Invisalign Guidance

I would like to get invisalign on my top and bottom teeth. The problem is that I have a baby tooth to the left of my left canine. I have had it covered with a crown. The dentist told me that if I had invisalign then the baby tooth would fall out and I would be missing a tooth! How embarrassing, right? She suggested that they pull down the permanent tooth (which is nestled in my gum) and then do braces. IS IT POSSIBLE to just do the invisalign with my crowned baby tooth and then consider an implant (if the baby tooth falls out) when the invisalign is finished?

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5 Doctor Answers | Asked by anon

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Retained baby tooth and invisalign

The main issue with retained baby teeth is that typically do not have an intact periodontal membrane and are therefore not able to be be moved with ortho. The decision to use surgery to bring down the impacted tooth depends of the position of the tooth. For an implant to be successful you will have to know where the impacted tooth is in relationship to where the implant placement is planned. This can be a difficult decision based on age, position of teeth and long term goals. You also need... more

Invisalign and Impacted Tooth

A lot depends on how old you are and how badly impacted your unerupted permanent tooth is. Your best long-term plan is to get rid of the crowned baby tooth. Again, depending on your age, there is a chance that your baby tooth is permanently fused to your jawbone and will not move with Invisalign or conventional braces. If you want to replace the baby tooth with an implant you will still more than likely need to remove the impacted permanent tooth so as not to be in the way... more

The common challenge of an impacted cuspid with Invisalign treatment

First of all, Kudos to Dr. Robert Waxler, St Louis Orthodontist for his great answer! I would just add to his answer that if the impacted cuspid is not very badly angulated up in the gum, Invisalign has been used in successful treatment of these cases. The cuspid would still have to have oral surgery to place an attachment on it creating a way to pull it down with rubber bands. I realize that this is pushing the envelope of what Invisalign is capable of, but... more

The impacted canine may pose a problem

If in the future you decide to have an implant, if the canine is still impacted it will be in the way. It would likely need to be extracted before an implant can be placed. I would suggest considering to do ortho now and then extract the baby tooth and impacted canine, then place an implant.

Retained baby tooth

Sounds like you have an impacted permanent canine with a retained baby canine tooth. The older you get,, the harder it is to bring the permanent tooth into its proper place...and eventually you will lose the baby tooth. I think you would be much better off to get the impacted tooth in as soon as possible, but, if you really wanted to avoid this for now it might be possible to leave the baby tooth in and just align the teeth with Invisalign