Invisalign Attachment Concerns

Does the number of attachments change during Invisalign treatment? Will more attachments be added and/or will some be removed?

Doctor Answers 4

Invisalign Attachments

Invisalign attachments (buttons) are placed at the beginning of treatment. Sometimes, towards the end of treatment, you will do a refinement (a few more trays) that may require an extra attachment or two.

Atlanta Dentist
5.0 out of 5 stars 3 reviews

It's different for every case!

I usually put attachments on the 3rd or 4th appointment after you are used to wearing the aligners. I then can remove them later on in treatment if the movements finish early. It really depends on your Dr and you the patient. It can be a nice trick question for your Dr. Ask him if he places attachments on the first appointment? If he says yes then you know that he's not that experienced in doing Invisalign. You may want to find an experienced provider that says they are placed as late in treatment as possible..They are the ones with the real knowledge. Invisalign USA never recommends attachments on the first appointment!

Michael J. Thomas, DDS
Los Angeles Dentist
3.0 out of 5 stars 2 reviews


Generally, attachments are placed at the initial insertion visit or at the visit after. However, the orthodontist or dentist may request attachments to be placed on during various stages of the treatment. This is particularly true of teeth that cannot have ideally placed attachments at the initial attachment placement visit. They can also make particular requests to place attachments only as they are required for specific tooth movements.

Usually, attachments will stay on until midcourse correction or refinement. They can be removed if no longer required, or may remain if those particular teeth still require movements. Your Invisalign provider should be able to tell you about all the attachments for the initial set of trays with the approval of the first ClinCheck.

Jason K. Tam, DDS
Toronto Orthodontist

Attachment numbers usually stay the same

Normally once attachments are put on they stay on until the end of treatment. The template used to place them usually includes all anticipated attachments so you only need to experience it once.

Lance Timmerman, DMD, MAGD
Seattle Dentist
4.3 out of 5 stars 6 reviews

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.