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Possible Complications of Invisalign Treatment

April 4, 2025

Filed under: Uncategorized — Cooklin and Ward Dental Group @ 2:56 pm
Woman putting on Invisalign clear aligner.

Invisalign has become a popular choice for teeth straightening due to its discreet appearance and convenience compared to traditional braces. The clear aligner trays offer an appealing alternative for teens and adults alike, promising effective results with minimal lifestyle disruption. However, like any medical or dental treatment, Invisalign isn’t without its potential complications. Understanding these risks can help users make informed decisions and better manage their orthodontic journey.

Discomfort and Soreness

One of the most common complications reported with Invisalign is discomfort, especially when starting a new set of aligners. As the trays work by gradually shifting your teeth into alignment, some pressure is necessary. This can lead to soreness in the teeth and jaw, especially during the first few days of each tray cycle. Though generally mild, this discomfort can interfere with eating and speaking, especially in the initial adjustment period.

Speech Issues

Some users notice a temporary lisp or speech alteration when they first begin wearing Invisalign. The aligners slightly alter the contours of the mouth, which can impact pronunciation. Most people adapt quickly and find their speech normalizes within a week or two, but it can be an unexpected hurdle early on.

Mouth Irritation

Because Invisalign trays are made of rigid plastic, they can occasionally cause irritation or sores on the tongue, cheeks, or gums. This is especially likely when trays have sharp edges or if they’re not seated properly. Dentists can usually smooth rough edges, and most irritation diminishes as the mouth gets used to the aligners.

Difficulty Maintaining Oral Hygiene

Invisalign aligners must be worn 20 to 22 hours per day and removed for eating and drinking anything besides water. This frequent removal and reinsertion require excellent oral hygiene habits. If users don’t brush and floss after every meal, food and bacteria can become trapped between the teeth and the aligners, increasing the risk of cavities, gum disease, and bad breath. Maintaining clean aligners is equally important to prevent staining and bacterial buildup.

Noncompliance Risks

One of the benefits of Invisalign – its removability – can also be a drawback. Unlike traditional braces, which are fixed, Invisalign relies on user compliance. If the trays aren’t worn for the recommended time, treatment can be prolonged or less effective. Missed wear time can also lead to trays no longer fitting properly, necessitating reevaluation and additional costs.

Tooth Movement Issues

In some cases, teeth may not move as planned. This can occur due to biological differences in individual tooth movement, improper aligner wear, or insufficient treatment planning. These setbacks may require additional refinement trays or even a return to traditional braces in rare situations.

Jaw Pain or TMJ Problems

Invisalign can potentially exacerbate or cause jaw discomfort or temporomandibular joint (TMJ) problems, especially if the treatment plan does not adequately address bite alignment. If users begin experiencing jaw clicking, locking, or chronic pain, they should consult their orthodontist promptly.

Invisalign offers many benefits, but it’s not risk-free. By being aware of potential complications and maintaining close communication with your orthodontist, you can minimize issues and ensure a smoother path toward a straighter smile. An initial consultation with a dentist can ensure you’re an ideal candidate for treatment before getting started.

About the Author

Dr. Van Try is a graduate of the University of Maryland at Baltimore. Today, she is Invisalign certified and continues her education with courses at the renowned Pankey Institute. Dr. Try is also a member of the Triple Crown Study Club, the Pankey Study Club, and the American Academy of Clear Aligners. Dr. Try is an expert in Invisalign treatment and can help you straighten your smile, improve your oral health, and transform your overall well-being! Schedule your appointment with us today through our website or call our Millersville office at (410) 729-9090.

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