Need advice on Invisalign or braces and removing bonding on my front teeth. (photos)

Question

I had a 2mm space between my front teeth closed with bonding 9 years ago. Now I'd like orthodontic work done to close the gap without the bonding and to push my front teeth forward as they tilt back. I've had two consults and both want to leave my bonding in. I don't see the point of doing Invisalign or braces to be left with a gap and bonding to take care of. Am I being unrealistic?

Lance Timmerman, DMD, MAGD · Answer

I have done cases exactly like this, resulting in a closed space with teeth that are the normal width.  It is easier if the clinician that does the orthodontics is also the one removing the bonding, but I would not trust Invisalign to do this case.  You should use traditional brackets.  Getting the proper angle will be nice (as you describe they tilt inwards).  This can help with how you bite as well.It is possible/likely that in the end you may need some more restorative work.  Sometimes crowns or veneers that are connected will help keep the gap from coming back as well as correct chips or wear in the enamel.

Sarah Thompson, DMD · Answer

If you were my patient, I would recommend leave the bonding in place as I use Invisalign to bring your teeth forward to adjust your bite.  Once your teeth have moved forward enough, I would recommend placing veneers on your teeth.  This would be your best case scenario in my opinion.  Conversely, you can try only using Invisalign or metal braces and find that the look of your teeth will improve, but not give you anywhere near the appearance accomplished by moving then, veneering your teeth.  I would not keep the bonding in place for more than just a temporary time period to allow the teeth to move forward.  Bonding usually stains very quickly and and must be redone time and time again to maintain it's proper appearance.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMD

Norman Huefner, DDS · Answer

Closing spaces with Invisalign or regular braces can be very challenging and sometimes unpredictable and unfortunately in some cases not even possible.  It is possible that your dentist/orthodontist believes that if the bonding is removed and the teeth straightened forward, that there will be too big a gap and you would need bonding or veneers again.  Or, if your teeth were prepared in any way (i.e. removing enamel and reshaping the teeth) that after the bonding is removed the teeth would be abnormally shaped and possibly very sensitive.Your dentist/orthodontist would be in the best position to make the decision on whether to remove it or not, so trust his advice.  If you don't trust him/her, then find someone whom you do trust!By the way, it looks like your dentist did a great job with your bonding!!!

Need advice on Invisalign or braces and removing bonding on my front teeth. (photos)

Answers (3)

Recommended reading

Everything you need to know about Dental Bonding

Our mission is to create a world where every investment in modern beauty is Worth It.

Need advice on Invisalign or braces and removing bonding on my front teeth. (photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Dental Bonding

Our mission is to create a world where every investment in modern beauty is Worth It.