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Slow Start.. Hoping to See Results Soon - Boston, MA

I decided to finally get Invisalign around August...

I decided to finally get Invisalign around August of 2012 at the age of 26. Braces weren't a priority for me growing up as my teeth were not considered that crooked and it would have been for 'cosmetic' purposes. Fast forward a decade or so later, and my teeth have gotten more crowded over time and some of them are starting to show premature wear. I was advised that the crowding would only get worse over time, so I decided to take the plunge with Invisalign as I figured since my case wasn't that bad it likely wouldn't take very long. Unfortunately, my treatment is slated for 23 trays (or 11.5 months), and I have fifteen attachments, including two on one of my front teeth.

Luckily the two attachments on my front tooth aren't on my crooked front tooth which has annoyed me (especially in photos) for forever and is 50% of the reason I want to straighten my teeth! My bottom four teeth aren't great either and it's pretty much my dream to see them perfectly lined up.

Right now I am on tray #6 and I haven't noticed much of a difference so far. My first two trays did not have attachments and the movements were minor, so that is likely why. However, it's a bit frustrating since I'm 10 weeks in and there hasn't been much progress! For the most part I try to be diligent about keeping them in for 20-22 hours, but it can be hard when I'm out with friends on a weekend night.

As for my cost.. it was $5500 USD and insurance covered $2000.

I'll try to post another update in a few weeks when there is (hopefully) some noticeable movement!

Now that I'm on tray 8 I'm finally starting to...

Now that I'm on tray 8 I'm finally starting to notice some changes, especially in my top teeth. My two front teeth seem to be straightening out a bit, and the teeth next to them are starting to push out rather than appear clenched inward. The bottom four still have a ways to go, but I'm assuming that's because they were much more crowded to begin with. I'm attaching a before/after pic that shows where my teeth are at at this point.

So I am now on tray #16 and definitely starting to...

So I am now on tray #16 and definitely starting to see results. My bottom teeth are still not where I'd like them to be but I'm hoping they will improve a lot by the time I am finished (23 trays total). The only really annoying thing now is that both of my previous two trays (14 and 15) have cracked in nearly the same spot, forcing me to switch to the next tray a few days (or an entire week) early. I don't know how bad this will be in the long run, and if it will mean refinements are necessary. They appear to be cracking around one rather large attachment on one of my back upper teeth. I'm trying to be more careful and dislodge them from the back, but it's difficult when I'm in public and trying to be discrete.

The other slightly annoying thing is my aligners started to protrude from one of my upper canines to the point where my attachment had to be shaved down to get them to fit again. Then the issue was that tooth stopped rotating to the extent it shoul. My ortho used a metal clamp of some sort to 'tweak' the trays and exert more pressure on that tooth, but I'm still concerned that will cause me to need refinements in the end (can you tell I'm sick of dealing with the trays?). I really shouldn't complain too much though; I'm actually starting to see some results at this point and it's awesome!

I just switched to tray 18/23 yesterday, and so...

I just switched to tray 18/23 yesterday, and so far so good. My trays aren't fitting as perfectly as they probably should be - one of my canines isn't rotating as much as it should and there are a couple of small gaps on my bottom front teeth between the enamel and the tray. Overall though, my progress is going pretty well and I hope I'm on track to be finished with everything soon. I have a follow-up with my ortho at tray 20 and at that point we'll decide if it's better to just do a mid-course correction (which counts as 1 of my 2 refinements) rather than wait until tray 23 is complete to begin that process as not to waste time. I'm pretty happy with my results so far, though! Even though my case wasn't one of the worst out there, I still think I have made a ton of progress since I started last September!

On to tray 19..

On tray 19 now, and I meet with my ortho to get trays 20-23... my final four. It's so hard to not get excited about the end date, because I know it's likely NOT the end and that most people need refinements. So that's what I've been stressing about lately. That, and just that despite the improvements on my lowers, two lower teeth still aren't hitting the top of the tray, and that worries me. Can't wait to be done with this process mostly so I don't need to stress about the results anymore!
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Comments (10)

I sometimes notice my teeth in certain spots don't hit the top of the tray either...but I use my chewies an when I visit the Dr. and he sees them in he says they're fitting good! I'm right on track with results too. So exciting that you're almost done! I have 51 more trays to go through....many little refinements towards the end that the Doc has already figured in though.
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Wow! Your progess is looking great! I'm also on 16/23 and have been amazed at what these trays can do. I had the same issue with a tray cracking 4 or 5 days early and went on to the next 1. My dentist said it was fine as long as the trays are fitting properly. I hope whatever adjustment your ortho made to your tray works, cuz like you I'm really hoping not to need refinements. As much as I have adapted my life to flossing and brushing many times per day no matter where I am, I'd really like to go back to a normal routine lol. Keep up the good work and good luck!
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It makes me feel so much better to know someone else out there knows the annoyance of trays cracking! Thanks for the advice and good luck with your treatment!
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Hi, just wondering how your treatment is going now... :)
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Definitely starting to see results! I just updated my review and added some recent pics for ya :)
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Did u happen to notice during your clincheck at what tray should u start seeing a noticeable difference? My case is 23 trays as well (started a little after u in mid sept), and on my clicheck things start to really look noticeably better after tray 10. Knowing when you'll be able to see a difference may help ease your mind about whether or not things are progressing right now. But I'm sure if we wear our aligners for the right amount of time that the results will be great! Best of luck to you.
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Hi, Thanks for the comment. I checked my clincheck and it looks like tray 10-12 is when I should (hopefully) start to see noticeable changes...It's just frustrating when I think about all of the hours I've already logged wearing the trays (and dealing with them, the constant brushing, etc) and knowing I don't have much to show for it. I guess patience is key :)
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Did u happen to notice during your clincheck at what tray should u start seeing a noticeable difference? My case is 23 trays as well (started a little after u in mid sept), and on my clicheck things start to really look noticeably better after tray 10. Knowing when you'll be able to see a difference may help ease your mind about whether or not things are progressing right now. But I'm sure if we wear our aligners for the right amount of time that the results will be great! Best of luck to you.
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Definitely do your best to get in your 22 hours a day. If you wear them less your clinical crown (part of the tooth you can see) can move into the desired spot while your roots are still lagging behind. I know its not easy, but it will pay off in the long run and since you spent all that money you might as well get the best result you possibly can.

I'll be hoping to hear that you have seen some noticeable movement when you update - fingers crossed for you! :)

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Thanks so much, Megan. That is really useful info!!
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