Tag Archives: dental implants

Invisalign and Wisdom Teeth

I was told when I was 17 if I removed my wisdom teeth I’d never need braces because there’d be plenty of room for my teeth. I did. Now I’m in my 30s and my front teeth are crowding. Have I done something or was my dentist not honest? Can this be fixed without braces? I’m a little old for a mouth full of metal, even with the cool new colored bands the kids are wearing these days.

Angie

Angie,

A woman inserting her Invisalign aligners onto her teeth

I wouldn’t say your dentist was dishonest. I think he probably meant you’d definitely have crowding if you didn’t get your wisdom teeth out, but there’d be room if you did. However, teeth move and shift throughout our lives. You asked if you did anything wrong. It’s hard to know. There are a few patient-related reasons we’ll go into in a moment.

Some Reasons for Crowding

  • You were made that way: For some, their narrow palates or smaller jaws can lead to misalignment through normal everyday biting forces.
  • Tooth Grinding: This is something that is patient related. Unfortunately, most patients don’t even realize they are grinding their teeth because it often takes place while they’re sleeping. The motion of your teeth causes them to shift and could cause the crowding you’re experiencing. Unfortunately, this type of thing often leads to TMJ Disorder.
  • Bad Dental Work: We’d like to think every dentist is as skilled as the next, but that is not always true. Sometimes there is a poorly fitted crown or another type of dental work which can throw off your bite.
  • Ignoring Dental Care: Sometimes people neglect their dental care and can develop gum disease. This can cause your teeth to shift. Without getting the care you need, your teeth will eventually become loose and you’ll lose them, requiring expensive tooth replacements.
  • Tumors: There are certain medical conditions which cause tumors that can throw off your bite. If you’re getting regular checkups your dentist will do regular examinations for things like that. So, it’s not something you should panic about if you’re diligent with your dental appointments.
  • Trauma: I’m assuming you’d know if you had an accident of some type which affected your bite. But that is another issue which can cause problems.

Invisalign Could Solve this for You

You won’t have to have a metal mouth, even a colorful one. Invisalign is a modern orthodontic system which allows adults and older teens to repair their smile without anyone having to know. The aligners, which are used instead of wires and brackets are completely invisible. Even at a conversational distance, people cannot tell you have them on.

My suggestion would be for you to see your dentist and find out the reason for your recent crowding. While Invisalign can straighten your teeth, if the problem is grinding, you’ll need a mouthguard to permanently protect them or you’ll be right back in the same position.

Additionally, if it’s something like gum disease causing the problem, Invisalign would be dangerous. You don’t want to be shifting around your teeth when they’re already loosening.

This blog is brought to you by Dr. Steve Bader.

Invisalign for missing teeth?

I have always had crooked teeth and my parents never could afford braces. To complicate things, I actually have two bicuspids of which one of them was recently pulled because it was bothering me. My guess is that since these are still baby teeth that the other will have to come out too. I also had a back molar extracted.

What I’m trying to find out is if these missing teeth will still allow me to be a candidate for Invisalign. I really do not want to get ugly metal braces as an adult. My dentist was also recommending I replace these teeth with dental implants.

One last thing is that I also have an underbite. So I don’t have much space between my top and bottom teeth. Maybe the top ones can be moved to make more room. Does all that make sense?

– Ruth in West Virginia

Ruth,

Missing teeth does not automatically disqualify you from being an Invisalign candidate. But there are some other factors that may affect things. You  mentioned that you have an underbite which may actually be a bigger obstacle in straightening your teeth. Another issue where Invisalign is not recommended is if an individual has severe crowding.

That said, every dentist has their own opinion of how effectively Invisalign will straighten teeth. If you meet with an orthodontist, you will likely experience that they are more conservative. This is because their comfort level is geared toward brackets to straighten teeth. Most general dentists will be more willing to try Invisalign for a variety of cases. Another thing worth mentioning is that every Invisalign case is also monitored by an Invisalign staff orthodontist. This means if your case is approved by Invisalign, then it is generally safe.

It may be in your best interest to meet with a couple of dentists to see what their opinion is of your specific case. It is difficult to make any recommendations without having seen your teeth.

As far as your question about replacing the lower teeth, that would likely not be required for Invisalign to close the gaps in your lower teeth. That said, you still need to seek the advice of a dentist that can evaluate your case in person.

This post is sponsored by Newton MA cosmetic dentist Ultimate Aesthetics.