After Developing a Posterior Open Bite from Invisalign Treatment, the Doctor Recommended Doing Crowns, is This Correct?

Question

Invisalign caused me to have a slight posterior open bite on both sides from my bicuspids to my molars. The doctor wants to charge me to do bonding on 12 teeth to stabilize the bite, and then do crowns on all 12 teeth. This seems drastic, and very costly. The bonding is 1100 and the crowns will cost me about 8000. Is this the most effective way to treat an open bite?

Lance Timmerman, DMD, MAGD · Answer

To fill the space, it can be done quickly with porcelain crowns or onlays, or braces (brackets and wires, NOT Invisalign).  

	 

	$8000 for 12 crowns is EXTREMELY low, so I would suggest a second opinion as well.

John Budd, DDS, MS · Answer

The thickness of the plastic that covers the teeth can cause your back teeth to push up (intrude) into the bone because your jaw is on a hinge and the back teeth will come together first when you are wearing Invisalign aligners.  This should not be corrected with crowns in my opinion.  It should be corrected by making an adjustment to the Invisalign first.  If that is not successful then I would recommend treatment with braces as an alternative but not crowns.

Clark L. Jones, DDS, MSD · Answer

I just saw another posterior open bite from Invisalign last week. Patient is very unhappy with situation and seems to be contacting mainly just on upper left second molar.  Another office did the treatment for a front tooth that was displaced in a softball accident.  The treatment apparently  did not work entirely well, got rather long with more aligners, and now patient has a posterior open bite and can not chew properly.  I took a cone beam CT scan and bite is clearly open in front and back.  The condyles look OK with reduced joint space left.  Don't know how long it has been that way.  I suggested it may be possible posterior intrusion or a possible change of jaw/bite position due to lost neurologic sense of where to bite (engram) ??   I suggested that she stop wearing aligners and try to give teeth time to re-erupt  and/or for the bite to adapt but patient is seeking other opinions also.  I would not recommend crowns as time and adaptive capacity might be able to improve the situation, I would at least try that before other interventions.

Carlo Biasucci, DDS · Answer

This can happen, especially in clenchers due to the thickness of the plastic between the back teeth.  The aligners should be cut behind the canines and allow the back teeth to re-erupt and settle.  Please do this with your dentist's supervision.  Do not have crowns placed to correct this.

Brian Dorfman, MD, DMD · Answer

A Slight Posterior open bite may occur with invisalign, but should be easily corrected by relieving the final alignerer or retainer.  If the open bite is too large for this then something needs to be corrected orthodontically.  Cutting down healthy teeth to close and open bite is probably the last resort after all else fails. You should definitely question someone willing to place 12 crowns just to correct this.  Also $8000 for 12 crowns is VERY low which also sends a red flag.  Please seek the advice of a Board certified Orthodontist before you go through any other treatment, having crowns placed may cause serious issues with your bite and teeth which will haunt you for years to come.

After Developing a Posterior Open Bite from Invisalign Treatment, the Doctor Recommended Doing Crowns, is This Correct?

Answers (7)

Answer: Posterior open bite after invisalign

Answer: Posterior open bite after invisalign

Answer: Do NOT Get Crowns Placed for Posterior Open Bite

Answer: Do NOT Get Crowns Placed for Posterior Open Bite

Recommended reading

Everything you need to know about Invisalign

Our mission is to create a world where every investment in modern beauty is Worth It.

After Developing a Posterior Open Bite from Invisalign Treatment, the Doctor Recommended Doing Crowns, is This Correct?

Answers (7)

Answer: Posterior open bite after invisalign

Answer: Posterior open bite after invisalign

Answer: Do NOT Get Crowns Placed for Posterior Open Bite

Answer: Do NOT Get Crowns Placed for Posterior Open Bite

Browse related questions

Recommended reading

Everything you need to know about Invisalign

Our mission is to create a world where every investment in modern beauty is Worth It.