Back Vs Front Placement of Invisalign Button

With Invisalign, I understand that it is now possible to place the buttonattachments on the BACK of the teeth to make it completely hidden. Is this procedure just as effective as putting the button attachments on the FRONT of the teeth?

What are the disadvantages of placing the buttons on the back of the teeth if any?

Doctor Answers 2

Depends on the tooth movement required and depth of bite

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The location and type of attachment required depends on the actual movement of tooth required. They should be placed into a location where a "pushing" action will deliver the correct movement since aligners are unable to "pull" teeth in any direction as braces can.

Other attachments are used as anchors and these will need to be placed in a location to resist forces of displacement. They should also be put in a location where they will not be broken off when the teeth are closed together.

At times, attachments are placed on the inside of the upper teeth. These may be used as "bite turbos" to help open the bite or torque the teeth. Again, depending on the movement required, attachments on the lingual surface may work as well or better as those on the front.

To keep attachments less visible, more experienced providers are now abandoning the ellipspoid (oval) attachments for a rectangular bevelled one near the incisal edge (biting) surface of the tooth.

Toronto Orthodontist

Placement of Invisalign attachments

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Where the attachments are placed on the teeth is predicated by how the teeth need to move. Invisalign recommends where to place them based on which teeth need to move, how much they need to move and what the bite is like to start. Most attachments on the back of the teeth would be in the way of the teeth biting together and would either break off often (requiring many follow up visits to the dentist to have them rebonded) or be in the way when the teeth come together, preventing you from eating normally.

Gerilyn Alfe, DMD
Chicago Dentist

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.