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Posterior Open Bite from Bicuspids to Molars on Both Side Using Invisalign?

I have recently finished 2 refinements with invisalign, and then started feeling intense pain in my upper right jaw. I was diagnosed with TMJ and they believe it is caused by the posterior open bite that I now have. I am wondering why I have this now, when I haven't my whole life, and what could have caused it? My orthodontist never noticed this, I had to go to my dentist who noticed it immediately and referred me to a specialist. A speech therapist also ruled out tongue thrusting.

Doctor Answers 4

August 29th, 2012

Posterior open bite

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This can happen right after treatment. The tongue is in the space because it's there not causing it. Check with your Dr I am sure he can resolve this problem. When not wear the trays the bite will settle in and the TMJ'issues will go away as your bite settles in


Chesterfield Orthodontist

July 20th, 2012

Posterior open bite after invisalign

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This can happen when using invisalign. I would suggest going back to the orthodontist or general dentist who did the Invisalign treatment. If there was no posterior open bite before treatment, there should not be one at the end of treatment.

Leonard Tau, DMD
July 20th, 2012

Posterior open bite after Invisalign

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Since Invisalign covers your back teeth almost full time, there is a tendency to develop a slight posterior open bite.  Usually this resolves quickly when you wear the aligners less often after treatment is complete.

You need to see the doctor who did the Invisalign and let him/her resolve this problem

Robert Waxler, DMD, MS
Saint Louis Orthodontist

July 20th, 2012

Posterior Open Bite Using Invisalign and TMJ

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I suggest going back to the orthodontist or general dentist who did the Invisalign treatment. If there was no posterior open bite before treatment, there should not be one at the end of treatment.

Jay Neuhaus, DDS
New York 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.