My bottom teeth are crooked. Two of my second bicuspids are primary teeth. One was painful, and my dentist extracted it. I’ll probably lose the other one soon. Also, I have a lower right molar that’s missing. I’m concerned about underbite and lack of space between my top and bottom teeth. Will Invisalign work if I have several missing teeth? I’m 47 years old, and I don’t want metal braces. Will I need dental implants too? Thanks. Joel from MO
If you have missing teeth, Invisalign, and other types of invisible braces, will still work. But other factors determine if you’re a candidate for clear aligners.
Underbite and severe crowding can be obstacles to receiving Invisalign. Dentists vary in their willingness to take on those challenges with Invisalign. Orthodontists are more conservative and often shy away from the new technology. But expert orthodontists are on the Invisalign staff, and if they approve a case, Invisalign will work.
Visit two or three dentists who offer Invisalign or similar types of aligners to get their opinion on your case. Invisalign might close the spaces in your lower law and prevent the need for dental implants. Clear aligners might move your upper teeth out. It depends on the position of your teeth, though. Your dentist will take panoramic x-rays and send details about your case to the lab. You’ll get a treatment plan and learn what to expect. It can help you determine if you want to proceed with clear aligners or opt for low-profile braces.
Steven Brooksher, DDS, of Baton Rouge sponsors this post.