Debond Consent for Braces

This is to certify that I am satisfied with the outcome of my orthodontic treatment and consent for the removal of my braces . I have been provided with fixed retainers to maintain the position of my teeth following the completion of my orthodontic treatment. I commit to maintaining proper oral hygiene at home, including thorough brushing and flossing techniques. I also understand that regular examinations and cleanings with a dentist are essential for my long-term oral health.

Informed Consent – Retainers

Upon the removal of my active orthodontic appliances, I will have a fixed wire retainer placed behind my upper and lower front teeth to maintain the correction of my teeth. I understand and accept the following instructions and responsibilities:

• Fixed retainers are meant to stay in place to prevent teeth from shifting back.
• The cement bonding the wire to the teeth may crack or break over time and will require periodic replacement.
• If the wire becomes detached from the teeth, immediate action is necessary as there is a risk of teeth shifting. This risk may be reduced by wearing a removable retainer at night.
• Plaque and calculus can build up around the wire, so regular cleanings are necessary to maintain healthy gums.
• Routine check-ups and clean every six months are recommended.