Invisalign causing isolated tooth sensitivity?

Question

After 8 months of Invisalign regular treatment, I started refinements 2 weeks ago. Since then, I have a growing sensitivity in one tooth, #3 (w/7 year old crown). My dentist says I'm probably clenching or grinding and it'll go away eventually. I just had a 6-month checkup with full x-rays, with no issues. No cold or hot sensitivity. It's OK to eat on, though some foods cause more sensitivity. This is the only tooth bothering me. Anything to stress over? I think I do clench, unfortunately.

Neal Nealis, DDS (retired) · Answer

As with any orthodontics it is imperative that at the end of treatment the dentist adjusts your bite. This is very important. Your sensitivity is nature's way of telling you that something isn't fitting correctly. If your dentist doesn't adjust the interference, nature will, and Nature uses enormous forces which can affect the teeth, bones and joints. Best to have the dentist do the adjustment.

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