Can Invisalign Work with Receding Gum Issues That Are Semi-under Control?

Question

My teeth have never been perfect, my right front tooth has always protruded and I have a crown on it dues to an injury as a child. I'm 54 and now, I have peridontal issues (which I try to keep under control with laser treatments and care) and receding gum issues. As a result, my teeth have shifted, and my front tooth sticks out to the point of embarrassment. Can invisalign work with for me when I have receding gum issues that are semi-under control?

Lance Timmerman, DMD, MAGD · Answer

Even if the teeth are straight, the soft tissue and bone supporting the teeth may not look as desired. A consultation with a periodontist would be best.

Brian Povolny, DDS, PhD · Answer

If there is active inflamation in your gums you should get it under control before starting any tooth movement, whether with braces or Invisalign.  Your dentist or a periodontist should be able to tell you with a high degree of accuracy if your gums are healthy enough for tooth movement.  The crown may need replacing in order to obtain the most esthetic result, and if this is planned make sure the dentist, periodontist, and orthodontist coordinate their care.  You didn't mention this but sometimes protruding front teeth can be exacerbated by a bite problem.  If this is the case you may wish to discuss having the bite corrected as well as the teeth straightened.

Scott LeSueur, DDS · Answer

Good direction from other doctors.  Yours is a definite coordination case and periodontal health is important  as is a replacement of your crown and evening out of gum tissues for best end results.  This would end up giving you a gorgeous end result.  Definitely involve your dentist and a periodontist (gum specialist) which he can refer you to to verify gum health.  Your dentist can do the Invisalign, if he is certified, or send you to an orthodontist. The porcelain replacement for the crown can also be done by your dentist but he may want to involve the periodontist with aligning the gum tissues after Invisalign is completed and before the crown is replaced.  Good luck!

Daniel Noor, DMD, PC · Answer

It actually works better than braces in such cases. Part of the reason for receding gums is due to poor bite and poor teeth position and invisalign can treat this issue. Keep in mind, you need to have the gum issue under control first.  Get an evaluation by a Periodontist before starting orthodontic treatment.

Hasan Othman, DDS, MS, PhD · Answer

before you start orthodontic treatment with invisalign or braces your gum (peeriodontal) tissue needs to be under control, so it doesn't get worse during treatment.  Your orthodontist and periodontist will decide on the right management of your teeth and gum tissue.

Can Invisalign Work with Receding Gum Issues That Are Semi-under Control?

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Can Invisalign Work with Receding Gum Issues That Are Semi-under Control?

Answers (8)

Answer: Invisalign & Receding Gum Issue

Answer: Invisalign & Receding Gum Issue

Answer: Invisalign and receding gum

Answer: Invisalign and receding gum

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