Am I a Candidate of Invisalign if I Have Gum Recession with Widening of Smile?

I have minor crowding, no bite issues. Bite perfect but on right, teeth dont bite down in perfect zipper pattern like left. 2nd ortho can fix that issue + crowding + widen smile. 1st ortho will get straight teeth + IMPROVE zipper pattern just not 100% (says doing so + widening smile will worsen gum recession). Should I go with ortho who will preserve gum health and give near-perfect results or ortho who wants perfect cosmetic result + bite but could make my gum recession a lot worse?

Doctor Answers (5)

Invisalign or Ortho Effect on Recession


Ideally I would like to see photos of your recession.  While it's true that most orthodontic treatment may worsen recession, if your recession is not severe, then you may still be a candidate for Invisalign.  Invisalign does a great job widening the smile -- and is now capable of correcting bite alignment issues.  I did it on myself a few years ago, and my moderate recession stayed the same while my smile was perfected and my bite properly aligned.  We see this with many of our patients.

Atlanta Cosmetic Dentist
5.0 out of 5 stars 2 reviews

Invisalign and gum recession


You basically answered your own question: if you can get a good bite, an improved smile and not suffer gum recession you should probably choose that.   You would not be smling if your treatment led to recession that threatened tooth loss or sensitivity from root exposure.  You might want to visit a periodontist to get an opinion about your gum recession.  Sometimes, depending on the orthodontic treatment plan, the best results are obtained by getting gum grafts before treatment.  Another factor to consider is whether braces might offer better options than Invisalign in terms of the final result.

Brian Povolny, DDS, PhD
Seattle Orthodontist
5.0 out of 5 stars 2 reviews

Gum recession and Invisalign..


Before starting any ortho procedure you should be gum disease free. The gum recession treatment can be done after Invisalign is finished. We actually use the aligner or tray from invisalign to stabile the teeth after surgery and to hold medication in place. If you do gum grafting before then you dont really have that benefit.

Michael J. Thomas, DDS
Los Angeles Cosmetic Dentist
1.0 out of 5 stars 1 review

Gums must be healthy before starting orthodontics


As long as gum disease is under control, you should be fine with doing orthodontics, however I would suggest a consultation with a periodontist.  It is likely that treatment should be done, perhaps before braces, perhaps after.  I recommend going for the most ideal orthodontic result as well as dealing with the periodontal (recession) issues.

Lance Timmerman, DMD
Seattle Cosmetic Dentist
5.0 out of 5 stars 3 reviews

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