you can find out what has moved, whether holding things steady or correcting them makes more sense, and what a second round would really involve.
It is a common story. Braces as a teenager, a retainer worn faithfully for a while, then less often, then not at all. Years later the lower front teeth begin to stack up again, or an upper tooth turns. Teeth can keep changing position throughout life, and without retention the arch may no longer hold them in the even line it once did.
Before deciding anything, it helps to know how much has changed and why. The assessment compares where your teeth sit now with how your bite works, how much room is missing and how healthy the gums and bone are. Earlier treatment records can help. Only then does it make sense to talk about a new retainer, renewed movement or simply monitoring.
Let us know what bothers you about the change, whether appearance, cleaning, the way your teeth meet or simply wanting to stop it getting worse. We can explain the examination, discuss when the original orthodontist or another specialist should be involved, and lay out the scope of any plan before you decide.

Describe what has changed since your earlier treatment and what you would like now. Similar-looking relapse can reflect different space and bite situations.
Contacts that were once easy to floss may now catch or shred. Show us where, and we can suggest tools that help in the meantime. Gum inflammation or decay are addressed before any retainer or appliance is made.
Note roughly when you first spotted it and whether it is still changing. We check its neighbours and how it meets the opposite arch. Planning considers the room it now needs and whether its neighbours have moved as well.
Bring it along, even if it is cracked or tight. Do not force it back in. We can look at how far the teeth have moved and talk about whether a new retainer, renewed movement or monitoring suits your goals.
Rapidly changing overlap, a loose tooth, bleeding, pain or a newly opened gap should be raised when you book. Those signs are not always relapse and need examining properly.
The assessment should explain how far the teeth have moved since earlier treatment, which ones are involved and what correcting them would improve. If movement is recommended again, the method ought to follow from your current examination, not just repeat what was done before or assume one appliance suits everyone.
It also lets you think about the long view. A second course of treatment means wear, cleaning, reviews and, crucially, retention you can keep up this time. For people in Rockwood, planning reviews ahead helps. A sound plan is frank about what it can achieve and what will remain.
Ask what the examination suggests about the relapse and how space would be found if correction is chosen. If enamel reduction, extraction or expansion is mentioned, ask for each to be explained on its own, with alternatives.
Discuss how the planned positions would affect contacts, cleaning and the back teeth, not only the front. A limited touch-up leaves more unchanged than a fuller course, so ask which is proposed and what each would leave behind.
This time, agree the retainer details before starting: type, wear schedule, cleaning, review frequency and what to do about a replacement. Retention is what keeps the result, so make it part of the decision, not an afterthought.
Records, the number of visits and realistic options depend on how far teeth have moved and what we find. Ask who plans, carries out and follows each stage, and whether your earlier provider should be consulted.
Tell us when you had orthodontics, how long retainers were worn and when you noticed change. Mention missing teeth, restorations and planned work. Bring old retainers or records if you have them; they show where you started.
We assess both arches, the bite and the gums and bone. Records may be recommended to compare positions and measure space. Ask what each record is for and whether other dental care should come first.
Go through the options, from a new retainer to renewed alignment or monitoring, with risks, alternatives and what each would ask of you. Ask how the plan shifts if you decline a step. If a specialist is advised, clarify the referral.
If you go ahead, attend reviews and report issues with appliances or cleaning. Ask how progress is checked. Before finishing, confirm your retainer plan in detail, including the steps to take if it goes missing or begins to feel tight.
Follow the instructions written for your own appliance and plan. An old retainer pushed back in, or a wear schedule copied from someone else, is not a safe way to steer teeth.
We can show you how to clean between overlapping teeth and around attachments, wires or a bonded retainer. Keep routine dental visits going. If bleeding or tenderness makes cleaning hard, mention it early so the advice can change.
A popped attachment, an aligner that no longer seats or a routine that has started to slip should be reported to your treating clinician. Ask before changing stages. Early, honest updates keep small problems from growing.
Once movement finishes, wear and clean the retainer as directed and keep the agreed checks. If it breaks, goes missing or hurts, get in touch with the provider who made it rather than waiting. Early action is how relapse is avoided.
Patient information: British Orthodontic Society — retainers and maintaining tooth positions
The specifics come from your examination, the space available, your bite and your gum health. Relapse that looks mild or marked cannot be judged by eye alone.
Arrange time with our team on Bronte Street to look at what has shifted since your earlier treatment, any cleaning trouble and the outcome you want. We will explain how to weigh a new retainer, renewed alignment or monitoring, and when a specialist should help.
Suitability, the approach to space, how much treatment is needed, timing and fees are decided by individual assessment. No particular system or result without extraction is promised.