Dear Professionals, I wish to inquire if Invisalign clear aligners could rotate tooth 28 from 90 degrees off ideal back into the correct position. I was told that I would need braces to fix that first before even thinking about fixing the other crooked teeth and non ideal bite. What is your opinion on this, could Invisalign help? Thank you in advance for your time.
October 23, 2017
Answer: Rotating teeth with Invisalign I have used both braces and Invisalign to rotate teeth and I will have to say that rotating teeth is one of the more difficult movements to accomplish using Invisalign. This is because the aligner needs to place force on the tooth in a way to rotate the tooth, and round-shaped teeth such as lower premolars (the one you need rotated) are the most difficult to rotate. Attachments on the tooth are required, and even with attachments on, moving the tooth can be unpredictable and frustrating. I have found that using fixed appliances (brackets and wires) to rotate a tooth is very predictable and much faster than Invisalign.
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October 23, 2017
Answer: Rotating teeth with Invisalign I have used both braces and Invisalign to rotate teeth and I will have to say that rotating teeth is one of the more difficult movements to accomplish using Invisalign. This is because the aligner needs to place force on the tooth in a way to rotate the tooth, and round-shaped teeth such as lower premolars (the one you need rotated) are the most difficult to rotate. Attachments on the tooth are required, and even with attachments on, moving the tooth can be unpredictable and frustrating. I have found that using fixed appliances (brackets and wires) to rotate a tooth is very predictable and much faster than Invisalign.
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October 20, 2017
Answer: Yes. A dentist can do this with Invisalign I have rotated teeth like this into proper position using Invisalign. I generally prefer to use a vertical high profile attachment and recommend a circumferential fiberotomy once it is in place. It looks look tooth 20 not 28 though unless this is a reversed photo. Be sure to wear your aligners exactly as instructed!Doug Jopling, DDS
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October 20, 2017
Answer: Yes. A dentist can do this with Invisalign I have rotated teeth like this into proper position using Invisalign. I generally prefer to use a vertical high profile attachment and recommend a circumferential fiberotomy once it is in place. It looks look tooth 20 not 28 though unless this is a reversed photo. Be sure to wear your aligners exactly as instructed!Doug Jopling, DDS
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