I Got a Filling Today and Invisalign Isn't Fitting Right? What To Do?

Since the fit of your aligners needs to be exact, and the tooth you mention has had its 3-dimensional shape changed with a filling, there is a problem.  See if your ortho and dentist can arrange to have this tooth recontoured to fit the aligners.  If not, a new impression will have to be taken and a "midcourse correction" done.  This might trigger additional fees --or not -- depending on the particular product you are using.  One other note: it is possible that in special circumstances the aligner could be altered.  This might be the case if the tooth in question (and adjacent teeth) are not scheduled to be moved at all in the remainder of treatment.  Perhaps, in a case like this, a slight trimming of the aligners might allow them to seat fully.

Short Answer: Call your ortho and get them in the loop. There are things they can do. The sooner you do this the better.

Long answer: It is critical to the effectiveness of your trays, to fit exact. Once a tooth surface is changed, even a little bit, negative tooth movements can occur to that tooth and others. This can add cost and time to treatment is corrected.

The ideal thing would have been to communicate with your dentist and orthodontist before your had your filling done. NO DENTAL WORK OTHER THAN CLEANINGS SHOULD EVER BE DONE DURING ACTIVE INVISALIGN TREATMENT.

A thorough check-up should be done prior to starting treatment, so there are no surprises. Any needed fillings should be completed prior to your in ital Invisalign impressions ever being taken. This is so critical that our office will not allow our patients to begin treatment until we have personally contacted their dentist and they have confirmed to the best of their ability they see no future restorative work needed in the next 1-2yrs, if proper hygiene is maintained and checkups kept. We have never needed any patient to even have dental work done during active treatment when this protocol is followed.

Of course there are those with softer enamel. Those patients are instructed to preform daily fluoride treatments and see their dentist more frequently. As life sometimes happens and a surprise cavity occurs, if the dentist and the orthodontists work together a filling can be made to fit the current Invisalign tray to insure proper fit. The tray will actually be used to fabricate the filling on the tooth.

All that said, if that was not done. Refinement impressions can be taken by your orthodontists to "start over: from where you are now. A fresh set of all new trays will be made. Call your orthodontist immediately and get them in the loop. There are things that can be done.