What Level of Pain is Expected when Applying the Invisalign Attachments?

What level of pain is expected when applying the Invisalign attachments? Should jaw soreness or stiffness from the procedure be expected? What aspects of getting attachments are uncomfortable? For how long?

Doctor Answers 6


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The actual procedure of placing the attachments should not be any more discomfort than attaching something to your fingernails.

Then, after inserting your aligner there would be some soreness but not of a significant nature. You can preload with Aspirin or Tylenol immediately to make it more comfortable. By preloading you will be more comfortable even the next day.

Encino Orthodontist

Invisalign is very comfortable.

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When applying the attachments or buttons there is no discomfort at all.  Once applied the attachments wlll cause the trays to feel a little tighter and you may experience some slight discomfort when you place a tray for the first time but the application is painless.

Leonard Tau, DMD
Philadelphia Dentist
5.0 out of 5 stars 3 reviews

No pain with the clear advantage Invisalign

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Their should be absolutely no pain associated with the attachment procedure.  Attachments are tooth colored buttons that are bonded to specific teeth for added anchorage and to allow the trays to dictate the proper movement.  The attachments are bonded to the enamel of the teeth in a very short amount of time.  Their is absolutely no pain or discomfort with the bonding process.  Some cases require no attachments and some require a few attachments to help with the alignment process.  The attachments usually stay on the teeth throughout the entire Invisalign treatment., and then are removed prior to the fabrication of retainers.

Jimmy C. Wu, DDS
San Diego Dentist

Invisalign is very comfortable

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The level of pain associated with applying the attachments with Invisalign is the same as when brushing your teeth (meaning not much).  If your jaw is sore from opening your mouth to brush your teeth, then yes, you will have soreness.  But that is about it.

The teeth that get attachments (and normally very few) get cleaned and a chemical is placed to enhance the bond.  A tray with the button material inside is placed and after the attachments are secure, the tray is removed.

That's it.

Should I Expect Pain With Invisalign?

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One of the disctinct advantages of Invisalign vs. convenctional braces is the increased level of comfort. You will experience ZERO discomfort placeing attachments. There is no anesthesia and no trauma of any kind. The dentist will place a small bit of chemical to etch your tooth (increase the suface area for best bonding retention) then the dentist will paint adhesive on the etched surface of the tooth, a light will be shined to cure the adhesive then an attachment placing template will be placed on your teeth which is filled with tooth colored material that will be hardened by a curing light. When the template is removed from your mouth the hardened tooth-colored material remains glued to your tooth and now serves as an "attachment." Attachments are used to increase the effectiveness of the aligners in performing the desired tooth movements. The average number of attachments in a given case is 3-4 per arch. That means 3-4 tooth colored SMALL "bumps" on surface of your teeth.

Good luck!

Invisalign attachments are very easy to apply

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There should be absolutely no pain associated with applying attachments for Invisalign, but you will need to keep your mouth open for a little while, so there may be a little jaw discomfort if you are prone to that. Otherwise, it does take a couple of days to get used the attachments rubbing against your soft tissue when the aligners are not in and covering them, but this is usually very minor.

Andrew Orchin, DDS
Washington DC 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.