Invisalign, also known as clear aligners, is an orthodontic treatment that helps to have a more beautiful smile. It is used for treating patients with mild to moderate misalignment of teeth. Patients having crossbite, underbite and overbite can also use Invisalign. The teeth are aligned by wearing a clear plastic aligner for 20 hours a day.

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Can I get a bone graft in preparation for a subsequent dental implant while I am undergoing orthodontic treatment?

Query: Hi doctor,Can I get a bone graft in preparation for a subsequent dental implant while I am undergoing Invisalign treatment, or should I wait until the Invisalign treatment is over? A bone graft can take up to a year to heal, so I thought I could get a head start on it now. But, of course, if the Inv...  Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to I have gone through your question I can understand your concern. If you can, please upload the radiograph you had done before so that I can see how much bone is there and how much augmentation is needed through a bone graft, also where bone graft is needed. Yes, there ...  Read Full »

My daughter was wearing ortho-braces for the last year; halfway dentist gave her Invisalign, but now the orthodontist asks her to get upper braces again. Please help.

Query: Hello doctor, My daughter underwent orthodontic treatment with dental braces for the past year. Then during half of the treatment doctor removed the dental braces and gave Invisalign, then continued with another retainer. Then finally, the orthodontist said that she need to go for upper braces again...  Read Full »

Dr. Priyanga. K

Answer: Hello, Welcome to Thank you for your query. The braces may be removed during her active phase. But even the retainers can handle it. You must have skipped your retainers or Invisalign at times so that the teeth under retention have many possible chances to rotate or move. Please visi...  Read Full »

I started using Invisalign recently. How long does it take for the tooth pain and throbbing discomfort to settle?

Query: Hello doctor,I started Invisalign a few months ago for an open bite. I was told to get all of my cavities filled and wisdom teeth pulled before the treatment. Everything was fine till tray eight. I got all 10 cavities and the remaining wisdom tooth pulled out. I woke up one morning and the entire up...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to It is always advised to get all the fillings and wisdom teeth extraction (depending on the positions) done before we go ahead with the Invisalign treatment. When a cavity is removed and filling is done, exact topography is not restored by the dentist. It will vary fr...  Read Full »

I was about to start my Invisalign treatment and had an impacted canine. Please help me with the treatment plan.

Query: Hi doctor, I was about to start my Invisalign treatment and completed my iTero and other tests. I have some questions related to my CBCT reports. I have an impacted canine that is stuck under two teeth due to insufficient space in the arch. With Invisalign, enough space for the same is created, and ...  Read Full »

Dr. Bhargav Reddy Gutha

Answer: Hi, Welcome to I understand your concern. I have reviewed your reports (attachments removed to protect the patient's identity). Upon review, these were the findings. You have impacted 43 (lower right canine) and buccally placed 13 (upper right canine). The space-gaining procedure req...  Read Full »

I underwent a CBCT, as I am planning to undergo orthodontic treatment with Invisalign aligners. What does the radiolucency in my CBCT suggest?

Query: Hello doctor, As I am planning to undergo orthodontic treatment with invisalign aligners for which my dentist advised me to take cone-beam computed tomography (CBCT). I do not understand what they meant by radiolucency. So, it would be great if you can simply explain the term radiolucency. I will be...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Congratulations on your decision to go ahead with invisalign. The report says radiolucency around the tooth root of 36. There is a white cap seen on the third tooth from the left in the lower region, which suggests tooth number 36 has previously undergone root canal ...  Read Full »

I have a protruding tooth in my upper jaw, but I cannot get braces because of supernumerary teeth in my lower jaw. Can I go for aligners?

Query: Hi doctor, I have supernumerary teeth in my lower jaw and unless I get them removed, I will not be able to get braces. However, one tooth in my upper row is protruding and it makes me feel insecure; it also causes me to breathe through my mouth. I want to get Invisalign aligners for my top row first...  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome to I have read your query and understand your concern. As per the x-ray attached (attachment removed to protect the patient’s identity), you might have a condition known as lower third premolar. In normal situations, every human is supposed to have two premolars on both...  Read Full »

I notice a slight movement and weakness in my front tooth after biting the skin on my fingers. Please help.

Query: Hi doctor,I am due to get the next set of Invisalign that was fitted in two months ago. It has all been paid for. I have been biting the skin on my fingers for my entire life and using the front two teeth for this. They were never perfectly straight. However, I seem to notice a slight movement in on...  Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to I have gone through your question I can understand your concern. The movement of teeth by such habits is there but too slow, and that does not affect the health of teeth. If you feel weakness in the morning, it is normal because of the periodontal ligament. The doctors...  Read Full »

I had loose teeth while removing the braces, preventing me from wearing Invisalign. What can be done to restore my teeth' alignment?

Query: Hello doctor, I had braces before, and the doctor gave me an Invisalign to wear at night when he took off my braces. However, while taking off the braces from my lower front teeth, my three lower front teeth were loose, and since then, I have had a problem eating food or wearing an Invisalign, as ...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to You should have worn your clear retainers (they are not Invisalign) for around two years at least so that the teeth can get strong at the correct position. Then, in your current condition, you can go for Invisalign therapy to correct those minor rotations of the fr...  Read Full »

Can my single crooked tooth be corrected, though I have a resin smile design?

Query: Hi doctor, I have a crooked tooth. Is it possible to correct a single crooked tooth? What are the options available to correct a single tooth? A resin smile design was done previously, so how can it be fixed without having to remove the design? Kindly give your suggestions.  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to I understand your concern. Yes, a single crooked tooth can be corrected, and the best option available for correcting a single crooked tooth is Invisalign. A digital scan of the teeth is performed, and some photographs and a radiograph are taken to check the bone con...  Read Full »

My previous orthodontic treatment caused my lower jaw to be pushed too far. Is it possible to realign it with the help of braces or Invisalign?

Query: Hello doctor, I had braces as a child, which has resulted in perfectly straight teeth with no overbite, yet I think it has pushed my jaw too far. Is this something that can be fixed with orthodontic work? Is it possible to gradually move my jaw back to its original location while not creating an und...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to I read your query and can understand your concern. Sorry to hear about the sleep apnea issues. How frequently do you experience sleep apnea issues, and how long do they sustain in the episode? Yes, the lower jaw (mandible) can be brought forward as one of the optio...  Read Full »

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