Why can't everyone have clear aligners

by Dr. Amer Hussain, on Dec 9, 2019 2:45:00 PM

You’ve made the decision to straighten out your smile, and that in itself is fantastic! You have your heart set on getting Invisalign or clear aligners. In your mind, they’re perfect for you, surely they’ll be able to fix anything and everything! Right? 

That might not be the case for everyone. In this article, we’ll go over why some cases get rejected. 

When the orthodontist is assessing my case, what are they looking for?

During your initial consultation, the orthodontist will assess more than just the outer appearance of your smile. They’re going to go over your health history, ask about your lifestyle, take photos as well as x-rays. Assessing all of this is crucial in finding your ideal treatment for not only your case type but you as an individual as well.  

What they are looking for is any obvious issues or issues that could affect how your treatment progresses. 

So what wouldn’t make you  an ideal candidate for clear aligners?

One of the first things the orthodontist looks at is how severe your case is. Clear aligners have progressed far in their field but aren’t suitable to fix ALL orthodontic issues. Things like severe malocclusions or severe jaw issues may be better handled by braces or other orthodontic treatment. 

Okay, got it. Anything else?

Your overall dental hygiene is another big factor when it comes to assessing if you’re a good candidate for clear aligners. If a patient has serious signs of advanced gum disease (also called periodontal disease), this is an important factor to consider. 

Some signs of gum disease are: 

  • Redness or bleeding of the gums 
  • Swollen gums 
  • Halitosis (or bad breath that doesn’t go away) 
  • Receding gums 
  • Deep pockets between the tooth and gums 
  • Loose teeth

Making sure your teeth are in a good state and condition before beginning treatment will help your treatment progress at a good rate. 

Makes sense, other than case complexity and good oral hygiene, is there ANYTHING else?

For the most part, no. But it is always best to discuss all treatment options with your orthodontist. At the end of the day, the orthodontist is the only person who has enough knowledge, training and experience to recommend the best treatment option (whether that’s braces or clear aligners). 

But like everything, the first step is booking your consultation and from there you’ll begin your journey to a new smile. 

Topics:invisalignorthodonticsadult bracesorthodontistcrooked teethbite issueswhat to doclear aligneraligneraligner tipselasticsgood for teeth


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