Self intruding posterior teeth when using Invisalign

Question

I'm a 28 years old girl. I started invisalign to correct my slightly crooked. Besides, I have too much maxillary height. My ortho said it would improve a bit but to get perfect results I should undergo surgery (and I won't). I've read that invisalign tends to intrude the posterior region due to the forces applied when wearing the trays. I wonder if I could intentionally put a constant pressure when wearing the trays that could cause more intrusion than the originally expected.

Jennifer S. Stachel, DMD · Answer

Dear forabettersmile,Thank you for posting your question on Real Self.  I will do my best to address your concerns with the information provided.It is difficult for me to recommend Invisalign without the necessary diagnostic materials such as X-rays, photographs and digital models. If you are unhappy with the treatment plan provided by your doctor, I recommend scheduling another consultation with an orthodontist in your area for a second opinion.In general, Invisalign does produce intrusive forces, and there are auxiliaries to accentuate the intrusive forces.  Surgery of course would give a more pronounced result.  If you are totally against surgery, you may speak to the orthodontist about possibly pursuing Invisalign treatment to straighten the teeth and re-evaluate the results once complete.  I hope that this helps and good luck!Best,Dr. Jenn

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