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Are you having lots of questions about getting...

Are you having lots of questions about getting your teeth straightened? I know I have! Reading reviews on this site really helped me, and I’d like to share what I’ve experienced, and questions!
WHAT CAN I EXPECT DURING THE FIRST CONSULT?
First, the orthodontist/dentist will check your mouth and teeth to see if you are a good candidate. If you are, they will then take ‘records’, or make impressions of your teeth. If you decide on Invisalign, the next step is ClinCheck. At least this is how it went for me.
CLINCHECK
ClinCheck, or Invisalign’s computer generated images of how my teeth would be moved, showed most movement would be with my bottom front crowded teeth, and not my molars. I’ve heard Invisalign is not able to move molars, and if you need this done, you must go with traditional braces. Here’s what I wish I would’ve asked at this time: How many attachments will there be? Why is each attachment shaped the way it is, or what kind of movement will each attachment make? How will attachments be placed? How will this harm my teeth when the attachments are placed and also when they are removed? What kind of precision is taken when placing attachments?
A time frame of 10 months was given for me to wear a series of 19 aligners. Time frames and the number of aligners varies, based on how your teeth need to be moved. Here’s what I wish I would’ve asked at this time: Can I expect additional aligners during a period called ‘refinement’ and what is the cost? What if my teeth haven’t aligned to the point where I have a good bite? What options will I then have? What type of refund can I expect if the process really doesn’t work for me?
THE DAY I RECEIVED THE INVISALIGN ALIGNERS:
Invisalign sends two different sets of aligners for the first day. One is a template that fits on your teeth and has places shaped like the attachments which the dentist will fill and cement onto your teeth. The other set of aligners you wear home, and for the next 2-3 wks.
First, the dentist checked how the template fit on my teeth. He then asked his assistant to polish my teeth. After polishing, the dentist and his assistant added 8 upper and 4 lower attachments to my teeth. I didn’t realize I would have this many attachments! I’d been told little movement was required! Maybe, it had been on my Clincheck, and I wasn’t paying attention?
The process of placing attachments didn’t take long and was relatively pain free. You can Google it to learn more. Use key words in your search, like, “installing Invisalign attachments”, to see videos and get additional information. 
Notice how precise it looks and how easily the template comes off afterwards.
Once the attachments are created, the template is removed. The dentist had great difficulty removing the template from my teeth, and I could tell he was using a pick or sharp instrument to try and get under it and loosen it. It took a while before the template came free. When I asked the dentist about it, he said the template had become attached to the bonding. Is this to be expected?
I also expected the attachments to be very precise, with only bonding where the attachments are placed on the teeth. What I came away with is bonding material all over and around my teeth. So much bonding that I was not even able to floss between two of my teeth and had to try and break thru it with my floss. A bit of bonding extends onto my gum, far from where the attachment is placed. My question is.. is the dentist doing the best he can? Or, in other words, is he being sloppy? If the placement of my attachments is not as precise as it could be, how do I go about finding a provider with precision?
I then received the first aligner which I wear for the next 2 or 3 weeks. I also received the second aligner and made an appointment for one month later. The contract says I am to meet with the dentist once a month.
PAIN RELIEF
I was told the first two days of wearing the aligners would be the worst pain while teeth adjusted. I’d learned quite a bit about pain management a few years before when I had suffered severe migraines. The biggest consideration is to medicate before the pain worsens, so about an hour or two before I went in to receive the aligners, I started taking a small dose of Aleve. It was the best medication that had worked for the migraines, and I had tried them all, Tylenol, Advil, etc.
You can find many more by googling “chart for pain medication”
As a result of staying ahead of the pain with Aleve, I experienced no discomfort from tooth pain, However, the mouth sores for the first week were severe and extremely painful.
THE 1ST WEEK OF ALIGNERS
When I first put the aligners in at the dentist’s office, I noticed sharp edges with the fit not exactly right. I asked the assistant about it, and she said I’d have to wait for the dentist to come back, as he would know more. I decided it was just me getting used to something new in my mouth and left.
The next day, I flew out of town for a week. The dentist said it would be ok, and I was looking forward to having something else on my mind now that I’d taken a huge step in straightening my teeth.
What I experienced was horrible pain over the next week from mouth sores. The sharp edges cut into both my tongue and inside of my mouth. The largest cut was along the right, back edge of my tongue. The largest canker sore was at the front, right, bottom corner of my mouth where the attachment bud felt like a slice of plastic would catch my mouth lining whenever I talked. I know I was not making up how sharp the aligner edges were because I was getting deep, sharp paper-like cuts on the ends of my fingers when I removed the aligners.
Online, I read that people filed the sharp edges with a nail file. I learned quickly to identify the sore spots in my mouth BEFORE I took the aligners out. Then I knew what parts of the aligners to target. I arrived home from my flight at 10 pm a wk later, and had an appointment to meet with my dentist at 7 am the next morning. I told my dentist’s office I’d suffered horribly from the pain. He took the aligner to a different room and after two tries, I could tell a little difference in sharpness. He asked his assistant to take the 2nd tray of aligners and file them until I said they were smoother. I couldn’t fit them in my mouth yet, and all I could do was attempt to run my tongue along the edges to see how rough they were.
What I learned is how sensitive the tongue is! Spots I thought were smooth to my fingertips were riddled with sharp points to my tongue.
Following are helpful things to use and do for sores in the mouth that result from the very sharp edges of Invisalign (These items can be found near the toothpaste at the drugstore):
• The best was Gly-oxide, which is a mouth rinse that foams and helps it all feel better
• Canker Cover, small buttons which cover the cankers and helps protect them
• Each day, I swish coconut oil around in my mouth. You can find more information by googling “oil pulling”
To clean the aligners, I turn them upside down in a bowl and fill them with Peroxyl, or a similar product, that really freshens them. I just rinse & pop them back in my mouth. If I’m out and can’t clean my teeth with a tooth brush, I chew sugar free gum, spit it out, and then pop in my aligners.
My son, who’s a mechanical engineer, said he removes rough spots on his retainer with a Dremel.
Online, I’ve also read that we are receiving an unfinished product from Invisalign because of the sharp edges. It seems invisalign changed the plastic it uses, and changed the finishing of the edges. They used to be rolled, but this caused people to have trouble removing them from their teeth. Now, the new plastic is simply cut. My questions are, where do I find more information, so I don’t have to go thru all the sharp edges and severe cutting of my mouth lining and tongue with each new set of Invisalign? I do not value the unfinished Invisalign product I am receiving. This is seriously painful!
THE QUESTIONS I’VE HAD THIS PAST YEAR:
Do I have my teeth straightened, or not?
Over the past year, I consulted with six different dentists, trying to get information.
One dentist said what I really need to ask is, “When I get up in the morning, what do I want?”
I replied, my most important question is a different one. It’s, “When I eat, how do I want it to feel?” and “When I swallow, how well do I want my food chewed?”
My concern is my bite, both achieving my bite and maintaining it over time.
This dentist suggested I could do nothing and leave the space open since I should have no further complications. He said I have been overworking the left side of my mouth because of the crowding of my lower teeth.
What I notice, though, is that I am not able to thoroughly chew my food because my teeth do not fit together. As a result, I swallow larger bites, making my stomach overwork.
…..
When I asked the dentist I had been going to if I should have braces, she wrinkled her nose and said no because it’s just cosmetic. She had taken over the practice a few yrs ago after my original dentist retired. This office has limited equipment, including x-ray, and everything looks exactly the same as it did 20 years ago when I began going there.
…..
MY HISTORY:
How the most severe pain caused by a tooth without a cavity can change your life.
I’m 57 and, as I said, have looked into straightening my teeth. This would be before I get an implant to replace a cracked tooth I had to have extracted.
A year ago, I realized my mouthful of teeth is ticking time bombs. The cause? A cracked tooth, without even a cavity, was causing severe, intense pain over the course of a few days that my original dentist was unable to diagnose until a couple months later when an abscess arose. We finally knew the cause was a crack and not the sinus infection she had suggested based on symptoms and an x-ray.
I paid an endodontist for a root canal in an attempt to save my tooth. He said the longer he drilled, the worst the crack was, and the higher likelihood my tooth would need extracted. He drilled and drilled and drilled more and more until I heard what I didn’t want to hear. The tooth would need extracted. With the crack, he said, I’d had the motto, ‘Go big or go home.’ The crack extended into the root, along with multiple smaller cracks.
The tooth hadn’t flared all at once, but had been slowly flaring and cracking through the past 5 or 6 years. I’d thought the pain all those years had been coming from a tooth in front of it that, years before, had a horizontal crack and now had a large filling.
I didn’t want to have the cracked tooth pulled but because of the severe pain I’d experienced, I would do about anything to correct the problem. The tooth had to come out and I had to prepare myself to follow through and found strength in prayer.
The oral surgeon was able to get me in as soon as possible, and it didn’t take long to have my beautiful, cavity free, root canaled, recently very painful tooth extracted. The problem was I didn’t take time for the consultation meeting I probably should have had before he pulled it. The result was I needed to make a quick decision on whether to have an implant. It would provide me with a new, permanent tooth to support my jaw structure and surrounding teeth. Not knowing what to do, I agreed to the bone graft which is the first step in the implant process and must be completed when the tooth is pulled.
I didn’t know I had a choice of bone material until I asked the assistant where the bone material came from. She said it comes from either human cadaver bone or bovine (cow). I asked for bovine, and she put away the cadaver bone material they had pulled. The bovine didn’t bother me since I eat a lot of red meat, and I’m not sure about implanting another person’s bone unless absolutely necessary.
The tooth was pulled. I followed the instructions for recovery with ice packs exactly as directed, and did not experience swelling or bruising.
When I returned for the follow-up, the surgeon said the site looked good, then corrected himself and said it looked even better than good. Wonderful words to hear!
When he strongly directed me to have an implant, I said I was concerned about putting a permanent implant into a space in which the surrounding teeth may need straightened. He referred me to an orthodontist, highly regarded, who had done the oral surgeon's children’s teeth.
The orthodontist was very informative and shared that I was wise to look into straightening my teeth before an implant. An implant is permanent because of its placement into the jaw and makes it impossible to later straighten teeth. His team took extra care to be precise. The first time his lead assistant put the goo and tray in my mouth, she was not able to get my wisdom teeth, but I could tell by looking at her thinking, that she was determined to get a clear record of all my teeth, and was asking herself how to accomplish it. When she tried the second time, she got a clear impression of all my teeth.
What I found, though, was that I would be engaging several different doctors in the orthodontic and implant process. They included an orthodontist to straighten my teeth, an oral surgeon to place the metal device into my jaw, and a dentist to place the crown. I wondered how to coordinate it all, especially when the oral surgeon left on sabbatical, and the dentist said orthodontics wasn’t needed because it was just cosmetic.
After extensive research and more time, I found a single person, a local dentist, who would perform all of these steps in the process of achieving my bite. What I especially valued about him was his ability to identify and communicate how my teeth connect with the larger system of my mouth and digestion. He would be able to complete the three processes I would like done. These are straighten my teeth, do an implant for a missing tooth, and provide the crown for the implant.
He alone talked with me about my enlarged tonsils, took time to explain my full mouth x-ray, pointing out how my left jaw had been compromised, and shared information about my nasal passages and the bone structure of my nose. He didn’t know I’d had rhinoplasty 40 years prior , yet was acknowledging the structure of my nose. This further impressed me with his ability to clearly and efficiently look not just at a tooth, but my missing tooth and my total body systems surrounding it.
He made me aware of the total function of my mouth in regards to my bite by pointing out that my upper teeth are arranged in a U shape, which they should be. My lower are arranged in a V shape , resulting in an uneven bite which some form of orthodontics could help fix.
He had beautiful scenes like blue skies & gentle clouds covering the long overhead lights, a therapy dog, and a consultation room. I wasn’t sure, though, about his assistant. She hadn’t taken the time and precision the highly recommended orthodontist’s assistant had in getting complete molds of my teeth. Rather, this dentist’s assistant, when instructed by the dentist to do a second record for Invisalign, did not seem to take time to problem solve. Rather she did a similar process to her first failed attempt, saying Invisalign would just have to take what she did. She was also involved in the placement of attachments which I am questioning as sloppy.
THE PROSTODONTIST
In between it all, I’d gone to a highly regarded prostodontist who recommended I keep my wisdom teeth. They would provide support to surrounding teeth, as well as support to the implant next to one of my wisdom teeth. When I asked about the life of a wisdom tooth, he said it’s common to see them in patients who are in their 90s. His assistant wholeheartedly agreed.
WHAT I REALLY WANT
My main concern is my bite over the course of my life. I want to be able to chew, and chew well.
What I’ve really learned is how important the mouth and teeth are to my overall health and well being. I’ve been blessed with, and have enjoyed, good, strong teeth. I have cared for them daily and with yearly checkups. My cracked tooth, I was told, was not something I could have prevented.
This is the history that led me to Invisalign.