We have had several patients who have removed wisdom teeth during treatment. If they were at all partially erupted, the aligners always fit at least partially over these teeth to prevent overeruption. For these patients, we trim and smooth out the aligner so that the 2nd molar is the most distal tooth in the aligner.
If they were fully impacted, there is no need to modify the trays.
However, as with many patients who have wisdom tooth extraction, there may be swelling and discomfort preventing you from wearing your Invisalign as required for a few days to a week. This may require stepping back a stage or wearing the current stage for a longer period of time to make sure treatment stays on track.
In cases of requiring distalization of upper teeth, upper wisdom teeth must be removed just prior or during treatment in order to allow movement to occur. Without these extractions, there may be no room for the top teeth to move backwards.
If extraction of these teeth is not required for tooth movement, we generally advise patients to remove them prior or after Invisalign.
Good luck!
