Wisdom Teeth Extraction During Invisalign Treatment?

I started my Invisalign treatment, and my ortho now recommends that the 2 wisdom teeth be removed because the trays are not covering them, and therefore they might affect the treatment. Is this true? Will there be any other adverse effect by removing my wisdom teeth mid treatment? I am also curious because all the trays have already been made with the ends of them stopping suddenly at the wisdom teeth, once these are removed, wouldn't that require refinements, and new trays?

Doctor Answers 4

It would not affect your ortho Invisalign Treatment

At the Invisalign Treatment planning, The wisdom teeth are not covered or not effective at the other tooth movement. Just make sure after removal of the wisdom teeth, the aligners are still fit on the other teeth.

Beverly Hills Dentist
5.0 out of 5 stars 1 review

Removal should be uneventful

Refinements would be needed if you were adding to the tooth structure, but since you would be removing tooth structure (in this case, entire teeth), the aligners would not be affected.

Similar to wearing gloves. If you cut off your middle finger, the gloves will still fit. If you grew a new finger, they wouldn't.

Lance Timmerman, DMD, MAGD
Seattle Dentist
4.3 out of 5 stars 6 reviews

Removing widsom teeth now may be more beneficial in the long run

Depending on certain factors, such as age and development, sometimes wisdom teeth, if left alone, can adversely affect ortho treatment; it can cause your newly straightened teeth to mis-align after you have finished treatment. Removing them can be a good idea in that you do not have to worry about any complications they would cause down the road.

The adverse effects mid-treatment would be recovering from the extraction procedure itself; wisdom teeth extractions can sometimes take a little longer to heal, but even then usually within a couple of weeks patients feel okay.

There may be refinements needed and new trays made if teeth have been removed, but it is common to do this with Invisalign; many times as treatment commences changes need to be made and thus new aligners are fabricated.

Clinton Timmerman, DDS
West Des Moines Dentist

You can have those teeth moved at anytime during Invisalign

Having those teeth removed will not affect the trays you have now nor will it affect results if you are wearing your aligners 24/7. You may need refinement regardless of whether the teeth are removed or not. I usually find with most of my cases I need some refinement near the end of treatment. I do, however, recommend you having the 3rd molars (wisdom teeth) removed to avoid any future problems.

Best regards!

James J. Awbrey IV, DMD
Atlanta Orthodontist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.