Can Teeth Be Pushed out with Invisalign when IPR Has Been Conducted?

asked 7 months ago by Juliet1 in San Francisco, CA
Latest answer by Brian Povolny, DDS, PhD
Question viewed 190 times
Tags: crossbite, noticeable, options, overjet, upper teeth

I've been wearing invisalign since 1/10 for an overjet on my upper teeth & a crossbite.The Ortho did IPR between almost every tooth on upper and lower teeth. My teeth have now been pushed back extensively that when I smile,my upper teeth barely show because my lips cover them.Before invisalign,more teeth were visible.My arch is also now narrowing. I am on refinement tray 3 out of 6. I am not happy.Is it possible to move the teeth out (forward) slightly so I show more of my upper front teeth?

4 answers to Can Teeth Be Pushed out with Invisalign when IPR Has Been Conducted?

Teeth can be pushed out, but may result in some gaps

Teeth can be pushed out slightly for esthetics, but may result in some gaps (if they are tightly touching now). The gaps may be distributed more towards the sides in less visible areas with careful planning. I encourage you to talk with your treating provider in regards to this problem or seek second opinion. If you are looking for big, bold and bright smile then veneers may be your better option. Try to look for an experienced Invisalign and/or Cosmetic provider in... more

Hema Patel, DDS
Fremont Cosmetic Dentist

Invisalign for pushing teeth out

Sorry to hear that you're unhappy with your treatment. If your teeth were pulled back by creating spaces with IPR then pushing them back out will recreate those spaces. You can distribute the spaces in such a way as to create optimum esthetics, or you can get porcelain veneers to close the spaces. i would assume that getting veneers to close spaces would not be your first choice if the only goal is to replace tooth structure that was lost in IPR. One thing I would... more

Brian Povolny, DDS, PhD
Seattle Cosmetic Dentist

www.smilesatsouthcenter.com

Pushed out or flared teeth may need porcelain veneers

If the teeth had IPR and now are mostly straight and touching, any forward movement likely will result in spaces between them. This flared position may be the best location for the teeth, but with the spaces, something additional would be needed. Porcelain veneers is likely the best solution, but another clinical exam and opinion is likely needed to determine what is best for you.

Lance Timmerman, DMD
Seattle Cosmetic Dentist