Invisalign: Stories

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My Invisalign Journey - Part 2, Refinements

  • posted 1 year ago
  • updated 15 hours ago

(Week 1) I just started my invisalign treatment. I...

(Week 1) I just started my invisalign treatment. I have an overbite, and my lower teeth are arched. My bite is way off so when I chew my bottom teeth will hit the gums behind my front teeth if I'm not careful. If the clincheck animation is correct, this treatmant plan should correct my problems. I have 24 aligners for the top and bottom. It's a 48 week plan not counting any re-finements I may need at the end of the treatment to adjust any existing overbite.

My first week of invisalign went pretty well. The first two days are the definitely the hardest. There was quite a bit of discomfort trying to remove the aligners. Some of the discomfort I'm sure had to do with my technique of removing them. I have a total of nine attatchments, four on the top, five on the bottom. I have fewer attatchments on my left side, top and bottom. I found that the aligners came off easiest by popping off both sides in the back, and then working the aligner off from the left side (fewer attatchments) to my right. You'll have to find the technique that works best for you. By the end of week one I was popping them in and out with ease. I only remove the aligners to eat meals, no snacking. With the brushing and flossing involved after eating, I think you'll find it's too much of a hassle to remove your aligners to snack.

If I want some junk food I'll eat it at meal time. I do drink water throughout the day. My mouth gets a little dry from time to time from wearing these. I've been wearing my aligners for 23 hours a day. (Week 2) Things are going well. My teeth have moved. The aligners are now on the loose side so I know my teeth have shifted. I'm getting so used to wearing the aligners now, I don't think about having them on. Getting them in and out now is a breeze. No one at my work has noticed that I'm wearing them as of yet. Waiting to start my second tray in a few more days.


(Weeks 3 &4) Aligners 2 of 24 The first few...

(Weeks 3 &4) Aligners 2 of 24
The first few days of tray #2 went much better than tray #1 of my treatment. It was much easier to deal with the aligners. My teeth wern't as sore with the aligners in or while removing them. I did run into one problem at the end of the first week with tray #2. My bottom aligner developed a crack while removing it. The crack was behind the last attachment, and it caused my aligner to float a bit over my back two molars. I called my Dentists office the next morning and they ordered a replacement. They advised me to keep using it until the new aligner arrived. I've been wearing the aligners for a month now and wearing them has become routine. The biggest hassle for me is eating out in public, and having to brush and floss in a public restroom. Ready to start tray #3!

(Weeks 5 & 6) Aligners 3 of 24 My third set...

(Weeks 5 & 6) Aligners 3 of 24
My third set of aligners were tight to get on the first time. I put them in after dinner (6pm) and kept them in until noon the next day, 18 hours. I removed them for lunch and when I went to put them back in I had a much easier time. My teeth were a little bit sore, especially my bottom teeth. As you can see from my photos and animation, my bottom teeth will be pulled down as well as straightened. So far through my treatment I haven't had the need for Advil or any other product to deal with discomfort. It's really not that bad, and like clockwork after the first few days the discomfort went away.

A week into tray #3 my bottom aligner developed a small crack, and in the same place as my #2 bottom aligner did. I didn't bother calling my Dentist for a replacement. In a few days I'm going to the Dentist for my first scheduled appointment, and to get my next three sets of trays. I've change my removal technique on the bottom aligner and with the new trays I'll see if that will prevent a future crack. Looking forward to seeing some movement over the next six weeks.

(Weeks 7 & 8) Aligners 4 of 24 Not much new...

(Weeks 7 & 8) Aligners 4 of 24
Not much new to report. Tray #4 was a breeze. I've perfected my removal technique, and didn't have any issues with cracking my bottom aligner. I've been wearing my Invisalign aligners for two months now, and wearing them has become the "norm". In fact it feels weird when I have them out. I'm still wearing them about 23 hours a day. Moving on to tray #5. Two months down, nine months to go!

(Weeks 9 &10) Aligners 5 of 24 My teeth are...

(Weeks 9 &10) Aligners 5 of 24
My teeth are definitely on the move, so much in fact I noticed my bottom teeth will now slightly wiggle. It's a bit unsettling to see your teeth wiggle around when the aligners are out, but it shows that my teeth are moving towards their new positions. My center bottom tooth no longer touches the gums behind my front teeth. It's been pulled down enough so it now has clearance. My bite overall has noticeably improved. So far, so good! Moving on to tray #6 tonight!!

(Weeks 11&12) Trays 6 of 24 Tray six felt very...

(Weeks 11&12) Trays 6 of 24
Tray six felt very tight going on the first time. I would classify it as an aggressive tray. Lots of pressure on my lower teeth pushing them down. Upper wasn't so bad, just a little tight. Going into week two of the trays, my bottom teeth are still a bit tender. I've been eating everything with a knife and fork, sparing my front teeth any tearing. My front teeth still feel like they are loose, and I'm trying to go easy on them through this process. Three months down, eight months to go. On to tray #7!!

(Weeks 13&14) Trays 7 of 24 Tray #7 was a lot...

(Weeks 13&14) Trays 7 of 24
Tray #7 was a lot like tray #6, in regards to my lower aligner. Lots of downward pressure on my bottom front teeth. I compared tray #7 to tray #1, and the difference is remarkable. My dentist gives me three trays at a time so I also compared tray #1 to my upcoming tray #9, and I look forward to the upcoming big changes to my bottom teeth.
Recently I was contacted by a member and they asked if my attatchments ever pinched the inside of my mouth when I was eating. In my earlier reviews I never wrote about that. During the first month of my treatment I was having an issue with that. I have an attatchment on my bottom left canine, and often when I'd chew it would pinch the inside of my bottom lip, and quite painful at times. As my bite began to improve over the first month, I stopped biting my lip, and it's no longer an issue.
I also changed my Dentist's "time spent with me" rating to 3 stars because since my treatment started I haven't been examined by him. I've only met with an Asst., who just gives me my next 3 sets of trays. By the time I get through tray #9 it will have been 18 weeks. When I started my treatment I was told all of my appointments were included in the fee, and I assumed appointments meant that my Dentist would be more involved. I'll be sure to ask about this on my next visit. Getting started on tray #8!

(Weeks 15&16) Trays 8 of 24 Not much to report...

(Weeks 15&16) Trays 8 of 24
Not much to report other than my bite continues to change, causing a bit of pressure on my top right molars while eating. I'm sure it's a passing thing.
My next scheduled Dentist appointment is next Wednesday, and I'll be sure to ask to see him, and question his involvement or lack there of, in my treatment. Tonight, tray #9...

(Weeks 17&18) Trays 9 of 24 Now four months into...

(Weeks 17&18) Trays 9 of 24
Now four months into treatment I can see and feel real changes. My upper tray I'd classify as very aggressive. The first time I removed it it felt like I was going to pull out my front teeth. It reminded me of tray #1, but that went away after a few days.
I went to my Dentist appointment to pick up my next four trays to get me through most of the summer. At that time I asked my Invisalign coordinator about my treatment and would my Dentist examine me anytime during my treatment. She responded "not unless I lose an attatchment or have any other problem, that I wouldn't be seeing him on my scheduled tray pickup appointments." I asked about should he be checking the spacing or anything else during the course of my treatment. She assured me as long as my trays are fitting properly every two weeks there's nothing to worry about. "Let the trays do there job, and after I finish tray #21, my Dentist would examine me." "At that point he'll see where I'm at, and decide if I should finish the last three trays or make new molds etc."
I did get to see my last tray #24, and it was very exciting to see all of my teeth straight. We'll see what happens, I've been doing my part. I'm still wearing my trays around 23 hours a day. Keeping the faith and moving on to tray #10!

Weeks 19&20) Trays 10 of 24 I feel my progress is...

Weeks 19&20) Trays 10 of 24
I feel my progress is really starting to show. I see and feel real changes. My teeth are still on the loose side. The last few sets of aligners have been what I'd consider aggressive, and are really starting to shift my teeth around. Just a few weeks away from my halfway point. Starting tray #11 tonight!

(Weeks 21&22, 23&24) Trays 11/12 of 24 After a...

(Weeks 21&22, 23&24) Trays 11/12 of 24
After a three week vacation and two more trays under my belt my smile is really starting to change. After viewing many vacation photos I'm starting to like what I see, a better smile and straighter teeth! I'm past the halfway point now and almost a week into tray #13!

(Weeks 25&26) Trays 13 of 24 Nothing new to...

(Weeks 25&26) Trays 13 of 24
Nothing new to report, just going through the motions week after week. My Invisalign treatment has become so routine it feels normal now. I'm still wearing my trays 23 hours a day. I'm doing my part to have a successful treatment. In my review, under the "was it worth it," I still have "not sure" checked. I'm going to leave it that way in my review until my treatment is complete, and see the final results, and then decide. Now on to tray #14!

(Weeks 27&28) Trays 14 of 24 I still have to be...

(Weeks 27&28) Trays 14 of 24

I still have to be careful while eating. My top and bottom teeth are loose, and it's starting to irritate me. I'm getting to the point where I just want this to be over. Tray 15, here we go...

(Weeks 29&30) Trays 15 of 24 Thirty weeks down,...

(Weeks 29&30) Trays 15 of 24
Thirty weeks down, eighteen weeks to go. I went in for a regular cleaning this week and spoke with my Dentist. He examined me and said everything looked like it was on track. He will examine me again at tray # 21 and hopefully no refinements will be needed. I'm keeping my fingers crossed. Now on to tray 16....

(Weeks 31&32) Trays 16 of 24 Getting so close now...

(Weeks 31&32) Trays 16 of 24
Getting so close now I can taste it. According to my clincheck animation my next three trays, 17, 18, and 19, will conclude the straightening process. The remaining 5 trays will pull my teeth back, and hopefully correct the overjet a bit. We'll see, starting tray 17...

(Weeks 33&34) Trays 17 of 2 I now see a gap for...

(Weeks 33&34) Trays 17 of 2
I now see a gap for the first time between my right central incisor, and my right lateral incisor. If you look at my start pictures you'll see that the right lateral incisor was turned behind my central incisor. I can now see the whole tooth, which is amazing after being patially hidden for so long. Everything seems to be on track. Next up, tray 18...

(Weeks 35&36) Trays 18 of 24 This set of trays...

(Weeks 35&36) Trays 18 of 24
This set of trays was a breeze. I only had tightness with them for a few days. Most of the straightening has been done. Looks like now I'm just down to minimal movements. With luck the end is near. Tray 19 tomorrow...

(Weeks 37&38) Trays 19 of 24 Two more sets of...

(Weeks 37&38) Trays 19 of 24
Two more sets of trays to go before my Dentist evaluates my progress. As of now my left canine tooth sticks out a bit, and my overbite still needs some correction. Now that I'm an Invisalign pro I know that these corrections won't happen with my next two sets of trays. I anticipate getting new molds for refinement trays which at this point I won't mind. I'm nearly 40 weeks into my treatment, what's another few months... Tray 20

(Weeks 39&40) Trays 20 of 24 The last couple of...

(Weeks 39&40) Trays 20 of 24
The last couple of trays were not that aggressive. I don't notice any changes other than my teeth don't feel loose anymore. I'm now moving on to tray 21, my last tray before my Dentist evaluates my progress. I don't anticipate any real changes with this tray either. I believe my initial coarse of treatment has reached the end. Here we go, tray 21...

(Weeks 41&42) Trays 21 of 24 I finished up tray...

(Weeks 41&42) Trays 21 of 24
I finished up tray 21 which I feel really didn't do much of anything. I've reached the end of my first coarse of treatment. I met with my Dentist on December 19th for my one and only exam with him during the last 42 weeks. He said my teeth looked fantastic. I don't agree, and I pointed out a few obvious things with my teeth that I wasn't happy with. I told him I'd need refinement trays. I got the feeling he was trying to rush me out of treatment. He had an assistant make molds of my teeth, not for Invisalign, but for my next consultation with him on January 7, 2013. This will provide him a 3D rendering of my teeth. We'll see what happens on the 7th. In the mean time anyone contemplating Invisalign, do yourself a favor and don't have anyone other than an Orthodontist prescribe your treatment plan. Do not use a regular or cosmetic Dentist for your treatment. Big mistake! I moved on to tray 22+. The + trays just tighten up the gaps in your teeth, the straightening part is over.

(Weeks 43&44) Trays 22 of 24 Tray 22 was a (+)...

(Weeks 43&44) Trays 22 of 24
Tray 22 was a (+) tray. It was a bit tight getting on, and definitely lots of inward pressure on my teeth. The pressure lasted for the first week then subsided a bit. I'm waiting for my next consultation on January 7th to discuss future treatment, refinements. I think my teeth are much better from where I started, but I'm not totally happy. I'm not expecting a perfect outcome, I just want to get my teeth looking as good as possible. Tray 23+...

I met with my Dentist on January 7th for my...

I met with my Dentist on January 7th for my cosultation., He started out by saying he thought both of my arches, upper and lower, looked fine. I told him my concerns regarding my teeth. The lowers I'm pretty much happy with, but they could still use a tweak. The uppers, I want to reduce my overjet as much as possible. He voiced some concerns with the angle of my teeth, and that pulling the upper teeth back will put my teeth at an angle that doesn't follow the bone structure. He said this could lead to stability problems, and possible gum recession. He also mentioned jaw surgery to remove bone, and then pull the upper teeth back. That sounds a bit extreme to me and not an option. Seems like my only two options are to leave my teeth the way they are, or get some IPR to reduce the overjet, and the possible complications that go with that. So far I haven't read anywhere about such problems trying to reduce an overjet with tooth angle and bone structure issues he mentioned. I now go back on January 30th to get my attatchments removed, and they'll make new molds of my teeth either for retainers or if I decide to continue with treatment. I think I'll opt for new molds and a new clincheck to show possible results with IPR, and then make my mind up after that. Stay tuned....

I'm now waiting to start round 2 of my Invisalign...

I'm now waiting to start round 2 of my Invisalign treatment. I will have 26 refinement trays, that's right another year of treatment. The new trays will address an open bite problem with my right side molars, lengthening and straightening my upper right lateral tooth, widening my upper arch which will help fix my bite issue, and will also allow my front teeth to be pulled back a bit to reduce my overjet. I will not need any IPR which is fine with me. So for now I'm just waiting on my new trays to come in to get started.

I started with my refinement trays. I have 26...

I started with my refinement trays. I have 26 trays and I wear each tray for two weeks. I just finished up on tray #1. 50 more weeks to go, that's right I'm counting. I'm hoping over the next year I get results I can live with. Moving on to refinement tray #2...

(Weeks 3&4) Refinement trays 2 of 26 One thing...

(Weeks 3&4) Refinement trays 2 of 26
One thing I've noticed with the first 2 sets of refinement trays and even a few days into the latest tray 3 is that they've not been very aggressive trays. My teeth haven't really been sore when I remove my trays. Usually my teeth are sore when removing a new tray for the first few days, so there seems to be minimal movement going on at this point. Looking at my clincheck it's showing movement so I feel I should be feeling it more. I'll ask my Dentist about it next week when I go in to get 3 new sets of trays.

(Weeks 5&6) Refinement trays 3 of 26 I picked up...

(Weeks 5&6) Refinement trays 3 of 26
I picked up my next 3 sets of trays from my Dentist's office. Tray #3 fit better than the previous two trays. I told my coordinator about the loose fit I've been having with my trays. I also told her my teeth wern't feeling sore during the first few days of a new tray. She told me if I had the same problem with tray #4, they would probably have to do new molds, and new trays. I'll know in a few days...

(Weeks 7-12) Refinement trays 4,5&6 of 26 I'm now...

(Weeks 7-12) Refinement trays 4,5&6 of 26 I'm now finishing up tray #6 in a few days. Progress seems to be very slow if any at all. I met with my Dentist about a month ago to talk about the fit of my aligners. He thought the fit was fine, but I'm still not very confident in their fit. So far the trays have been easy to pop in and out, even on the first few days. I'm not feeling sore teeth the first few days either on a new tray. I brought up my concerns again to my Invisalign coordinator yesterday when I picked up my next three sets of trays. She scheduled me an appointment to see my Dentist in 6 more weeks, after the next three sets of trays, so he can evaluate my progress and make sure my teeth are on track. Fingers crossed....

Yesterday I moved on to tray #7. I popped in the...

Yesterday I moved on to tray #7. I popped in the upper tray and it was floppy loose, not wearable. I immediately called my Dentist's office and they saw me a few hours later. They looked at the tray and finally agreed the trays aren't right. So they took new molds of my teeth and will send those back to Invisalign. The new trays should arrive in a few weeks they said. I'm afraid now that I've wasted 3 1/2 months fooling around with loose fitting trays. We'll see how many trays will be in this mid correction, hopefully not 26. This whole process is getting very frustrating to say the least.

5-13-2013 Refinement Tray 6/26

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Dr Olson is an accredited cosmetic Dentist, who happens to be my regular Dentist. I felt comfortable using him for my Invisalign treatment rather than seeking out an Orthodontist. I hope I don't regret making that decision. The final results will tell the tale.

Comments (80)

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ocdave 14 May 2013
Hi David, It's not hard for me at all. I'm not a snacker, and I normally do not eat breakfast. I do eat a large lunch and dinner. Lunch is always around 12- 1 and dinner at 6:30 - 7, and I brush right after I finish eating no matter where I am at the time. That's the key...no waiting around. I've been in treatment for 15 months now and it's just routine now. How far along are you in your treatment?
davideatslife 14 May 2013
I'm just in week 2! Your story is definitely an inspiration. I still can't kick my hour-long sipping of my morning coffee habit. Sorry to hear you're having a rough go of it as of late, but your progress thus far is amazing.
davideatslife 14 May 2013
I'm super impressed you're able to consistently wear them 23 hours a day--when do you eat?? I feel like with just eating I bring myself down to 21 hours.
ocdave 12 Apr 2013
Thanks Hoping! I still have around 10 months to go. I saw my Dentist yesterday so he could check the fit of my trays. He said they looked fine and not to worry. So no new impressions, which is a relief. Hopefully your next round won't be so long. btw your teeth and smile look amazing! Hi Kristen, I'm still plodding along. No new molds, so I'm happy about that! Sorry it took so long to get back to you. tc
Hopingforagreatsmile 6 Apr 2013
Hi Dave, your teeth are looking great! I see you're on a fairly lengthy refinement treatment but even if you stopped now, I would still say you have lovely teeth! Fair play to you for sticking with it. I'm about to start my refinement. I'm hoping it won't be that long. I had the impressions done today. It's really just to expand on one side to get better symmetry. I had a 'mid course correction' too which added 21 trays, so I understand how you felt when you heard about the long refinement!
Kristen37 31 Mar 2013
Seriously? U are NOT having good luck with this. I'm irritated for u! oh & Happy Easter!
ocdave 28 Mar 2013
Good luck Jayelzee with your consultation. I'm in treatment with a Cosmetic Dentist, and I regret not getting a consultation with an Orthodontist. Afterall they specialize in tooth movement. Let us know what happens! Tc, Dave
jayelzee 28 Mar 2013
I've got a first consult for insivalign next week so I really appreciate how you've tracked your progress!
ocdave 14 Mar 2013
Kristen, that's great that your half way done. I checked out your pics and your teeth are coming along nicely! It'll be over with before you know it, and hopefully you won't need refinements. p.s. I only have 11 months and three days to go :) TC
Kristen37 15 Mar 2013
Ha! I need to update a new picture I've gotten way lazy.
ocdave 12 Mar 2013
Good luck shantas on your new upcoming treatment plan! Let us know how you like your new clincheck when it comes in, and how many attatchments and trays you'll have!!
ocdave 27 Feb 2013
Hang in there shantas. I've had the same thoughts as you, if I should've opted for metal braces, and if I did would the results have been more predictable. I made the decision to go with Invisalign a year ago and I'm now in it for the next year, doubling my treatment time. I just hope I get results I'm happy with, time will tell. tc
shantas2010 12 Mar 2013
Thank you!! my impression was taken today, the buttons are gone, now waiting for the 2nd clin check and more trays for the refinement, hope it works out!!
shantas2010 26 Feb 2013
Hi ocdave: OMG another year of tx! You are sure giving me the encouragement to continue on with my possible refinement! I am on tray 12 of 13, I still have overjet and some gaps at the bottom teeth, my dentist said I may have to go for refinement. I am already tired of this whole process, hating invisalign and wondering if I should have opted out for metal braces as I don't seem to see much of a change with the overjet. But you are giving me hope!! Thanks
ocdave 13 Feb 2013
Hey Kristen, yeah it's a bit of a bummer to have to go through another year but the way my teeth are now I don't have much of a choice. I do like the current clincheck, and hopefully the end result will be similar. Keeping my fingers crossed... How is your treatment coming along?
Kristen37 12 Mar 2013
Thanks for asking. I'm on Tray 15 of 24 so more than 1/2 way done. Everythings going according to plan but I feel for you because I'm so done with this. (sigh) It's a piece of cake now & it's not really that big of a deal but I'm sick of not being able to close my mouth & just want to be done, which is why I am sooo feeling for you that you now have another year to go. 11 1/2 months now...sorry, lol
Kristen37 13 Feb 2013
Omg I am do sorry. Another year? (Hugs) sigh!!!
Megan P (Community Manager) 10 Jan 2013

Thanks for updating us. Sorry to hear it sounds like your options are limited. :-/ I just looked at your original Clincheck again at full screen, and there does appear to be quite a bit of overjet left at the end of that treatment. The teeth still look great, but its not text book perfect. Do you feel your teeth are at in about the same relation in real life as they are in the final part of the current Clincheck video?

Megan P (Community Manager) 7 Jan 2013

Ok, its the day we've been waiting for - its Jan. 7th! Please let us know what goes on at the consult!!

ocdave 14 Dec 2012
Hi Megan, my evaluation appointment is on Dec. 19th., and my guess is 10 sets of refinement trays. I'll post some new pics next week. Have a great weekend!
Megan P (Community Manager) 13 Dec 2012

When is your appointment for your dentist to do the re-eval? I'm curious to hear what he says. Your teeth look really good, but the lowers are still arched up a bit so I'm guessing he'll address that with the refinements. I'm still in awe of the amount of change!! We could all take guesses at the number of refinement trays needed - of course we would play by The Price Is Right rules, so we'd need to bet conservatively so as to not lose the showcase. ;)

Would you post a picture with your teeth biting down? I'd love to see the amount of overlap between your uppers and lowers in the front.

 

Megan P (Community Manager) 30 Nov 2012

Wow, you have a great attitude about your refinements! You are right though, you have come this far might as well keep marching on until they look just how you want them.

ocdave 23 Nov 2012
The idea of having my teeth filed on doesn't sound that appealing to me. I know it's not supposed to be a big deal, but I do have worries of future sensitivity on those teeth. Good luck with your treatment! Once you get a few weeks under your belt it becomes routine. Keep us posted on your progress!
ocdave 23 Nov 2012
Hi shady, the invisalign trays actually push your teeth back down into the gums, while straightening. As for refinement trays, I meet with my Dentist in about four more weeks, after tray # 21. He's going to evaluate my progress, and see if I should continue with the next and last three sets of trays or make new impressions for refinement trays. My guess is that I'll need refinement trays. After having been through this process for the last 39 weeks I know trays 20, and 21 won't move my teeth enough to make me happy. My upper left cuspid is out of alignment and sticks out a bit. My overjet needs a bit more correction as well, and I'll probably need some IPR (interproximal reduction), but with any luck I'd prefer to avoid that if possible. Refinement trays won't close the gaps that are now in between my lower teeth, and to be honest the gaps don't bother me. Also my lower left and right cuspids are not flat across the tops, so they'll never be perfect unless I have them reshaped, which I'm not. I've come a long way from where I started, and I hope to be happy with the end results. Have you started your treatment yet or are you on the fence?
shadyladybaby 23 Nov 2012
I'm so excited for you! There's a great amount of results from the beginning of your treatment. I've started my treatment just few days ago and i've been feeling tightness on my lower incisors. I'll be putting up some picture really soon when I get approval from the realself community. I will be doing some IPR to correct my deep bite and overjet. Why do you want to avoid IPR?

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