Jarrod Goldberg, DDS

Hi there,

That's great that your teeth move so fast!  But what's going on under the gumline that you don't see:  The bone is slowly reforming around moved teeth.  That means that certain areas of bone around teeth are softer than others.  Keeping the teeth in that position helps grow the bone faster in those areas and you will have a better final result.  Keep course, stick to it and you will be happy in the long run.  Good luck!

We recommend wearing aligners 22 hours per day (2 hours to compensate for eating times). 

If you shorten the amount of time worn per day, you'll have to wear the aligners for a longer period of time to obtain ideal movement and retention.  Teeth movement is pretty simple--it takes time and pressure to move teeth.  If we shorten the time worn per aligner, the total treatment time lengthens. 

I'm sorry to hear that you're in so much agony.  I would definitely call the doctor you saw immediately.  It is normal to have some pain after crown preparation procedures but intense throbbing is not.  Potential issues might be:

1. The temporary crown is too high.  If this is the case, a new temporary or an adjustment to the current one can help solve this issue.

2. Open margins on the temporary.  If the temporary wasn't made properly, and it doesn't seat completely down all the way, a patient might feel similar symptoms.

3. Nerve irritation.  If the nerve is incredibly inflamed and irreversible (this can be determined by your dentist) then root canal therapy can solve the problem and alleviate the pain.




THE MOST IMPORTANT THING:  DO NOT cement the final crown until the pain gets resolved!

Hi there,

I would have the bite checked to make sure that there aren't actually any interferences in the bite that can irritate the nerve of the tooth.  Because you said that sensodyne seems to be helping, it is most likely a little bit of recession with exposed root that's causing the problem.  In my office I like to use a material called MI paste (GC America) that can really help with sensitivities like this one.  


Good luck!

This is a great question.  When we drink sugary or alcoholic drinks with our aligners in, the sugary liquids can remain inside the aligner and actually serve as food sources for the bacteria in our mouths.  If you're going out to bars, I would suggest taking out the aligner when drinking (remember to keep it in your pocket case!) and rinse before putting them back in.

Good luck!