Is there anyway to get a difficult upper incisor back on track? (Photo)

Question

I’ve already had a midcourse correction. Moved into tray #7 of midcourse correction and noticed lack of tracking. Moved back into tray 6 for 2 more days, but tray got very loose and uncomfortable. Teeth were no longer “wiggly” so went back into #7 today. Incisor is behind the upper canine, so I know it is a difficult movement to achieve. Dentist is against extractions and (dentist does Invisalign. I don’t have an ortho) already did one midcourse correction. Using chewies and getting discouraged.

Emery Cole, DMD, FAGD · Answer

Yes, you can correct a crossbite with Invisalign but there needs to be enough space for the tooth to move into....the "gap" between your teeth needs to be at least as large as the tooth moving into the space.  The Invisalign dentist will rely on 3 things, 1) Proclination- or slightly flaring the adjacent teeth OUT 2) IPR-slight reduction/polishing of the enamel on the sides of the teeth where dental floss normally would touch 3) Virtual C-Chain- this is when all the teeth are pulled together tightly AFTER the tooth moved into the correct position.  Although I have done this in the past, today, I would consider utilizing PROPEL to make the movements quicker and easier especially if you have a tooth/teeth that are stubborn.

Neal Nealis, DDS (retired) · Answer

Dear kylesgirl84, I understand your frustration with midcourse corrections not performing. The movement that your dentist is attempting with invisalign is a difficult movement for this technique. He might consider placing brackets and wires on the fronts of a few teeth to combine invisalign with traditional orthodontics. Dr. Neal

Is there anyway to get a difficult upper incisor back on track? (Photo)

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Is there anyway to get a difficult upper incisor back on track? (Photo)

Answers (2)

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