Damon Clear Braces Vs Invisalign for an Open Bite? (photo)

Question

I am 43 yr old with an anterior open bite, minor cross bite and some minor crowding issues. I had braces from age11-15 includ. a plate expander. I am a mouth breather with a tongue thrust. I am considering orthodontia for improvement in my smile & hopefully bite. Should I consider Invisalign or would a traditional bracing system such as the Damon Clear be a safer bet and quicker solution. (Not demanding a perfect smile, just a better one & maybe the ability to bite certain foods easier).

Robert Passamano, DDS · Answer

There's usually only one scenario where I recommend Invisalign over braces (almost every time in adults) and that's Invisalign.  Braces can make your open bite worse based on pure biomechanics.  Invisalign has intrusive effect and likely to improve any open bite without making it worse.  In this case, I chose Invisalign over braces.  

	BTW:  Damon Braces is just a fancy marketing term for self-ligating braces.  There's over 60 types of those braces on the market.  The magic is in the wires, not brackets.

Lance Timmerman, DMD, MAGD - Account Suspended · Answer

A more traditional approach would be best, as the more complicated a case becomes, the greater the demands.  With a crossbite, tongue thrust and anterior open bite, you are asking a lot of Invisalign.  It is not that it can't be done, just that it may take longer and cost more.

	An experienced orthodontist is best, as well as a speech therapist.  If the tongue thrust is not corrected, nothing you do will last.

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