No More Natural Teeth: Deciding Between Implants and Dentures

Understanding Invisalign Plan Deviations

by Jeremiah Barnett

Straighter teeth can be procured through different types of dental treatments. For many adults, Invisalign aligners are typically one of the popular options. You will be provided with an individualized plan that tracks how your teeth should move over the course of the treatment period. However, you should understand that the plan is only a guide. There are some things that can lead your treatment to deviate from the plan.

Your Teeth Are Stubborn

The longer your teeth are positioned in your jaw, the less likely they are to move or shift from this position. This means that as an adult, you may have one or several teeth that are stubborn and refuse to move with the steady pressure exerted against them. When this happens, you may need to wear one or several sets of your aligners for one to three weeks longer. Additionally, gripping devices like buttons may need to be attached to the teeth. When this happens, your Invisalign aligners must also be changed to reflect the small protrusions, and this can take a week or two. 

If teeth are really stubborn, then rubber bands may even be needed. Be patient with these different adjustments. Your orthodontist will ensure that your teeth are able to shift and the least amount of pressure and stress will be utilized first. In other words, an individualized approach must be used to shift your teeth around with an emphasis on comfort.

Keep in mind that your lateral incisors that sit in the front of the mouth are the most difficult to move. If these teeth need a lot of adjustment, you can anticipate some additional Invisalign time to shift these teeth. 

Your Mouth Is Small

Sometimes several of the teeth need to be extracted before tooth straightening can commence. In these cases, there simply is not enough room to shift the teeth around. If you do not want to go through extraction, or if you simply have a small mouth, then your teeth may have some trouble moving around. If there is not a lot of room for the teeth to move, then they can actually crowd each other out during the straightening process and make it difficult for bone remodeling to take place.

Small mouths often require micromovements, and sometimes the shifting may be even more subtle than the original straightening plan. If this becomes problematic with a severely extended movement plan then you can work with your dental professional so that one or several different procedures are performed. Both the jaw and the teeth can be reshaped in a way to create more space.