How Long Does Invisalign Take?
TL;DR: Most Invisalign treatments take 6 to 18 months, depending on case complexity and how consistently you wear your aligners. Mild crowding or spacing issues often finish in under a year, while more complex bite corrections can take 18 months or longer. At Visage Santa Fe, Dr. Tanner provides a personalized timeline estimate during your free consultation based on your specific case.
Most Invisalign treatments take 6 to 18 months. Based on over 2,500 completed cases at Visage Santa Fe, we see most adult patients finishing treatment within 12 months, though some mild cases move faster, and more complex bite corrections take longer. The biggest factors affecting Invisalign treatment time are alignment severity, aligner wear consistency, and whether refinements are needed near the end of treatment.
At Visage Santa Fe, we use digital iTero scanning and Invisalign-only treatment planning to create a personalized timeline before treatment begins. If you want an estimate based on your teeth and bite, you can call 505-670-6145 to schedule a complimentary consultation with Dr. Tanner.
Typical Invisalign Timelines by Case Complexity
Key Takeaway: Most Invisalign treatments take 6 to 18 months. Mild cases usually finish in under a year, while complex bite corrections can take up to 18+ months. Based on our 2,500+ completed cases, most adult patients finish within 12 months.
Most Invisalign cases fall into three categories: mild, moderate, and complex. The more tooth movement required, the longer treatment typically takes, and the more aligner trays are involved.
For mild cases, Invisalign treatment time is often between 6 and 8 months. These patients usually have minor crowding, small gaps, or mild spacing issues. Treatment may involve approximately 20 to 30 trays, depending on the exact movements required. In many mild cases, visible changes begin appearing within the first 2 to 3 months.
Moderate cases are the most common category we treat in adults. These patients typically have noticeable crowding, moderate spacing, or mild bite alignment issues. Treatment generally lasts 12 months and may require 40 to 50 trays. Based on our experience treating more than 2,500 Invisalign patients, most adults fall into this range.
Complex cases usually involve severe crowding, significant bite correction, or multiple orthodontic problems happening simultaneously. These are cases that historically would have required traditional braces. Invisalign duration for complex treatment can range from 14 to 18 months and often includes refinement aligners near the end of care.
| Case Type | Estimated Duration | Approximate Tray Count |
|---|---|---|
| Mild | 6-8 months | 20 - 30 trays |
| Moderate | 10-14 months | 40 - 50 trays |
| Complex | 18-24 months | 60+ trays plus refinements |
Patients often ask how long Invisalign takes compared to braces. For comparable cases, Invisalign is faster. Traditional braces commonly take 18 months to 3 years because adjustments occur in stages and rely heavily on office visits. Invisalign aligners are digitally programmed in advance, allowing for more controlled tooth movement throughout treatment.
That said, Invisalign is not instant. Teeth still move biologically, and bone remodeling takes time regardless of the appliance being used. Claims of dramatically accelerated orthodontic treatment should always be viewed cautiously.
The number of trays in an Invisalign treatment depends on the amount of movement required. Every tray represents a small programmed adjustment. More movement requires more trays, which can increase both the total tray count and the overall treatment time.
At Visage Santa Fe, we focus exclusively on Invisalign treatment. Our specialized experience allows us to efficiently treat many cases in ways that may differ from a general practice approach. Because Dr. Tanner has treated thousands of Invisalign patients for more than two decades, we are often able to identify tracking issues and refinement needs early before they significantly delay treatment.
What Affects Your Invisalign Timeline
Key Takeaway: The biggest factors affecting Invisalign treatment time are orthodontic complexity, aligner wear consistency, tray change timing, refinements, and oral health. Patients who wear aligners as directed generally finish treatment significantly faster than those who do not.
Orthodontic complexity is the single biggest factor affecting how long Invisalign treatment takes. A patient needing 3 millimeters of tooth movement is fundamentally different from someone requiring 8 millimeters of tooth movement plus bite correction.
Compliance is the next major variable. Invisalign aligners need to be worn 20 to 22 hours per day for teeth to move as planned. Every hour the aligners are out, teeth begin drifting back toward their previous position. Patients who consistently leave trays out too long often extend treatment by weeks or months.
We discuss this regularly with patients because compliance matters more than any other factor you directly control. Small habits make a difference over time, especially during longer treatment plans. Patients looking for practical strategies can review our article on how to get the best results with your aligners, including chewies, wear habits, and tray tracking.
Age also affects Invisalign treatment time, though not as dramatically as many people assume. Teen teeth generally move faster because the jawbone is still developing. Adults can absolutely achieve the same results, but comparable cases may take 3 to 6 months longer, depending on bone density and biology.
Tray change schedules vary by patient. Most Invisalign patients switch to a new tray every week. This schedule is determined by how teeth typically respond to the programmed movements. Changing aligners too early can compromise tracking, while changing too slowly unnecessarily extends the length of treatment.
Refinements are another normal part of Invisalign treatment. After the initial series of aligners is completed, most patients receive additional refinement trays to fine-tune tooth positions and bite alignment. This is not a sign that treatment failed. Refinements are expected in modern clear aligner orthodontics and are part of achieving precise results.
At Visage Santa Fe, we use iTero digital scanning for refinements rather than traditional impressions. The process is fast, accurate, and more comfortable for patients.
Oral health also matters before treatment starts. Existing gum disease, untreated cavities, or active dental infections need to be resolved before Invisalign begins. Skipping these steps can create more serious problems later and may delay treatment unnecessarily.
Some patients worry when we recommend Invisalign attachments, but attachments often make treatment more efficient, not slower. These small tooth-colored shapes allow aligners to control more advanced tooth movements that previously required braces.
Patients also occasionally ask about mail-order aligners because they assume fewer office visits mean faster treatment. In reality, orthodontic supervision from a trained specialist is what keeps treatment progressing safely and predictably. This is one reason why professional supervision matters during clear aligner therapy.
What to Expect Month by Month
Key Takeaway: Most Invisalign patients notice subtle changes within 2 to 3 months and significant progress by 6 months. Complex bite corrections take longer, and retainers are necessary afterward to maintain results.
Most Invisalign patients begin noticing changes within the first few months, but the timeline varies depending on the complexity of the case and how consistently aligners are worn.
During months 1 through 3, patients are adjusting to the routine of aligner wear. Mild soreness or pressure is normal during the first day of each new tray, especially at the beginning of treatment. This is a sign that the aligners are working. Patients are also building habits around 22-hour wear, cleaning trays, and using chewies properly. Visible changes are often subtle during this phase, though patients with mild crowding or spacing will notice movement by month 2 or 3.
Months 4 through 8 are when many patients begin seeing real changes in the mirror. Crowding often starts to resolve visibly, and spacing issues begin closing. Friends or family members may notice changes in your smile. In our practice, patients are often surprised by how much movement happens during this phase, especially once alignment improves enough for front teeth to shift more visibly. For mild cases, treatment may already be approaching completion during this stage.
Months 9 through 12 are when major tooth movements and bite corrections often occur. This phase commonly includes alignment adjustments involving molars and overall bite coordination. Checkups every 6 to 10 weeks allow us to confirm teeth are tracking correctly and make modifications if necessary. Some patients will have a refinement scan during this stage.
For moderate to complex cases, months 12 through 18 and beyond focus on detailed finishing work. Fine-tuning tooth position, correcting bite contacts, and improving long-term stability all happen during this phase. These final adjustments often make the difference between acceptable and excellent results.
Patients frequently ask how long Invisalign takes to work because they want visible progress quickly. The answer is that Invisalign starts moving teeth immediately, but visible changes usually take several weeks to become noticeable.
After active treatment ends, retainers become essential. Patients typically wear retainers 12 hours per day for the first month before transitioning to nighttime wear thereafter. Teeth naturally want to shift back toward their original position, and skipping retainers is one of the fastest ways to lose results.
Retention is not optional. Long-term Invisalign success depends on maintaining alignment after treatment is complete. In our experience, patients who wear retainers consistently maintain their results far more predictably than those who become inconsistent after treatment ends.
Frequently Asked Questions
Can Invisalign work in 6 months?
Yes, for mild cases. Minor crowding, small gaps, and limited spacing issues can often be corrected in 6 to 8 months with consistent aligner wear. More complex cases involving bite correction or severe crowding take longer. Dr. Tanner can estimate your treatment timeline after evaluating your teeth and bite during a consultation.
Is $7,000 a lot for Invisalign?
The average Invisalign treatment cost usually ranges from $5,000 to $6,000, similar to traditional braces. More complex cases may cost more because they require additional trays and longer treatment. Many insurance plans now include orthodontic benefits, and most practices offer payment plans. At Visage Santa Fe, complimentary consultations include a review of pricing and financing options.
Do you really have to wear Invisalign 20+ hours a day?
Yes. Invisalign aligners should generally be worn 20 - 22 hours per day and only removed for eating, drinking anything besides water, and brushing. Wearing aligners inconsistently allows teeth to relapse, which slows progress and can significantly extend treatment time.
What is the most uncomfortable stage of Invisalign?
Most patients experience the most discomfort during the first few weeks of treatment as they adapt to aligner therapy. Thereafter, the only uncomfortable time is the day after an aligner change. The sensation is usually mild pressure rather than pain. Compared to braces adjustments, Invisalign discomfort is less intense and resolves more quickly.
Is Invisalign faster than braces?
For most mild-to-moderate cases, yes. Invisalign often produces results in 12 months, while comparable braces treatment may take 18 - 24 months. Invisalign's digitally programmed tooth movements can improve efficiency, though very severe orthodontic cases may still respond better to braces.
How do I know if Invisalign will work for my case?
A consultation with an experienced Invisalign provider is the only reliable way to know. Dr. Tanner will evaluate your teeth, bite, gum health, and treatment goals to estimate results and timeline. Visage Santa Fe offers free consultations. Call 505-670-6145.
Schedule a Complimentary Consultation
Every Invisalign case is different, and the only way to get an accurate timeline is through a professional evaluation.
At Visage Santa Fe, Dr. Tanner has completed more than 2,500 Invisalign treatments and focuses exclusively on clear aligner orthodontic treatment. We can evaluate your teeth, discuss treatment goals, and estimate your projected timeline during your consultation.
If you want a personalized estimate for how long Invisalign may take in your case, you can schedule a free consultation or call 505-670-6145.
Adult Orthodontics: Why More Adults Are Choosing to Straighten Their Teeth
TL;DR: Dr. Tanner and Visage Santa Fe have seen growing interest in adult orthodontics as more people recognize the connection between dental alignment, oral health, and confidence. Visage Santa Fe treats adults exclusively with Invisalign, offering a discreet treatment option that fits professional and personal lifestyles.
Many adults assume orthodontic treatment is something that only happens during the teenage years. In my experience, that's one of the biggest misconceptions about orthodontics. At Visage Santa Fe in Santa Fe, NM, I regularly meet adults who have spent years believing they missed their opportunity to straighten their teeth, only to learn that treatment remains a realistic option well into adulthood.
Today, adult orthodontics is more common than ever. Improved treatment options, increased awareness of oral health, and greater flexibility in how orthodontic care fits into daily life have changed how adults think about treatment. Many adults are pursuing treatment not only to improve the appearance of their smiles, but also to address crowding, bite issues, and other concerns that can affect long-term dental health.
If you're considering orthodontic treatment, I invite you to schedule a complimentary consultation to discuss your goals and determine whether treatment may be appropriate for your situation.
Why Adults Are Seeking Orthodontic Treatment
In short: More adults are pursuing orthodontic treatment than at any point in history. According to the American Association of Orthodontists, roughly one in three orthodontic patients today is an adult, driven by increased awareness of oral health, more discreet treatment options, and the understanding that it is never too late to correct alignment issues.
Adult orthodontic treatment is no longer unusual. According to the American Association of Orthodontists, adults now represent a significant portion of orthodontic patients across the country.
In my experience as an orthodontist, adults typically seek treatment for a combination of health and cosmetic reasons. Crowded or overlapping teeth can be more difficult to clean effectively, increasing the risk of plaque buildup, cavities, and gum problems. Bite issues may contribute to uneven tooth wear or jaw discomfort over time.
Many adult patients either never received treatment as children or experienced shifting after earlier care. Others simply reach a point where they decide they are ready to address concerns they have lived with for years.
The rise of clear aligners has also changed the conversation. Adults who may have hesitated to pursue treatment in the past often appreciate options that are less noticeable in professional and social settings.
Common Dental Issues Adult Orthodontics Can Correct
Adult orthodontic treatment can address a wide range of alignment and bite concerns. While every patient is different, certain issues appear frequently during consultations.
Crowding is one of the most common concerns I see. When teeth overlap, cleaning becomes more difficult, which may increase the likelihood of cavities and gum disease. Proper alignment often makes daily oral hygiene easier and more effective.
Bite problems can also affect long-term dental health. Overbites, underbites, crossbites, and open bites may contribute to uneven wear on teeth or place excess stress on certain areas of the mouth. In some cases, patients report discomfort associated with these issues.
Spacing concerns are another common reason adults seek treatment. Gaps between teeth may affect appearance, but they can also influence how teeth function together.
I also see many adults whose teeth have gradually shifted over time. Aging, tooth loss, previous orthodontic relapse, and other factors can all contribute to changes in alignment.
Many of the common questions about orthodontic treatment that patients ask involve whether these concerns can still be corrected later in life. In many cases, treatment remains a viable option well into adulthood.
How Adult Treatment Differs from Treatment for Teens
In short: Adult orthodontic treatment uses the same principles as treatment for younger patients, but adult bones have stopped growing, which can extend treatment timelines. Adults are also more likely to have existing dental work and may prioritize discreet treatment options that fit professional and social lives.
The biological principles behind orthodontic treatment remain the same regardless of age. However, adult treatment does involve some unique considerations.
Adult jawbones have finished growing, which means certain tooth movements may take longer than they would in younger patients. Adults are also more likely to have crowns, fillings, implants, or other dental work that must be considered during treatment planning.
Gum health and bone support can also play an important role. Before beginning treatment, I evaluate the overall condition of the teeth and supporting structures to determine the best approach.
One advantage adult patients often bring is consistency. Adults tend to be highly motivated and generally follow treatment recommendations closely, which can positively influence progress.
Digital planning tools help us account for these complexities. Technologies such as iTero scanning and digital treatment simulations allow us to visualize movement before treatment begins. In some situations, techniques such as interproximal reduction may be used to create small amounts of space between teeth when appropriate.
Treatment Options for Adults
Adults today have several orthodontic treatment categories available, including metal braces, ceramic braces, lingual braces, and clear aligners. When people search for the different types of braces for adults, they are often surprised by how many options exist.
At Visage Santa Fe, I chose to focus exclusively on Invisalign because, in my experience, clear aligners are particularly well suited to the needs and lifestyles of adult patients. As a Pearl Invisalign Provider who has treated more than 2,500 orthodontic cases, I've seen firsthand how clear aligner therapy can help many adults achieve their treatment goals while maintaining their professional and personal routines.
Clear aligners offer several advantages. They are removable, which simplifies eating and oral hygiene. They are also less noticeable than many other treatment options, something many working professionals appreciate.
Digital treatment planning allows us to map tooth movement before treatment begins and make adjustments as needed throughout the process. While every case is different, many adult Invisalign cases at Visage Santa Fe are completed in about 12 months or less, though treatment timelines vary based on individual needs.
That does not mean Invisalign is appropriate for every patient. A consultation allows me to evaluate your specific situation and determine whether Invisalign treatment may be a good fit.
I also encourage patients to learn more about why professional supervision matters when comparing orthodontic options. Professional oversight allows treatment decisions to be based on clinical evaluation rather than assumptions.
For patients researching insurance coverage or treatment basics, Delta Dental's guide to adult braces provides helpful general information about orthodontic care.
Frequently Asked Questions About Adult Orthodontics
Is it too late to straighten my teeth as an adult?
No. Dr. Tanner and Visage Santa Fe regularly meet adults who assume they have missed their opportunity for orthodontic treatment, only to learn that treatment remains possible. According to the American Association of Orthodontists, roughly one in three orthodontic patients today is an adult. While every case requires evaluation, healthy teeth and gums often allow treatment well into adulthood. Dr. Tanner has treated adults across a wide range of ages and recommends a consultation to determine what options may be appropriate for each individual's circumstances.
How long does Invisalign treatment take for adults?
Treatment timelines depend on the complexity of the case, the type of tooth movement required, and how consistently aligners are worn. At Visage Santa Fe, Dr. Tanner reviews each of these factors during the consultation and uses digital treatment planning to project expected tooth movement and explain the process. Straightforward cases often move faster, while more complex orthodontic concerns may require additional time. Consistent aligner wear remains one of the most important factors influencing both how long treatment takes and the quality of the final result.
Does dental insurance cover orthodontic treatment for adults?
Many dental insurance plans include orthodontic benefits that can be applied to adult treatment, although coverage varies significantly between policies. Visage Santa Fe helps patients understand available benefits and works to maximize eligible coverage whenever possible. Dr. Tanner also recognizes that adult orthodontics cost is an important consideration for many families, which is why financing options are available to help spread treatment costs into manageable monthly payments. A consultation provides the best opportunity to review insurance information, discuss financing options, and evaluate potential treatment costs based on individual needs.
How is orthodontic treatment different for adults compared to teenagers?
Orthodontic treatment follows the same basic principles regardless of age, but adults often present unique considerations. Adult bones have completed growth, which can affect how certain tooth movements occur and may influence treatment planning. Adults are also more likely to have crowns, fillings, implants, or periodontal concerns that require additional coordination. Dr. Tanner evaluates these factors carefully when developing treatment plans at Visage Santa Fe. While treatment may involve additional considerations, adult patients frequently demonstrate excellent compliance, which can contribute positively to treatment progress and outcomes.
What dental problems can adult orthodontics fix?
Adult orthodontics may help address crowding, spacing issues, overbites, underbites, crossbites, open bites, and teeth that have shifted after earlier treatment. Correcting alignment concerns can also improve access for brushing and flossing while reducing uneven wear on teeth. Some patients report improvements in comfort and function after treatment. Dr. Tanner evaluates each case individually at Visage Santa Fe because treatment recommendations depend on the specific alignment, bite relationship, and oral health considerations present during the consultation.
As an orthodontist, I believe many adults are surprised by how many treatment options are available today. If you're considering adult orthodontics in Santa Fe, I encourage you to schedule a complimentary consultation and learn what options may be available for your specific situation. You can also call 505-670-6145 to speak with our team and schedule a visit.
Invisalign vs. Braces: An Orthodontist's Honest Comparison
TL;DR: Both Invisalign and braces straighten teeth effectively. After treating more than 2,500 patients with Invisalign, Dr. Tanner finds that clear aligners offer advantages in comfort, hygiene, treatment speed, and aesthetics for most cases. Braces still have a role in certain situations, which this comparison addresses honestly.
One of the most common questions I hear from patients is whether they should choose Invisalign or braces.
I trained in traditional orthodontics and used braces extensively before making the decision to focus exclusively on Invisalign. That decision came after treating more than 2,500 patients and comparing results over time.
This article provides a clear comparison of braces vs. Invisalign, including how each system works, what daily life looks like, and how they differ in cost, treatment time, and results. If you are asking whether Invisalign is better than braces, this guide will give you a direct answer based on clinical experience.
How Braces and Invisalign Work
Braces use brackets bonded to each tooth and connected by an archwire. I adjust the wire at regular appointments to apply controlled force and move teeth into position over time. Ceramic braces are a variation that use tooth-colored brackets for a less noticeable appearance.
Invisalign uses a series of custom-made clear aligners created from 3D digital scans. Each aligner applies precise, incremental force to move teeth step by step. Patients switch to a new set of aligners on a set schedule, usually every one to two weeks.
Invisalign has evolved significantly since its introduction in 1999. Features such as SmartTrack material and SmartForce attachments allow Invisalign to treat a wider range of cases than many people expect.
Comfort and Daily Life
In short: Invisalign is generally more comfortable and flexible, while braces require more lifestyle adjustments.
Invisalign aligners are made from smooth plastic and do not include brackets or wires, which reduces irritation to the cheeks and lips. Because the aligners are removable, patients can eat normally and maintain their regular brushing and flossing routine.
Braces involve fixed hardware that can cause irritation, especially after adjustments. Patients also need to avoid hard or sticky foods, and cleaning around brackets and wires takes more time.
The biggest advantage of Invisalign in daily life is removability. Patients can take aligners out for meals, brushing, and important events, which makes treatment easier to manage.
That said, Invisalign requires discipline. Aligners must be worn 20 to 22 hours per day to stay on track. Small habits matter, including consistent wear time and using chewies to help seat aligners properly. I emphasize these habits early because they directly affect results.
Some patients ask whether wearing aligners only at night is enough. In most cases, it is not. Invisalign requires near full-time wear to be effective.
Treatment Time: Which Is Faster?
In short: Invisalign is often faster for many patients, though treatment time depends on the specific case.
In general, Invisalign treatment takes about 12 to 18 months, while braces often take 18 to 24 months. Align Technology reports that Invisalign treatment can finish about five months faster on average in many cases.
Clinical research shows that outcomes are similar between the two systems. A randomized controlled trial published by Texas A&M University found that both Invisalign and braces produced comparable results for mild cases, with braces finishing slightly faster in that specific study.
That study focused on relatively simple cases, and Invisalign technology has continued to improve since then.
In my own practice, many Invisalign cases are completed in about a year or less. Treatment time depends on case complexity, patient compliance, and how the teeth respond to movement.
Treatment time is also influenced by how precisely the plan is designed at the start. With Invisalign, every stage of movement is mapped digitally before treatment begins. That allows for more controlled sequencing, especially in cases that involve multiple types of movement at once, such as rotation, intrusion, or bite correction. When the plan is accurate, treatment tends to progress more predictably.
With braces, adjustments are made incrementally during in-office visits. This approach is effective, but it can introduce variability depending on how teeth respond between appointments. In some cases, additional refinements or longer timelines are needed to reach the same level of detail in the final result.
Another factor is how each system handles mid-course corrections. Invisalign cases often include refinement aligners at the end of treatment to fine-tune the result. These are built into the process and allow for small adjustments without restarting treatment. Braces can also be adjusted throughout treatment, but those changes typically extend the overall timeline rather than being incorporated into a defined final phase.
It is also worth noting that missed appointments tend to affect braces and Invisalign differently. With braces, delayed visits can slow progress because adjustments are not made on schedule. With Invisalign, missed wear time has a more direct impact. Patients who stay consistent with aligner wear usually stay on track, while inconsistent use can extend treatment.
Cost Comparison
In short: Invisalign and braces are now priced similarly, and cost differences are often minimal.
Braces typically range from $3,000 to $7,500 depending on complexity and treatment length. Invisalign falls within a similar range in most cases.
The gap in cost between Invisalign and braces has narrowed significantly. In many situations, Invisalign costs the same as braces or even less.
Most dental insurance plans that include orthodontic benefits cover Invisalign in the same way they cover braces. Coverage details vary by plan.
One difference that is often overlooked is how cost relates to efficiency over time. While the total treatment fee may be similar between Invisalign and braces, the number of office visits can differ. Invisalign typically requires fewer in-person adjustments, which can reduce the indirect cost of time away from work or school.
There are also differences in how repairs and emergencies are handled. With braces, broken brackets or wires can require additional visits and repairs, which may or may not be included in the overall cost depending on the practice. Invisalign does not involve hardware in the same way, so these types of interruptions are less common.
From a long-term perspective, oral hygiene during treatment can also affect cost. Patients who struggle to maintain hygiene with braces may require additional cleanings or treatment for issues like decalcification. Because Invisalign aligners are removable, it is generally easier to maintain baseline oral health, which can help avoid additional dental work during or after orthodontic treatment.
Cost should still be evaluated in the context of the final result, but these practical differences are worth considering when comparing the two options.
At Visage Santa Fe, I offer complimentary consultations to review treatment options and provide a clear cost estimate. Financing options are also available.
Cost is an important factor, but the goal is to choose the treatment that produces the best long-term result.
Effectiveness: What Can Each System Treat?
In short: Invisalign and braces can treat most orthodontic issues, including many complex cases, with similar outcomes.
There is a long-standing perception that braces are better for complex cases. Based on my experience, I do not find that to be accurate in most situations.
Invisalign can effectively treat overbite, underbite, crossbite, crowding, spacing, and open bite. Techniques such as interproximal reduction, SmartForce attachments, and precise aligner staging allow for controlled tooth movement across a wide range of cases. Interproximal reduction, often called IPR, expands what Invisalign can treat by creating small amounts of space between teeth, allowing alignment without extractions in many cases.
Treatment planning also considers overall smile design, not just straight teeth. Tooth shape, proportions, and bite relationships all influence the final result. Invisalign allows for detailed planning in these areas.
One of the key differences between Invisalign and braces is how force is applied to the teeth. Braces use continuous force through wires and brackets, while Invisalign applies force in controlled stages through a sequence of aligners. Each aligner is designed to move teeth a small amount before the next set continues that movement. This staged approach allows for a high level of precision when the treatment plan is designed correctly.
Attachments play an important role in expanding what Invisalign can treat. These small, tooth-colored shapes are bonded to specific teeth to give the aligners more control over movement. They allow Invisalign to handle rotations, vertical movements, and more complex bite corrections that were not possible with earlier versions of the system.
Another factor is how bite correction is managed. Invisalign allows for detailed planning of how the upper and lower teeth come together at the end of treatment. This includes controlling contact points, spacing, and alignment across the full arch. In many cases, this level of planning leads to more consistent finishing, especially when combined with refinement aligners.
That said, there are still situations where fixed appliances can be useful. Very young patients who cannot manage removable aligners benefit from a system that does not rely on compliance. In addition, certain skeletal discrepancies require surgical planning where braces may be used as part of a coordinated treatment approach.
For most patients, however, the gap between what Invisalign and braces can treat has narrowed significantly. The difference is less about capability and more about how the treatment is executed and how consistently the patient follows the plan.
Invisalign vs. Braces for Adults and Teens
Invisalign offers a clear advantage for adult patients who prefer a more discreet option. According to the American Association of Orthodontists, the number of adults seeking orthodontic treatment has increased significantly over the past two decades. Many of those patients choose Invisalign because the aligners are less noticeable in professional and social settings.
Braces remain effective for adults, but some patients prefer to avoid visible hardware.
For teens, the main consideration is responsibility. Invisalign Teen includes compliance indicators that show whether aligners are being worn enough, but consistent wear is still required. In my experience, many teens do well with Invisalign when expectations are set clearly from the start. I look for basic readiness signals: good brushing habits, motivation to follow through, and an understanding that treatment results depend on their effort. When those are in place, teens tend to stay on track. For younger patients who are not there yet, braces are the more reliable path because the system does not depend on the patient to manage wear time.
Oral Hygiene During Treatment
Invisalign allows patients to remove aligners for brushing and flossing, which makes it easier to maintain normal oral hygiene. This reduces the risk of plaque buildup and gum inflammation.
With braces, cleaning around brackets and wires requires more effort and additional tools. Plaque can accumulate more easily, increasing the risk of enamel changes and gum issues.
Oral hygiene during orthodontic treatment affects long-term gum health, including the risk of gum recession if inflammation is not controlled. I emphasize this because the goal is not just straight teeth, but a healthy, stable result.
Why I Chose to Practice Exclusively with Invisalign
I did not start my career as an Invisalign-only orthodontist. I trained with braces and used them extensively early in my career.
As Invisalign technology improved, I began using it more often and comparing results directly. Over time, I found that Invisalign consistently delivered outcomes I was proud of across a wide range of cases.
Part of that confidence comes from how much the technology has evolved. Early limitations no longer apply in the same way today. Advances in materials and treatment planning have expanded what Invisalign can do.
After treating more than 2,500 patients with Invisalign, I made the decision to focus exclusively on clear aligner therapy. That decision reflects what I have seen work most consistently in my own practice.
Another factor in that decision was consistency. As I treated more patients with both systems, I found that Invisalign allowed me to plan outcomes more precisely and reproduce those results more reliably across different types of cases. The ability to visualize the entire treatment sequence in advance changed how I approached planning.
I also saw a difference in how patients experienced treatment. When patients are more comfortable and able to maintain normal routines, they tend to stay more engaged and consistent. That consistency translates directly into better outcomes and fewer complications during treatment.
Focusing on one system has also allowed me to refine my approach over time. By working within a single framework, I can make more precise adjustments in planning and execution, which improves both efficiency and results.
If you are considering treatment, I offer a complimentary consultation to evaluate your case and discuss your options.
Frequently Asked Questions
Is Invisalign better than braces?
Invisalign and braces both straighten teeth effectively and can produce similar results. Invisalign offers advantages in comfort, appearance, and oral hygiene because the aligners are removable and made from smooth plastic. Braces provide fixed compliance, which can be helpful for patients who may not wear aligners consistently. In Dr. Tanner’s experience treating more than 2,500 Invisalign patients, clear aligners can address the vast majority of orthodontic cases while fitting more easily into daily life for most patients.
Can Invisalign fix an overbite?
Yes, Invisalign can correct most overbites using aligner sequencing, SmartForce attachments, and interproximal reduction when needed. These tools allow precise control over tooth movement and bite positioning. Dr. Tanner routinely treats overbites in the 5 to 7 millimeter range using Invisalign. Severe skeletal overbites may still require surgical treatment, but most mild to moderate cases respond well to clear aligner therapy when treatment is planned correctly.
How long does Invisalign take?
Most Invisalign treatments take between 12 and 18 months, although many patients finish in about one year. The timeline depends on case complexity, how the teeth respond to movement, and how consistently aligners are worn. Aligners need to be worn 20 to 22 hours per day to stay on schedule. Inconsistent wear is the most common reason treatment takes longer than expected.
Can Invisalign fix an underbite?
Yes, Invisalign can treat many underbite cases by gradually repositioning the teeth and improving the bite relationship. The aligners apply controlled force over time to move teeth into alignment. When an underbite is caused by a significant skeletal discrepancy, surgical treatment may be required alongside orthodontics. Many mild to moderate cases can be treated successfully with Invisalign alone.
Can Invisalign fix crowding?
Yes, Invisalign can correct dental crowding by creating space and guiding teeth into alignment. This is often done using interproximal reduction along with precise aligner sequencing. In many cases, this approach avoids the need for extractions. Invisalign is effective for both mild and more complex crowding when the treatment plan is designed carefully.
Does Invisalign work as well as braces?
Invisalign works as well as braces in most orthodontic cases when treatment is planned and followed correctly. Clinical research shows that both systems can achieve similar outcomes. Invisalign technology has improved significantly, expanding the range of cases it can treat. In Dr. Tanner’s experience, clear aligners produce results comparable to traditional braces for most patients.
Is Invisalign or braces cheaper?
Invisalign and braces are now priced similarly in most cases. The cost of either option depends on case complexity, provider, and location. Most dental insurance plans that include orthodontic coverage apply the same benefit to both Invisalign and braces. At Visage Santa Fe, Dr. Tanner offers complimentary consultations that include a clear cost estimate for treatment.
How to Clean and Care for Your Invisalign Aligners
TL;DR: Clean your Invisalign aligners every time you brush by rinsing them under lukewarm water and gently brushing with a soft-bristled toothbrush and clear antibacterial soap. Soak a few times per week using cleaning crystals, denture tablets, or a diluted hydrogen peroxide solution. Avoid toothpaste, hot water, and colored mouthwash, all of which can scratch, warp, or stain the trays.
The best way to clean Invisalign aligners is to rinse them under lukewarm water and gently brush them with a soft toothbrush and clear antibacterial soap every time you brush your teeth. If needed, you can soak them a few times per week using cleaning crystals, denture tablets, or a diluted hydrogen peroxide solution. Avoid toothpaste, hot water, and colored mouthwash because they can damage or stain the trays.
Keeping Invisalign aligners clean is one of the most important parts of successful orthodontic treatment. Because aligners sit directly against your teeth for most of the day, they can easily collect bacteria, plaque, and saliva residue if they are not cleaned regularly. Dirty trays may cause bad breath, staining, or irritation around the gums.
Fortunately, learning how to clean Invisalign aligners properly only takes a few minutes each day. With a simple daily routine and occasional soaking, patients can keep their aligners clear, comfortable, and hygienic throughout treatment.
Dr. Tanner and the team at Visage Orthodontics in Santa Fe help patients understand how proper Invisalign care supports both oral health and treatment results. The following guide explains the best daily habits, soaking methods, and common mistakes to avoid when cleaning Invisalign trays and retainers.
Why Cleaning Your Invisalign Aligners Matters
In short: Aligners sit against your teeth 20 to 22 hours per day, trapping bacteria and saliva in a sealed environment. Without regular cleaning, this leads to cavities, gum irritation, bad breath, and cloudy trays.
Invisalign aligners are designed to be worn about 20 to 22 hours per day. Because they fit tightly over the teeth, they create a sealed environment that can trap saliva, bacteria, and plaque.
If aligners are not cleaned regularly, this buildup can lead to several problems. Bacteria may accumulate on the trays and transfer back to the teeth, increasing the risk of cavities or gum irritation. Saliva residue can also cause aligners to appear cloudy or yellow over time. In some cases, poorly cleaned trays may develop an unpleasant odor.
Clean aligners help preserve one of the main advantages of Invisalign treatment: their nearly invisible appearance. Keeping trays clear makes them less noticeable while maintaining better oral hygiene during orthodontic treatment.
The American Association of Orthodontists also recommends removing aligners for brushing and flossing and following your orthodontist's care instructions throughout treatment.
Daily Invisalign Cleaning Routine
In short: Brush your aligners with clear antibacterial soap and a soft toothbrush every time you brush your teeth, and rinse them under lukewarm water each time you remove them.
A consistent daily routine is the best way to clean Invisalign aligners and prevent buildup. This process should be repeated every morning and evening when brushing your teeth.
Morning and Evening Cleaning (Every Time You Brush)
Start by removing your aligners before brushing your teeth. Rinse them immediately under lukewarm water to remove saliva and loose debris. Avoid hot water, which can warp the thermoplastic material used to make Invisalign trays.
Next, apply a small amount of clear, unscented antibacterial soap to a soft-bristled toothbrush. Gently brush the entire aligner, including both the inside and outside surfaces. Use light circular motions and avoid aggressive scrubbing, which can scratch the plastic.
After brushing, rinse the aligners thoroughly under lukewarm water. Then brush and floss your teeth before placing the aligners back in your mouth.
This simple brushing routine removes bacteria and helps prevent plaque buildup. For most patients, this daily method remains the best way to clean Invisalign trays throughout treatment.
Quick Rinse After Every Removal
Each time you remove your aligners to eat or drink, rinse them briefly under running water before placing them in their case. This step prevents saliva from drying on the trays, which can lead to odor and residue.
Always store aligners in their protective case when they are not in your mouth. Wrapping them in a napkin or leaving them exposed increases the chance of losing or damaging them.
Developing the habit of rinsing and storing trays properly is a key part of long-term Invisalign care.
Best Soaking Methods for a Deeper Clean
In short: Soak aligners a few times per week in cleaning crystals, denture tablets, a hydrogen peroxide solution, or baking soda dissolved in lukewarm water to remove buildup that brushing alone can miss.
While brushing removes most buildup, soaking aligners a few times per week provides a deeper clean. Soaking helps remove residue that brushing alone may miss.
Cleaning Crystals or Denture Tablets
Invisalign cleaning crystals and many denture cleaning tablets can be used to soak aligners. Dissolve the tablet or crystals in lukewarm water and place the aligners in the solution for about 15 to 20 minutes.
These products are widely available at pharmacies and online. When choosing denture tablets, look for clear or uncolored options because some tablets contain dyes that can stain the trays.
Hydrogen Peroxide Solution
A diluted hydrogen peroxide solution can also be effective for Invisalign cleaning. Mix equal parts hydrogen peroxide and lukewarm water in a small container.
Soak the aligners for 20 to 30 minutes. Hydrogen peroxide helps reduce bacteria and can remove mild staining that develops during regular wear.
Baking Soda Solution
Another option involves dissolving one teaspoon of baking soda in about half to three-quarters of a cup of lukewarm water. Soak the aligners for about 20 to 30 minutes.
Baking soda can help neutralize odors and loosen residue that forms on the trays.
Clear Antibacterial Soap
If other cleaning products are not available, aligners can also soak briefly in lukewarm water mixed with clear antibacterial soap.
Regardless of the soaking method used, always brush and rinse aligners thoroughly before putting them back in your mouth.
What to Avoid When Cleaning Invisalign
In short: Do not use toothpaste, hot water, colored mouthwash, or bleach on your aligners. These products can scratch, warp, stain, or damage the thermoplastic material.
Several common household products can damage Invisalign trays or cause staining. Avoiding these mistakes is an important part of proper aligner care.
Toothpaste should not be used to clean aligners. Most toothpaste contains abrasive particles designed to polish enamel. These particles can scratch the aligner surface, making trays look cloudy and creating small grooves where bacteria collect.
Hot water should also be avoided. Invisalign trays are made from thermoplastic material that can deform when exposed to high temperatures. Even brief exposure to hot water may alter the shape of the tray and affect its fit.
Many patients ask, can you use mouthwash with Invisalign? Colored or alcohol-based mouthwash is not recommended because it can tint the plastic trays or weaken the material over time.
Finally, avoid bleach or harsh chemicals. These substances are unsafe for oral appliances and can damage the aligner material.
How to Remove Stains and Discoloration
In short: Soak stained aligners in hydrogen peroxide or cleaning crystals to restore clarity, and prevent staining by always removing trays before eating or drinking anything other than water.
Minor discoloration can occur if aligners are worn while drinking coffee, tea, wine, or soda. Smoking can also cause yellowing of the trays.
For mild stains, soaking aligners in a hydrogen peroxide solution or cleaning crystals usually restores their clarity. After soaking, gently brush and rinse the trays before reinserting them.
White or chalky buildup sometimes forms on aligners due to calcium deposits in saliva. This type of residue can often be removed by soaking in a denture cleaning tablet solution followed by gentle brushing.
The best prevention strategy is to remove aligners before consuming anything other than water and to follow a consistent cleaning routine. Patients should also remember that aligners are replaced every one to two weeks, so minor discoloration near the end of a wear cycle is common and not typically a hygiene concern.
How to Clean Your Invisalign Case
In short: Rinse the case daily with warm water and clear soap, let it air dry with the lid open, and replace it every few months.
Many patients focus on cleaning their aligners but forget that the storage case can also collect bacteria.
Learning how to clean an Invisalign case is simple. Rinse the case daily with warm water and wash it periodically using clear antibacterial soap. After cleaning, allow the case to air dry with the lid open. A clean case helps keep freshly cleaned aligners sanitary when they are not being worn.
Caring for Your Retainers After Invisalign Treatment
In short: Retainers need the same cleaning routine as aligners: rinse regularly, brush with clear antibacterial soap, and soak periodically. The same precautions about toothpaste, hot water, and colored mouthwash apply.
Once active treatment is complete, most patients transition to retainers to maintain their results. Retainers require the same hygiene habits as aligners.
Patients often ask how to clean Invisalign retainers or what the best way to clean Invisalign retainers might be. The same routine used during treatment applies to retainers as well. Rinse them regularly, brush gently with clear antibacterial soap, and soak them periodically for deeper cleaning.
Consistent cleaning is important to prevent odor, staining, and bacterial buildup.
The same precautions that apply to aligners also apply to retainers. Avoid using toothpaste, hot water, or colored mouthwash, as these can scratch, warp, or stain the retainer material.
Worn or cracked retainers may lose their shape and become less effective at holding teeth in position. Please call our office if there is damage to your retainers. Compromised retainers should be replaced as soon as possible to prevent unwanted tooth movement. Patients can learn more about long-term orthodontic maintenance in the Life After Invisalign Treatment guide, which explains how retainers help maintain orthodontic results after treatment ends.
Frequently Asked Questions
How often should Invisalign aligners be cleaned?
Invisalign aligners should be cleaned every time a patient brushes their teeth, which typically means at least twice per day. Aligners should also be rinsed whenever they are removed for eating or drinking. This routine helps prevent saliva residue from drying on the trays and reduces bacterial buildup. In addition to daily brushing and rinsing, soaking aligners a few times per week can also help in removing buildup that brushing alone may miss. Maintaining consistent brushing and flossing habits during orthodontic treatment is also recommended by organizations such as the American Dental Association and American Association of Orthodontics.
Can toothpaste be used to clean Invisalign aligners?
Toothpaste is not recommended for cleaning Invisalign aligners. Most toothpaste contains abrasive ingredients that can scratch the plastic surface of the trays. These scratches may cause the aligners to appear cloudy and create areas where bacteria can accumulate. Instead of toothpaste, orthodontists typically recommend brushing aligners with a soft toothbrush and clear antibacterial soap. This method removes bacteria and residue without damaging the aligner material. Using gentle cleaning methods helps preserve the transparency and fit of the trays throughout treatment.
Can mouthwash be used with Invisalign?
Colored or alcohol-based mouthwash should not be used to clean Invisalign aligners. The dyes in many mouthwash products can stain the plastic trays and make them more noticeable when worn. Alcohol in mouthwash may also weaken or distort the aligner material over time. If mouthwash is used for oral hygiene, patients should remove their aligners first and rinse them separately with water. Keeping aligners free from colored liquids helps maintain their clear appearance and prevents discoloration during treatment.
Can denture cleaner be used on Invisalign trays?
Yes. Denture cleaning tablets are a safe option for soaking Invisalign aligners. These tablets dissolve in water and help remove bacteria, plaque residue, and mild staining. When using denture cleaners, patients should choose clear or uncolored products because some tablets contain dyes that may stain aligners. Aligners typically soak for about 15 to 20 minutes before being rinsed and brushed gently. Denture cleaning tablets can be used a few times per week as part of a deeper cleaning routine.
How can Invisalign be cleaned with hydrogen peroxide?
A diluted hydrogen peroxide solution is a common method for disinfecting aligners and removing odor. Patients can mix equal parts hydrogen peroxide and lukewarm water in a container and soak the aligners for about 20 to 30 minutes. After soaking, the trays should be brushed gently with a soft toothbrush and rinsed thoroughly with water before reinserting them. Hydrogen peroxide helps break down bacteria and organic residue that may accumulate during daily wear. This method can be used occasionally as part of a deeper cleaning routine.
Why do Invisalign aligners sometimes smell bad?
Aligners may develop an odor when saliva and bacteria accumulate on the trays. This often happens when aligners are not rinsed after removal or when they are placed in a case without being cleaned. Food particles and plaque can also contribute to unpleasant smells if oral hygiene is inconsistent. Regular brushing, rinsing, and occasional soaking help prevent odor buildup. Keeping both the aligners and the storage case clean is essential for maintaining fresh-smelling trays.
How can white buildup be removed from Invisalign aligners?
White buildup on Invisalign aligners is usually caused by mineral deposits from saliva, often referred to as calcium buildup. This residue can appear chalky or cloudy on the surface of the trays. Soaking the aligners in cleaning crystals or denture cleaning tablets usually helps dissolve these deposits. After soaking, the aligners should be brushed gently and rinsed thoroughly. Maintaining a consistent cleaning routine helps prevent mineral buildup from developing over time.
Do Invisalign retainers need to be cleaned the same way as aligners?
Yes, Invisalign retainers should be cleaned using the same routine as aligners. Retainers collect saliva, bacteria, and plaque in the same way that aligners do. Regular brushing with a soft toothbrush and clear antibacterial soap helps remove daily buildup. Periodic soaking in cleaning crystals or denture tablets can provide a deeper clean. Because retainers are worn long after active treatment ends, consistent cleaning is important for maintaining both oral hygiene and the longevity of the retainer.
Patients who have additional questions about Invisalign treatment, orthodontic care, or scheduling appointments can visit the Visage Orthodontics FAQ page for more information.
Need Help with Invisalign Care?
If you have questions about cleaning your aligners or maintaining them during treatment, Dr. Tanner and the Visage Orthodontics team are happy to help. Proper cleaning habits make Invisalign treatment more comfortable and help keep your aligners clear throughout each stage of wear.
Patients can schedule a free consultation online or call 505-670-6145 to discuss Invisalign treatment or get personalized guidance on aligner care and long-term orthodontic maintenance.
Invisalign Attachments: What They Are, How They Work, and What to Expect
If you are considering Invisalign, you may have heard about attachments and wondered what they are, why they are used, and whether they are really necessary. As an orthodontist, this is one of the most common Invisalign questions I hear from patients in Santa Fe.
Invisalign attachments are a normal and effective part of treatment for many patients. They help aligners grip teeth more precisely, allowing movements that would not be possible with aligners alone. In this guide, I explain what Invisalign attachments are, how they work, what they feel like, and how to care for them, so you know exactly what to expect before starting treatment.
What Are Invisalign Attachments?
Invisalign attachments are small, tooth-colored bumps made from dental composite that are bonded to specific teeth during treatment. You may also hear them described as Invisalign tooth attachments or Invisalign attachments on teeth. They are designed to blend in with natural enamel and are far less noticeable than most patients expect.
I often explain attachments with a simple analogy. Teeth are smooth, almost like pumpkin seeds. If you try to grab a pumpkin seed between your fingers, it slips away. Invisalign aligners face the same challenge. Without something to grip, certain tooth movements are difficult or unreliable. Attachments give aligners traction.
Every Invisalign patient needs attachments. The number of attachments used depends on the complexity of the case. Straightforward alignment may require few attachments, while rotations, vertical movements, or bite corrections usually involve more attachments. Attachment placement is planned individually and used only where it improves treatment efficiency. You can learn more about Invisalign treatment planning on our main Invisalign page.
How Do Invisalign Attachments Work?
Invisalign attachments work by creating precise anchor points that allow aligners to apply controlled force to teeth. When an aligner fits over an attachment, it can push, pull, or rotate a tooth instead of sliding over a smooth surface.
Attachments are especially helpful for movements such as rotating teeth, shifting them laterally, or moving them slightly up or down in the jaw. These movements require more leverage than aligners alone can provide. The shape, size, and position of each attachment are intentional and customized per tooth.
Invisalign software plays an important role in planning attachment placement, but it does not replace clinical judgment. The software provides a digital roadmap, but real teeth do not always behave exactly like a simulation predicts. This is where experience matters. I frequently adjust attachment design or placement based on biomechanics, past outcomes, and how teeth respond during treatment. This balance between digital planning and hands-on orthodontic judgment is what allows Invisalign to work predictably.
Attachments vs. Buttons — What’s the Difference?
Patients often search for Invisalign buttons vs attachments, and the confusion is understandable. While the terms are sometimes used interchangeably online, they serve different purposes.
Attachments are bonded directly to teeth to help aligners grip and move them. They are part of the Invisalign system itself. Buttons, by contrast, are anchor points for rubber bands, also called elastics. Elastics are used to correct bite relationships such as overbites, underbites, or crossbites.
Some Invisalign patients need attachments only, while some patients need both. The choice depends on tooth movement goals and bite correction needs determined during your orthodontic evaluation.
What Does Getting Attachments Feel Like?
Getting Invisalign attachments is a simple and painless process. We begin by placing a clear template over your teeth to guide accurate placement. A small amount of composite resin is applied through the template and hardened with a curing light. Once the template is removed, the attachments are smoothed and polished.
The process usually takes less than an hour. No anesthesia is required. Most patients are surprised by how easy it feels.
After placement, your mouth may need a few days to adjust. Attachments can feel slightly rough at first and may cause minor lip or cheek irritation. This fades quickly. Attachments on front teeth may be slightly more visible, but they are tooth-colored and generally blend in well. Within a few days, most patients stop noticing them altogether.
Do Invisalign Attachments Damage Your Teeth?
No, Invisalign attachments do not damage teeth when placed and removed properly. The bonding process uses the same composite materials and techniques commonly used for fillings and cosmetic bonding. It does not weaken enamel.
When attachments are removed, the composite is carefully buffed off and the tooth surface is polished smooth. There is no drilling into the tooth and no permanent change to the enamel. In my practice, attachment removal is routine and leaves teeth looking exactly as they did before treatment, just straighter.
Problems only arise if someone attempts to remove attachments at home, which can damage enamel. Attachment removal should always be handled by an orthodontic professional.
Caring for Your Attachments
Attachments are durable, but good oral hygiene is important. Food debris can collect around them more easily, so brushing carefully around each attachment helps prevent plaque buildup. A soft toothbrush and consistent brushing after meals are usually sufficient.
Staining is another common concern. Attachments themselves resist staining, but frequent exposure to coffee, tea, red wine, or turmeric can cause slight discoloration over time. Moderation and good brushing habits help minimize this.
Whitening during Invisalign treatment is limited because composite attachments block whitening agents from reaching the enamel underneath. For this reason, I recommend whitening after treatment is complete. For more on post-treatment care, see our guide to life after Invisalign treatment.
If an attachment falls off, continue wearing your aligners and contact our office. We will determine whether replacement is needed and schedule a quick visit if necessary.
How Long Do Attachments Stay On?
Most patients have them for the full course of treatment. If refinements are required, attachments may be repositioned to improve precision.
Removal is quick and painless. Attachments are polished off without leaving marks on the teeth. It is important never to attempt removing Invisalign attachments at home, as doing so can damage enamel. Always let your orthodontist handle attachment removal safely.
Invisalign attachments are a normal and effective part of modern orthodontic care. They allow Invisalign to move teeth with precision while remaining discreet and comfortable. If you are considering Invisalign and want to know whether attachments will be part of your treatment plan, the best next step is a consultation.
At Visage Orthodontics, I offer complimentary Invisalign consultations. You can call 505-670-6145 or schedule a visit through our Invisalign page to learn whether Invisalign attachments are right for you.
Frequently Asked Questions About Invisalign Attachments
Do Invisalign attachments damage your teeth?
Invisalign attachments do not damage teeth when placed and removed by an orthodontist. The bonding process uses standard dental composite, and removal involves gently polishing the material off without altering the enamel. Attempting to remove attachments at home is the only scenario where enamel damage becomes a risk.
What’s the difference between Invisalign buttons and attachments?
Invisalign attachments are composite shapes bonded to teeth that help aligners grip and move teeth more precisely. Buttons serve a different purpose — they anchor rubber bands (elastics) used to correct bite issues like overbites or underbites or crossbites.
Can I whiten my teeth with Invisalign attachments?
Whitening is not recommended while Invisalign attachments are in place. The composite material blocks whitening agents from reaching the enamel underneath, which can result in uneven color. For best results, whitening should be done after attachments are removed and teeth are polished at the end of treatment.
Are Invisalign attachments noticeable?
Invisalign attachments are tooth-colored and designed to blend with natural enamel. Attachments on front teeth may be slightly more visible in certain lighting, but most people will not notice them in normal conversation. Patients typically report that attachments feel more noticeable than they actually look.
What happens if an Invisalign attachment falls off?
If Invisalign attachments fell off due to hard foods or normal wear, patients should continue wearing their aligners and contact the orthodontic office. The aligner will usually still fit, and the attachment can be replaced at a short appointment..
What should I avoid eating with Invisalign attachments?
Aligners should always be removed before eating. Biting into very hard or sticky foods with attachments exposed can cause them to loosen, and Invisalign attachments can wear down over time if exposed to excessive force. Stained Invisalign attachments are another common concern, limiting coffee, tea, red wine, and turmeric and brushing after meals helps keep them looking clean throughout treatment.
Can Nighttime Aligners Safely Move Teeth?
Many direct to consumer companies have been promoting nighttime aligners as the newest, most convenient way to move your teeth. These companies make it sound so simple and hassle free—wear your aligners 10 hours a day for about 10 months and presto, your teeth will be straight. Does this sound too good to be true? You bet it is because it runs counter to everything scientifically known about the physiology of tooth movement and long-term stability.
So what are the facts about tooth movement? First and foremost, in order for teeth to move through bone, they need light continuous pressure, which means 20 to 22 hours per day of force. Why is this necessary? When a force is applied to a tooth, the periodontal ligament that surrounds the tooth is compressed on the pressure side and stretched on the tension side. Cells in the bone supporting the root are activated on both sides of the tooth—removing bone on the pressure side and laying down new bone on the tension side. It is important that this physiologic process not be interrupted so that inflammatory response can occur naturally. As a result, light continuous forces allow teeth to move through bone in a healthy and efficient manner.
Now, what is potentially happening with nighttime wear of aligners? When the aligners are placed at night, the teeth feel pressure, initiate the inflammatory process and begin to move as the periodontal ligament is compressed. However, the force load is intermittent (when the aligners are removed during the day) and the teeth immediately begin to drift back to their original position. In addition, the forces of occlusion (inter-arch contacts) during chewing also reposition the newly moved teeth. As a result, this back and forth movement day in and day out causes continuous trauma to the teeth and supporting bone. This is not a healthy environment for the dentition and surrounding structures
So how do these companies get away with claiming that nighttime aligners work? Because they specify that nighttime trays only work with patients who have very minor problems like a small amount of spacing between the teeth or very mild crowding. Even then, the chance of success or long-term stability is greatly diminished with nighttime aligner wear. Here is another thought—most orthodontists have their patients wear their retainers at nighttime to prevent shifting of teeth—they are not designed to move teeth. They’re used to make sure your teeth settle in place permanently.
“Wearing an invisible aligner only at nighttime to correct your teeth is like having a broken foot and wearing a cast only when you sleep” Dr. Hurst
Candid, one of the direct to consumer clear aligner companies, even wrote an online letter to their potential customers about their concerns with nighttime aligners. Here is an excerpt from that letter by their co-founder, Dr. Hurst:
“There have been no peer-reviewed studies published to date on the efficacy of nighttime aligners. At the end of the day, we need answers to a few basic questions: What exactly is this new “nightly wear technology”? How does this approach to aligner therapy differ from standard clear aligners? And how does this type of treatment impact one’s bio-physiology?
All that aside, I’ll admit it: Nighttime aligners basically sell themselves: “Now clear aligner therapy is more accessible and convenient than ever!” “Your care, on your schedule!” But, as doctors specializing in orthodontics and dentofacial orthopedics we have a clear responsibility to our patients: do no harm. Without more evidence that nighttime aligners are safe and effective, I can’t support nighttime aligner therapy at this point in time.”
I couldn’t agree more wholeheartedly with Dr. Hurst’s assessment of nighttime aligners: their proven lack of efficacy and their potential for harm. Consumers should not fall for marketing hype. Remember the old adage – if it sounds too good to be true, it probably is too good to be true!
If you have questions about the benefits of Invisalign treatment, please call Visage Orthodontics at 505-670-6145 or visit our appointment page to schedule a complimentary consultation with me, Dr. Tanner, your Santa Fe Invisalign specialist. I will review everything in detail and develop a customized treatment plan to fit your lifestyle and budget.
A confident and beautiful smile is right around the corner!
Life After Invisalign Treatment
Congratulations! You have now completed Invisalign treatment and you have been given a set of retainers to wear the rest of your life. Ughh!!! What a downer–wouldn’t it be nice if your teeth could be set in stone after orthodontic treatment and you would never have to worry about them moving again. Just like putting a book on the bookshelf and knowing it was always in the same place! If only that were true!!!
No worries . . . you made it through the difficult part–straightening your teeth while wearing your aligners 20 to 22 hours per day. You developed a lot of good habits while undergoing Invisalign treatment and there is no reason to give up those habits now that you are in the retention phase of your care.
Here are four tips for conquering life after Invisalign!
1. Wear Your Retainers Consistently
First and foremost, wear your retainers consistently for 8 to 10 hours a day for at least the first 6 months. This will give the fibers that interconnect your teeth a chance to reconfigure and readjust to the new tooth positions. Think of these fibers as rubber bands that get stretched during orthodontic tooth movement. Enough time needs to pass for the fibers to reorganize into a more passive state. After 6 months, wearing retainers at night is sufficient and if you miss a night here or there—no big deal. The best feedback to let you know if you are wearing your retainers enough is if they feel tight upon initial placement or if your teeth feel sore in the morning after wearing the retainers all night long. Any pressure or tooth tenderness means you need more hours with your retainers (teeth are shifting)! Also, be sure to brush your retainers thoroughly every morning so they stay fresh and clean.
2. Keep Up With Cleaning
Remember how diligent you were cleaning your teeth before putting your aligners back in your mouth? Your teeth were probably never cleaner nor your gums more healthy. Keep the good times rolling in your mouth! The basic recommendation in the dental community is to brush your teeth twice a day and floss once a day. But that is the minimum level of home care. Ideally, keep up with cleaning your teeth after each meal and floss at least once a day or whenever your feel food stuck between your teeth. A good mouthwash can also be a benefit. Look for a mouthwash that is alcohol free, has fluoride, and is approved by the American Dental Association.
In addition to taking care of your teeth on a daily basis, don’t forget about seeing your dentist at least twice a year for semi-annual check ups and cleanings. This will allow for professional teeth cleanings and catch any potential dental problems in their infancy before little issues become expensive and painful problems. Sometimes the dentist or hygienist will recommend more frequent recalls if you are someone who builds tartar or has challenges keeping your teeth clean. Be sure to follow their recommendations! However, keeping your teeth clean on a daily basis should be a lot easier now that they are aligned!
3. Stay Away from Sugary and Starchy Snacks
Another good habit that was developed during Invisalign treatment was the reduction of snacking throughout the day. Snacking per se is not bad but snacking on certain foods—those that are high in starches and sugars—definitely creates an environment in our mouth that increases plaque, which can lead to tooth decay. Besides, many times we snack even though we are not hungry—it is just because food is present. Most of us abstained from snacking while undergoing Invisalign treatment because it was too much of a hassle—so consider declining that office doughnut next time! Your teeth and waistline will thank you!!
4. Now is the Time to Make Cosmetic Changes
Another consideration now that your teeth are straight is teeth whitening. There are some good over the counter products for teeth whitening (Crest 3DWhitestrips) but more effective teeth whitening can be accomplished in the dental office or at home with bleaching trays made by your dentist. One thing to remember about teeth whitening is that teeth can become very sensitive so it is important to start slowly. Otherwise, you won’t be eating your favorite ice cream for a while!
One last post orthodontic plan of action is to talk to your orthodontist or dentist about manicuring uneven edges on the front teeth (incisors). These chips and wear facets developed from the daily grinding due to your old bite but are now more evident with the alignment of your teeth. Re-leveling the edges is easy, painless and safe. And, it can make a huge cosmetic difference! Just one more cosmetic trick to make your smile really pop!
If you have questions about the benefits of Invisalign treatment, please call Visage Orthodontics at 505-670-6145 or visit our appointment page to schedule a complimentary consultation with me, Dr. Tanner, your Santa Fe Invisalign specialist. I will review everything in detail and develop a customized treatment plan to fit your lifestyle and budget.
A confident and beautiful smile is right around the corner!
Your Invisalign Experience
No matter what choice you make to straighten your teeth, there is always an adaptation period. Fortunately with Invisalign, this period is short and easy.
Many patients are curious what an Invisalign experience is like and the impact Invisalign may have on their daily routine. First and foremost, of any system on the market for straightening teeth, Invisalign is by far and away the least invasive. No matter what choice you make to straighten your teeth, there is always an adaptation period. Fortunately with Invisalign, this period is short and easy.
Let’s say you have made the decision to choose Invisalign to correct your smile—what happens next? Assuming that you have had a recent check up / cleaning and there is no outstanding dental work, the first step is to scan your teeth with an iTero digital scanner and take digital x-rays (panorex or full mouth set) plus photos. These records are then sent to Align Technology and uploaded to create a 3D tooth and bite simulation. The orthodontist plays a critical role at this junction because he or she directs the individual tooth movements, the timing and rate of these movements, attachment designs, and auxiliaries (such as elastics). All of these decisions are based upon the doctor’s experience and more specifically the doctor’s understanding as to how teeth respond to pressure from plastic (which differs from braces). Once the orthodontist is satisfied with the clinical set-up and outcome, the case is approved and the aligners are manufactured.
The next appointment is usually about 3 to 4 weeks after the records appointment and is typically about an hour in length. At the first aligner delivery appointment, attachments are placed on your teeth. Attachments are tooth colored “buttons” that provide added points of retention or active pressure points for enhancing the effectiveness of the aligners. You will receive between 6 to 10 aligners and be instructed to change the aligners every 7 to 10 days. Most adult patients can change their aligners on a weekly rotation but the KEY is that the aligners be worn 20 to 22 hours per day.
Aligners are typically changed at night when you are ready to transition from one aligner to the next. (NOTE: It is important to hold onto prior aligners if something happens to the current aligner or if the orthodontist requests that you backtrack due to a tooth or teeth not moving properly). Subsequent appointments are every 8 to 10 weeks for the delivery of additional aligners. Aligners are easily kept clean with toothbrush and toothpaste, which should be done at least twice a day. In addition, aligners can be periodically soaked in denture/retainer cleaner if necessary.
So what does it feel like wearing 2 pieces of plastic and how does it impact one’s daily routine? If you have ever bleached your teeth with bleaching trays—the experience is very similar. It does not feel that different having aligners in the mouth because most of us do not keep our teeth in contact unless we are chewing food—that even holds true when we are talking! Sometimes it is easy to get in the habit of clenching on the aligners and you have to remind yourself to keep your lips together and your teeth apart. With each new set of aligners, your teeth may get sore for about a day—which is significantly less than braces. The best advice is to take two Advil the night you change your aligners at bedtime. The only potential irritation to the lips and cheeks likely will come from adapting to the attachments. The aligners themselves are smooth and well contoured to the gingival margins, thus ensuring a custom fit. The attachments, depending upon their design, can initially rub the inside of the lips and cheeks when the aligners are not in place while eating. Over time, “callouses” build up and the attachments are no longer an issue.
The number one challenge is around food and drink. The aligners need to be removed while eating and drinking any beverage that is not clear. If you like to snack or sip coffee, then the best option is to consolidate your snack times and either reduce your coffee intake or drink through a straw. And of course, the teeth need to be clean before replacing your aligners—a vigorous rinse or better yet, a thorough brushing is necessary!
You might be amazed at some of the ancillary health benefits that come from wearing Invisalign aligners. Many patients mention losing a few pounds and they feel their teeth have never been cleaner—all while straightening their teeth!!
If you have questions about the benefits of Invisalign treatment, please call Visage Orthodontics at 505-670-6145 or visit our appointment page to schedule a complimentary consultation with me, Dr. Tanner, your Santa Fe Invisalign specialist. I will review everything in detail and develop a customized treatment plan to fit your lifestyle and budget.
A confident and beautiful smile is right around the corner!
Can You Be Treated With Invisalign?
Invisalign is a very advanced tooth moving system that can not only perform at the same level as braces but in some cases, outperform braces.
I often hear comments or feedback that Invisalign does not work or that Invisalign cannot correct “my teeth or bite”. The truth of the matter is that Invisalign is a very advanced tooth moving system that can perform at the same level as braces (if worn as indicated) and in some situations, outperform braces. The key to successful Invisalign treatment is careful treatment planning and proper execution of the simulated tooth movements. Invisalign works most effectively and efficiently in the hands of a highly skilled Invisalign clinician. Experienced doctors understand the nuances of the system and as a result, these orthodontists achieve the most successful outcomes. Invisalign works best by pushing teeth versus pulling teeth (which is the traditional way of tooth movement with braces).
Here is a list of the different types of malocclusions that can be treated with Invisalign:
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- Crowding
- Spacing
- Overbite
- Crossbite
- Open bite
- Deep bite
The following are examples of cases successfully treated in my practice with Invisalign. Most cases were completed in less than a year.
Crowding
Crowding is the most prevalent malocclusion. Interestingly it is commonly seen in patients who have had prior orthodontic treatment and subsequently stopped wearing or lost their retainers. Front incisors (typically the lower anterior teeth) begin to shift and the patient becomes concerned about the relapse. In addition, the bite will deepen which exacerbates the overlap of the lower teeth.
Spacing
Spacing of teeth is seen less often than crowding but can be very straightforward to treat with Invisalign. The key to spacing correction is determining the cause of the problem and addressing the root issue (small teeth, tongue thrust, weak perioral musculature, finger or thumb sucking habit) either before or after orthodontic treatment.
Overbite
Another frequently occurring malocclusion is an overbite. This problem can be due to flared upper teeth, tipped back lower teeth or a jaw coordination issue (small bottom jaw or protruding top jaw). Depending on the situation, distalization of the upper teeth (pushing the teeth back), slenderizing the upper teeth or extracting two upper side teeth can address the problem.
Crossbite
Crossbite (single or multiple teeth) are due to either a jaw problem (excess growth of the bottom jaw) or unfavorable eruption of the tooth / teeth. Invisalign is an excellent system to correct crossbites because the aligners unlock the dentition freeing teeth to move into their proper position without interference from the opposing arch.
Open Bite
Open bites can be very difficult to correct with braces since the mechanics of braces have a tendency to make the open bite worse. Invisalign, on the other hand, is superior to braces with these types of malocclusions and is excellent at controlling vertical movements of teeth. Invisalign is the treatment of choice in closing open bites.
Deep Bite
Deep bites usually occur in conjunction with crowding and overbites. They can be very challenging to correct but with proper treatment planning, Invisalign can achieve impressive results and open the bite. The key to successful overbite correction is overcorrecting or over engineering the tooth movements in the “virtual” setup.
Don’t be fooled when someone tells you Invisalign does not work.
In the right hands, Invisalign can successfully move teeth and correct bite problems – even better than braces in certain situations. The key to a great result is having your Invisalign treatment done by a doctor who has completed many cases and who has a deep understanding of how to get the most out of this powerful tooth moving system. Don’t be fooled when someone tells you Invisalign does not work. Invisalign is the real deal and clear aligners are so much more comfortable and efficient than traditional braces!
If you have questions about the benefits of Invisalign treatment, please call Visage Orthodontics to schedule a visit with Dr. Tanner, your Santa Fe Invisalign specialist. Dr. Tanner will review everything in detail and develop a customized treatment plan to fit your lifestyle and budget.
A confident and beautiful smile is right around the corner!
How to Have Success with Invisalign Aligners
Invisalign is an amazing system and can produce fantastic results comfortably and efficiently by following a few guidelines.
Invisalign is the #1 aligner system in the world. Started in 1998, Invisalign has firmly established itself as the industry leader in clear plastic aligner therapy having successfully treated over 10 million patients. Invisalign continues to improve their product, design, and force application systems to achieve the best and most predictable treatment outcomes. Millions and millions of dollars are poured into research and development annually in order to remain on the cutting edge in what is now a very competitive industry. Invisalign continues to do their part . . . so, what is your role in attaining an ideal result with your Invisalign aligners?
Forming good habits is key.
When you receive your Invisalign trays, the best advice is to be consistent in wearing your aligners 20+ hours per day (22 hours per day is optimal but may not be realistic between eating and cleaning). Get in the habit of putting your aligners back in your mouth immediately after you are done with a meal, snacking, or drinking anything but water. You will get to a point where is does not feel “right” without the aligners in your mouth (like getting in your car and not putting on your seat belt). In order for your teeth to successfully move with each set of aligners, there needs to be light, continual pressure.
A good visual is to picture pushing a ball up a gradual incline. As soon as you take the pressure off the ball, the ball starts to roll backwards and progress is incrementally lost. It is the same with your teeth. Every time the aligners are out of the mouth, especially for an extended period of time, your teeth begin to shift back to their original position. If there is too much tooth movement, the aligners will fit more and more poorly and small spaces will develop between the plastic and the edges of the teeth. This is a sign of trouble and may result in the need to backtrack to previous aligners or rescan to recapture the current position of the teeth (which means longer time wearing the aligners).
You will get to a point where is does not feel “right” without the aligners in your mouth (like getting in your car and not putting on your seat belt).
A very effective adjunct, in addition to wearing the aligners 20+ hours, is the daily use of “chewies”. Chewies are made of a firm plastic called Styrene Copolymer and they are about the size of a cotton roll. They are specifically designed for clear aligner treatment – to improve the fit and comfort of your Invisalign trays. Each time you replace your aligners in your mouth, take a chewie (always keep one in your retainer case) and bite down on it. “Walk” the chewie around your mouth and apply pressure for 5 to 10 minutes to fully seat the aligner – focusing on areas where the aligners may not be fully seating on a tooth or group of teeth. Upper lateral incisors can be particularly challenging to keep fully engaged during Invisalign treatment. Chewies can be used repeatedly until they lose their elasticity. Keep them clean by washing them with soap and water. An interesting fact is that you can bite down about 10 times harder (i.e. using the chewie) then pushing the aligners on with finger pressure!
Alert your doctor if problems arise.
If you see a problem developing such that an aligner is not fitting snugly or is flexing upon seating, alert your doctor. Some tooth movements can be very challenging (for aligners or braces) and there may come a point in treatment where a “reset” is necessary to capture the current position of the teeth. A set of poor or ill-fitting aligners will not improve with each subsequent set. In addition, teeth may be forced to move in an unfavorable direction, especially if an attachment is not fully seating in the aligner. A new scan and photos will be performed to generate the next series of aligners. These “additional” aligners should be included in the original treatment fee.
Advocate for your smile.
As always, be an advocate for yourself while undergoing Invisalign treatment. Do your part wearing your aligners the required number of hours, do not leave them out for more than 45 minutes at a time, keep them clean and safe and monitor the movement of your teeth and fit of the aligners on a daily basis. Be the “eyes” of the orthodontist at home and report any unusual occurrence with your Invisalign trays. Invisalign is an amazing system and can produce fantastic results comfortably and efficiently by following these guidelines.
If you have questions about the benefits of Invisalign treatment, please call Visage Orthodontics to schedule a visit with Dr. Tanner, your Santa Fe Invisalign specialist. Dr. Tanner will review everything in detail and develop a customized treatment plan to fit your lifestyle and budget.
A confident and beautiful smile is right around the corner!