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POSTED UNDER Invisalign REVIEWS

More Invasive Than I Expected - Columbus, OH

ORIGINAL POST

I am on aligner set 3 out of 15. So far, my...

ScienceGal2013
$5,400
I am on aligner set 3 out of 15. So far, my feeling is that this method is much more of an invasive orthodontic treatment than I expected based upon how it is marketed to consumers. I chose Invisalign because I thought it would be literally nearly invisible, would not affect my speech beyond the first few days, and would be removable for special occasions, leaving me looking "normal" at those times.

In reality, I think it is only slightly less noticeable than clear braces would be, especially after the news was sprung on me at my 4th visit that I would be getting 14 attachments bonded onto my teeth that day, including my upper front teeth, and have sanding done between teeth. I was shocked, because my teeth were not that crooked/crowded anyway, and because the dentist never, ever mentioned attachments, nor did I know to ask. My first two aligner sets did not require the attachments. Had I known about them, I might not have moved forward with the procedure. At minimum, I would have been prepared for the fact that people would likely be able to tell that "something orthodontic" was going on with me. It is surely not invisible, just not plainly obvious like metal braces would be. Because of the attachments, I cannot just remove my aligners on a special occasion and look like I have normal teeth. They are bumpy teeth to anyone within maybe 3 feet of me, and I dislike that.

As far as speech goes, it took me 3-4 weeks to lose the lisp, and I still have subtly different speech when the aligners are in place.

Aside from my disappointment at the aesthetics of wearing the aligners and having the attachments and the slight speech problem, dealing with the aligners themselves has not been difficult. I only eat 3 meals per day now, with no snacking, and I only drink water or rarely vodka and club soda or white wine with aligners in place. I brush my teeth and the aligners after every meal, and I soak the aligners in Retainer Brite in the morning. Because I am not snacking, I have lost weight - almost too much weight for my frame - and might need to start supplementing calories somehow. People should be aware of that, as a pro or a con depending on their body types. I've never had any trouble with the aligners staining or having an odor.

I suspect I will have good results once I am done with Invisalign, but I definitely feel like the manufacturer and my dentist use a hard sell to get people to commit to it and overstate the invisibility of this method.

ScienceGal2013's provider

Mark Raisch, DDS

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Dr. Raisch has a great chairside manner and a practice that runs smoothly and effectively considering how many appointments are going on simultaneously. I never waited more than five minutes to be seen. The cost of treatment was probably slightly higher than average for the region, but it included refinements/contouring and retainers, and they facilitated no interest financing for the part of the cost I didn't pay up front. The office is very lovely, high tech, and located near my house. The treatment worked fairly well. Dr. Raisch has done lots of Invisalign and is adept at stepping in and doing IPR as needed during treatment. My only problem was that we had several miscommunications. I thought I knew what to expect at an appointment, but it turned out that I was occasionally very wrong. At the initial consultation, I thought we were talking about aligners for my upper teeth until I got the estimate at the front desk for upper and lower aligners. The estimate assumed more benefit from my insurance than I was able to get, so I ended up with an additional $300 bill that I hadn't expected (not under their control, I know). I was not told how long my treatment would last or shown ClinCheck graphics, although I figured out treatment length at home by looking at the aligner bags. I had NO idea at all about the attachments until I went to a recheck appointment and was prepped for them, and I was so upset not to have been forewarned that I almost bailed on treatment right there. We had an end date set for treatment, involving contouring and retainer fitting that day, but it turned out not to fit into the schedule (I absolutely would have scheduled it for another day had I known it!). I was stuck waiting in my last set of aligners for 4 weeks. I've never been a difficult patient for any doctor, so I feel that there was a particular communication issue going on here. If I had it to do all over again, I guess I would have asked more questions, but I didn't realize I wasn't asking the right things. For instance, I picked this treatment route because I wanted something nearly invisible, which we discussed extensively before treatment, so I assumed that when the plan came back with 14 attachments, including my upper front teeth, I'd have been forewarned.

Replies (1)

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April 29, 2013
I am at the same phase as you (3 out of 15) but am hoping your outcome outweighs the current things you're going through. I too didn't know about the attachments but mine aren't on the front of my teeth like yours. I haven't had anyone recognize the aligners being in - I actually have to point it out to most. Again - I wish you much success on your alignment!! Keep posting...
UPDATED FROM ScienceGal2013
3 months post

Aligner set 6 - settling in for the long haul

ScienceGal2013
I'm on aligner set 6 out of 15, and I am starting to see minor results. My two upper front incisors look straighter, although my upper second incisor (always the most crooked tooth) still has a long way to go. My bottom teeth were only ever mildly crowded, and they are much, much better already. It is clear that I will need some minor sanding and/or bonding of the bottom edges of my two front teeth at the end of this process in order to make them even, since they are worn based on how they used to be aligned.

I've had two minor problems related to my attachments. One attachment actually pulled off the first time I removed aligner set 5, and another attachment got stained by something (barbecue sauce?). I went in to have both fixed, and my dentist said that the stained attachment had an air bubble in it, which is why something was able to stick there. He had to remove that attachment and reapply it as well. I've also needed IPR (sanding) on three different occasions.

I've noticed that my aligner sets sometimes get scuffed where my top and bottom incisors meet by mid-way through the second week. They still seem to work, but the feeling of rubbing my tongue across the scratchy area is somewhat annoying. I've trimmed off strands of material with fingernail clippers a couple of times. I wonder if this is a common problem with the new SmartTrack material.

Overall, I am still feeling self-conscious about my mouthful of plastic when I smile at people, but at least I sometimes forget I am wearing the aligners. I've had no problems taking care of the aligners and really only minor pain after switching to a new set.

Replies (1)

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June 5, 2013
I always wondered how invisible they were to other people. When I look in the mirror I can obviously see them because I'm looking for them (and I have front attachments...). But no one has said anything or questioned weird bumps on my teeth. That is until today (after 3 months). But I think it's because they noticed I had bands in and didn't understand why. My parents say the attachments aren't noticeable (parents being parents, maybe? haha). I get a little self conscious now. Especially when I change trays because they're so shiny I think they stick out more...so I kind of like them a week in when they have a bit of a used look to them and don't seem as noticeable. Good luck!
UPDATED FROM ScienceGal2013
4 months post

The end is in sight!

ScienceGal2013
Aligner set 10 of 15 now, and I can see a real difference. My bottom teeth are almost completely straight, and my top teeth are probably 2/3 straightened, as would be expected. I do feel like one tooth with attachments is overcorrected, and I hope it resolves as its neighbors fall into place.

As they have become straighter, I think the aligners have become a bit less noticeable. I still loathe the attachments I have on my upper front teeth and was happy to have them off for a few days so that I could go to a class reunion without them. It was uncomfortable having them removed, though, so I anticipate that the visit I have at the end of all of this won't be a fun one (I will have 14 attachments to remove).

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