Braces

Invisalign

Hello,
 
Thank you for your question. Great photos and very detailed observation of what has been done so far. Yes, you do have an edge to edge bite and it can be damaging on your teeth. We will need to take one extra x-rays to look at our options for your treatment. There is a good chance this can be treated with having to take any more teeth out (I&nbsp;will not be able to give you a definitive answer without having full records an doing an exam). The process might including doing something called IPR (shaving a little in between your bottom teeth) so they can be pushed behind your top teeth, you would also have to wear some rubber bands too. This decision to do orthodontic treatment will have amazing positive results&nbsp;on your life.&nbsp;
 
Dr Sepi Torkan

As a teenager I had my lateral incisors extracted due to insufficient spacing on my maxillary arch, but had no mandibular teeth extracted.I had braces for 4 years &amp; they were removed with an edge to edge bite. I am 27 and now want to fix my occlusion and further straighten my teeth. My maxillary arch is not "rounded" out, &amp; I am starting to experience incisal wearing of certain teeth. I'd prefer Invisalign &amp; to not have more extractions but will do what is necessary.

What kind of secondary orthodontic treatment will I need to correct my edge to edge occlusion? (Photo)

Hello,
 
Thanks for your question. The success of Invisalign lies in the hands of the orthodontist who is treating you. The Invisalign by itself is a piece of plastic and the movements that are incorporated into it is what is important. There are canine impaction cases that can be treated with Invisalign. But it depends on several factors.&nbsp;Angle of the tooth, position of the tooth, distance from the arch, bone condition around it are just a few of the factors that will determine how much work will be needed to bring an impacted tooth into the arch. There are also combination treatments available. For more difficult canine impactions, you might be able to start with few (or all ) braces and switch to Invisalign once you make decent progress. Your orthodontist will take photos and x-rays to determine that for you. Unfortunately, I cannot comment on the best course of action without looking at your x-ray first.
 
Best of luck and keep us posted.
Dr Sepi Torkan

I am a 21 year old female and have an impacted canine in the roof of my mouth which has not erupted. Baby tooth is still in tact and I was wondering if after extraction of the baby tooth invisalign could be used to help bring and guide the adult canine down instead of bracketing.

Can Invisalign be used for impacted canine extraction and exposure?

Hello,
 
Thanks for your question. I am not sure if the photo is a true representation of your bite. If you are biting all the way down, your front teeth do not touch. That is called an openbite. It also seems like you have some extra overjet meaning your bottom teeth are too far back. In case you are not biting all the way down, you might not have either of those problems.&nbsp;
I do see the little space between your top front teeth and the crowding on the top and bottom. Based on the records you have provided, I would say that&nbsp;10&nbsp; weeks will not be enough to achieve the ideal bite for you. Even if you do not have an openbite, 10 weeks will still not be enough to make everything perfect. Teeth have to move at a certain rate for stable results. An orthodontist will take full records and x-rays for you before they decide the best course of treatment. That way, your orthodontist can verify your bite as well.
 
Good luck and keep us posted.&nbsp;&nbsp;

I was recently told by my dentist that I would be a 10 week express case. I was quoted $3750 for the price. Would a 10 week case straighten my teeth? And would it be cheaper to go through another dentist?

How much would my Invisalign be? Would a 10 week case straighten my teeth? (Photo)

Hello,
 
Thank you for your question. The rule of thumb is teeth will grow until they find each other. If there is something in between the teeth, it will hinder the bite closure. As long as there is an object in between the teeth, your openbite will not close. So the first step will be to stop the habit. For some people, it is just a matter of remembering to not put anything in between your teeth and there are some orthodontic appliances that do that. So the first step would be the willingness for the change and I&nbsp;am pretty sure you are determined to do that. The next step is the health of your gum. I would recommend seeing the general dentist and making sure the gums are healthy. Then, you can schedule an appointment to see an orthodontist and they will do xrays and photos to decide what needs to be done.&nbsp;
Orthodontic treatment will lead to a big change in your smile and your eating habit and I&nbsp;am positive that you will love it.
 
Good luck and keep us posted.
Dr. Sepi Torkan

I have been sucking my thumb since I was 3 months old. My mother tried everything to get me to stop to no avail. For the past few years the gap on the right side has continued to grow.

Can my teeth be corrected if I currently suck my thumb? (Photos)

Hi,
 Thank you for your question. Unfortunately the photo has turned out a little blurry and impossible to check your receding gum on it.&nbsp; 
Prior to starting orthodontic treatment, your orthodontist and dentist will discuss the health of your gum. Invisalign does not cause gums to recede, but active gum disease might. So you should just maintain your oral hygiene and make sure your gums are healthy.&nbsp; 
One of the best things that can be done for crooked teeth is orthodontic treatment. Brushing the teeth and maintaining oral hygiene will become so much easier.
 In some cases, the nature of the gum is so thin that gum graft might be required either before or after treatment. Your orthodontist will check that and discuss it with you if need be. In the meantime, make sure you are brushing your teeth really well.&nbsp; 
Good luck
Dr Sepi Torkan

I've never had orthodontics, and I'm supposed to start Invisalign but I'm extremely worried about my gum line on the bottom front teeth. I have thin gingiva, will Invisalign make my gums recede? My gum line hasn't moved (I take a lot of pictures) but it's extremely low and I cannot relax I am so worried about it.

I am worried that my gums are receding. Will Invisalign make my gums recede? (Photo)

Hi,
 Yes. You will be able to do orthodontic treatment. Composite filling does not interfere with orthodontic treatment. Your orthodontist will check that tooth to see if there is any additional damage on the root or surrounding structure of that tooth.&nbsp; 
Best of luck
Dr Sepi Torkan

Can I get Invisalign still to fix the gaps in my smile? I have a traumatic tooth fracture repaired with composite. (photos)

Hi Em,
Thanks for your question. Let me go over some of your concerns first;
1) I would not categorize your chin as a double chin. There is some definition between your chin and the rest of your throat line, but not a double chin. You might have a smaller lower jaw (which can be verified by x-rays and checking your bite) and that tends to progress into a double chin later in life.&nbsp; 
2) On the front view, it seems like your chin is a little off to one side, but the same problem cannot be seen on your teeth. Sometimes, chin deviation can be a soft tissue problem only or it can be fixed with cosmetic procedures only. In other cases, jaw surgery can be done to address that problem.&nbsp;
3) You do show less of your top teeth, but that is dependent on age. People show less of their top teeth as they get older. It is something that can be improved with orthodontic treatment. 
4) You have some chipping and wear on your front teeth. It needs to be checked to determine why you have those. Is it something in your biting pattern that causes it, or you remember chipping them (maybe in an accident etc). That would play a role on your treatment planning.
 5) Everything I mentioned needs to be verified upon in-person exam. There is little information that can be achieved with the photos you provided and some of them might not be a true reflection of your jaw/teeth relationship. I think it would be a good idea to do a consult with an Orthodontist and go over each problem that YOU see and discuss options for each of them. Without a side view photo of your teeth, I cannot decide if they are inward too much or not. But I think in order to address your concerns, you need to go in depth about every one of your concerns with your orthodontist. It is highly unlikely that Invisalign and bonding alone will address all of those.&nbsp; 
I wish I could give you more information. But it is quiet impossible&nbsp;to comment on all aspects of your treatment without complete records.&nbsp; 
Best of luck
Dr Sepi Torkan
iSmile Orthodontics
Redmond, WA

My face is rectangular, my chin and jaw are big and long which looks manly. I have a double chin and little jaw definition even though I'm skinny. My mouth is crooked, and my teeth seem to be quite far inward and they don't really show when I speak. I was recommended Invisalign to push my teeth forward and then have some bonding. Would Invisalign make a big difference and are there any cheaper alternatives? What do you think would be the most impactful treatments I could have done? Thank you!

How to improve the appearance of my teeth, smile, lips, jaw and chin area that I'm so insecure about? (Photo)

Hi Enna,
 Thank you for your question.&nbsp; 
The correction of overjet depends on many factors such as the age of the patient, rubber band wear and decision in taking/not taking teeth out. But most of the time, a good correction in overjet can be achieved with orthodontic treatment.&nbsp; 
If you have had Invisalign, depending on when you finished your treatment, you might be able to continue on that or you might have to start over. It is possible to switch your orthodontist, but it is advised to get the records from the previous orthodontist so that your new orthodontist knows how you started and how far you have come!&nbsp; 
There most likely&nbsp;will be some additional charges if you switch orthodontist. It is a good idea to do the consult first and see if your goals can be achieved or not. It is hard to decide on that without having seen your initial records (how you started) and what was done for you during your treatment.
Hope this helps!
Best of luck and keep us posted
Dr Sepi Torkan
iSmile Orthodontics
Redmond, WA

Hi, I made an Invisalign treatment but I’m not really satisfied with the result. I left the treatment with a quite big overjet even if It looks much better than before. And I am also wondering if it could be possible to “widen” the smile a bit more in some way. My doctor said it is not and too complicated. But I see so many better results on Instagram and everywhere ...

Is it possible to change the dentist and to continue a treatment that has been registered as “finished treatment”? (Photos)

Hi V Davis,
Orthodontic treatment and active gum disease do not really go together. It would just make your bone loss and gum disease much worse!
&nbsp;If you have bone loss, you either have active gum disease or you have had gum disease that is now under control. If the gum disease is well under control, you can start orthodontic treatment. You need to maintain your oral hygiene and do your cleaning appointments on a routine basis (the frequency of those appointments will be determined by your dentist).
If you have an active gum disease, the disease needs to be controlled first and once it is under control, the &nbsp;you can start your orthodontic treatment.&nbsp; 
The first thing you could do is talk to your dentist and find out if you have any ongoing gum disease (also known as periodontal disease). If the answer is no, then&nbsp;you can schedule an initial consult with an orthodontist.
 best of luck&nbsp; Dr Sepi Torkan
iSmile orthodontics
Redmond, WA

This tooth also has bone loss. I want to straighten this tooth. Would braces, Invisalign, etc possibly loosen the tooth? My front tooth has moved outward a great deal in the past several years and I would like to have it straightened This tooth also has bone loss. I want to straighten this tooth. Would braces, Invisalign, etc possibly loosen the tooth?

Can straightening teeth w/bone loss cause problems?

Hi Evelyn,
 That is a very astute observation. Yes, correcting rotated teeth is harder with Invisalign than with braces. In the hands of an experienced orthodontist, though, what you can get out of Invisalign is much more. Invisalign by itself is just a piece of plastic. It&nbsp;is the orthodontist who treats the&nbsp;case that needs to dictate the right treatment plan into it. I would still recommend that you see an orthodontist before you commit to one type of treatment. I am not 100%&nbsp;sure if this is how you normally bite down, but your front teeth do not touch and If that is the case, the treatment plan might be different. There should be some overlap between your top and bottom teeth in the front. 
 Best of luck and keep us posted.
Dr Sepi Torkan
iSmile Orthodontics
Redmond, WA

Dear professionals, on my top teeth I have one tooth that is rotated sideways and another that is slightly rotated diagonally. On my bottom teeth, I have one that is slight rotated as well. My issue seems to be only with my front-facing teeth since my molars look and feel normal. I just wanted to know if I was able to get Invisalign despite some of my teeth being rotated, because I'd rather not get braces (since it'd cost the same for my insurance). Thank you!

Am I able to get Invisalign despite some of my incisors being rotated? (Photos)

Sepi Torkan, DDS

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