Are "Buttons" Necessary for Invsalign Treatment?

I just began invisalign treatment. With the first set of aligners, all of the "buttons" popped off the first day, yet my teeth still moved over the two week period so that the aligners were almost loose. On my second visit, they reattached the buttons. However, now it takes me almost 5 minutes to remove the bottom aligner and it feels as though I am either going to pull out my tooth or my crown. Plus it hurts!!! Can the same treatment be accomplished without the buttons?

Doctor Answers 2

Invisalign buttons are necessary when they are necessary

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Some cases don't need buttons at all, and others need many.  Buttons apply forces to the teeth that otherwise won't move as desired.  While you noticed some movement, it likely wasn't as much as desired when the treating Doctor and Invisalign planned out the case.

I would say that if buttons are part of your treatment plan, then you need them.  Anything less will give a less than desired result.

Invisalign "buttons"

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Invisalign buttons are used to aid in tooth movement. Some movements can better be accomplished with these "buttons", also known as attachments. Your teeth will move with and without the attachments, but some certain movements, like rotating teeth, are move effective when using buttons. It is hard to say if the same movement can be accomplished without buttons as I have not seen your case, but most likely if Invisalign put them there, then they are needed for the fastest and most efficient treatment with the best outcome. 

I always tell my patients that if they do not want attachments, the treatment may take longer and that there may be a slight compromise in the final treatment result  (depending on the exact movement we are accomplishing.)

Gabriela Hricko, DDS
New York 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.