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

Question

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.

Tanya Vaysman, DMD · Answer

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.

Frank Celenza, DDS, PC · Answer

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.

Patricia Panucci, DDS · Answer

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

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

Answers (3)