What happens if a missing attachment has gone unnoticed for 9 months of invisalign treatment? Can refinements be made?

I have been using invisalign since January, just noticed an attachment is missing on one of my lower teeth. Orthodontist hasn't mentioned it or even noticed. I am on passive trays for my bottom teeth and active on the top. I am on tray 20 of 31.

Doctor Answers 3

Missing attachment for Invisalign

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Some attachments are more important than others. If your orthodontist didn’t mention anything it was probably not one of the crucial once. He can always add new attachments or remove some of the old once as needed when a refinement is done.

New York Orthodontist

Missing attachments

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Have to agree with Patricia. Some att's are more important that others, since you're in passive aligners it's not likely a big issue, but refinements can always be done to catch up if necessary.

Frank Celenza, DDS, PC
New York Orthodontist

Lost attachments and refinements

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Attachments are designed for 3 purposes: 1. aid in certain tooth movements, 2. resist certain tooth movements, and 3. help retain the aligners in your mouth during Invisalign treatment. Since you are into your passive aligners on the lower arch, now is a great time to ask your orthodontist about the missing attachment and whether or not you need refinement to complete your lower treatment.

Dr. Panucci

Patricia Panucci, DDS
Manhattan Beach 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.