HomeAnswersDentistrydental bracesAre Damon braces better than Invisalign?

Which is the better treatment option, Damon braces or Invisalign?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Prerna Jain

Medically reviewed by

iCliniq medical review team

Published At August 15, 2022
Reviewed AtAugust 15, 2022

Patient's Query

Hello doctor,

I have been using Damon braces in the lower arch for the past two years. I also have an impacted premolar tooth in my left lower arch. The primary concern in my treatment plan is to bring out the impacted tooth in the arch. The orthodontist suggested I should go for braces in the upper arch to correct the bite. I am not using braces in the upper arch because of my marriage which is supposed to be in the coming four-five months. I am unsure what to choose between braces, Invisalign, or leave it as it is and opt for the braces later on.

I have searched on the internet regarding Invisalign. Some review says it takes longer time than Damon braces, and it causes more tooth decay; some highlight the importance of Damon braces on jaw expansion, etc.

My query is that can I choose Invisalign for the first six months and then switch to braces as this will solve my aesthetic concerns as well. Also, is it necessary to trim the teeth during the Invisalign treatment?

I have had Damon braces only on the lower arch for the last 20 to 25 days. Initially, is it acceptable to take treatment for the lower arch for initial four-five months until I get married, and then I will put braces on the upper arch?

I am attaching an orthopantomogram. The orthodontist also put bite blocks six months ago because my upper teeth touch the braces (on the lower arch), causing breakage. The orthodontist also fixed two loose brackets.

The next day after my visit, I had pain in my molar tooth while biting, so I again visited the clinic, where he trimmed some cement. That time he again asked me to decide on braces or Invisalign for the upper arch and inform him as soon as possible.

While diagnosing, he told me I have a slight midline shift of about one to 1.5 millimeters to the left in the upper arch. To correct this, they will have to extract the right wisdom tooth. I have a history of left upper and lower wisdom tooth extraction past four to five months. And now, I wish to conserve my upper right wisdom tooth.

So, is Invisalign possible without extraction?

I am in a lot about confusion whether I have made the correct decision or not. Invisalign has certain drawbacks, such as taking it off while eating, tooth decay, slow treatment time, and braces; I have aesthetic concerns due to my marriage.

I am in a lot of confusion. Please help me.

Thank you.

Answered by Dr. Prerna Jain

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

From the attached image (attachment removed to protect the patient's identity) regarding the upper arch, you can choose braces or Invisalign. Both will work well. And to rectify the problem regarding midline shift, it can be done without extracting the wisdom tooth. Some reshaping of teeth will be required to do so. If you do not want to go for reshaping, the viable option is removing wisdom teeth. The choice is totally up to you. Consult the orthodontist, discuss with him and make a choice.

There is no harm in making either choice.

If you choose Invisalign for the upper arch, it will take slightly longer. Expansion is to a limited degree. It is esthetic. It is very hygienic since you can remove them and brush your teeth. It is better than braces in that regard.

If you choose braces, they are unaesthetic. You can start the upper arch treatment with braces after your wedding—there is no such harm in delay. Since your wedding is coming up, go for Invisalign.

You can decide which option is suitable for you. I suggest you take Invisalign first and start with the treatment. If you do not mind waiting a little more, start treatment with braces after your wedding.

Both options will give you the same results.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prerna Jain
Dr. Prerna Jain

Dentistry

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