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I Had Invisalign but Stopped. Do I Need To Start the Process Over?

June 21st, 2024 | 5 min read

By NYC Smile Design

Invisalign

You’ve embarked on a journey to achieve your ideal smile with Invisalign, but unexpected interruptions have left you wondering how to proceed. Whether it's due to discomfort, lifestyle changes, or financial constraints, you face the challenge of deciding: Do you need to start over, or can you continue where you left off?

At NYC Smile Design, we see you as the hero of your own story. With our years of experience in orthodontic care, we’re here to support you in overcoming these obstacles. In this blog, we’ll provide you with the guidance and tools you need to navigate the next steps after pausing your Invisalign treatment. We're committed to helping you move forward with confidence, ensuring your journey to a perfect smile continues seamlessly.

What is Invisalign?

Invisalign is an innovative orthodontic treatment that has transformed the way we approach teeth straightening. Unlike traditional braces, which use metal wires and brackets, Invisalign utilizes a series of custom-made, clear plastic aligners to gradually shift teeth into their desired positions with carefully controlled sequential movement. These aligners are crafted from a patented thermoplastic material called SmartTrack, which is engineered for optimal comfort and effectiveness.

Invisalign when using Dental Monitoring

Understanding Invisalign Treatment Interruptions

Interruptions in Invisalign treatment can occur for various reasons, particularly among patients who have misplaced their aligners or forgotten to wear them consistently. These disruptions can significantly affect the treatment's progress and effectiveness.

Misplacing Aligners

Losing an aligner can be a common occurrence, especially given its removable nature. Whether it’s accidentally thrown away after eating or misplaced during travel, losing an aligner interrupts the sequence of treatment. It's important to contact your dentist immediately to discuss the next steps, which could include moving to the next set of aligners or placing the prior aligner in to hold your teeth in position and then ordering a replacement of the one that is lost to pick up treatment where you left off. It is important to understand that aligner treatment provides controlled sequential movement from one aligner to the next. An interruption in the sequential movement introduces error and does not allow the planned movement of your teeth. Aligners will then show signs of not seating all the way down- there will be space showing in the aligner at the incisal edge of your teeth. For this reason, we always recommend patients keep all their aligners just in case we may need to hold them in a position while waiting for a replacement aligner.

Person with missing Invisalign

Forgetting to Wear Aligners

Consistency is key with Invisalign; the aligners need to be worn for at least 22 hours a day to effectively move teeth into their desired positions. Forgetting to wear the aligners regularly can delay progress and extend the overall treatment time. It’s crucial for patients to establish a routine that ensures they wear their aligners as much as possible to keep their treatment on track. For those patients who cannot commit to 22 hours a day, it is vitally important they speak with their dentist to discuss an adjustment to the number of days each aligner should be worn to ensure sequential movement of their teeth.

Understanding these particular reasons for treatment interruptions is vital in assessing how best to proceed with Invisalign therapy. Immediate action and communicating at once with your dentist and their team can mitigate the impact of these disruptions and help maintain the effectiveness of the treatment plan.

Assessing the Impact of Interruption on Invisalign Treatment

Interruptions in wearing Invisalign aligners, whether due to losing them or forgetting to wear them, can significantly derail the progress of your orthodontic treatment. Understanding the implications of these interruptions is crucial for managing and mitigating their effects.

The Consequences of Time Out of Trays

Invisalign works on the principle of continuous pressure applied to the teeth to guide them into proper alignment. When the aligners are not worn as prescribed, this constant pressure is absent, and the teeth can begin to drift. Even short periods without wearing your aligners can lead to noticeable shifts, especially if the treatment is in its early stages when the teeth are more susceptible to movement.

How Teeth React to Interruptions

The less time the aligners are worn, the more your teeth will start to move close to their original positions. This is because the ligaments in the mouth that hold your teeth in place are elastic and can pull the teeth back to where they were originally anchored and have not had the time to mature in a new stable position. This reversion can not only undo the progress achieved but also complicate the treatment plan, as the subsequent sets of aligners will no longer fit correctly.

Potential Setbacks from Non-Compliance

Not wearing aligners consistently can have several long-term effects:

  • Extended Treatment Duration: Each phase of the Invisalign treatment is designed to move teeth incrementally. Missing several days of wear can extend the duration of the treatment, as additional time or additional aligners may be required to achieve the planned results.
  • Increased Costs: Unforeseen interruptions may necessitate new aligners or adjustments to the treatment plan, which can incur additional costs.
  • Reduced Effectiveness: The overall effectiveness of the treatment can be compromised if the aligners are not worn as directed. This could mean less satisfactory results or the need for further orthodontic interventions.

Monitoring and Adjusting Treatment

It is essential to monitor your treatment closely and communicate any interruptions to your dentist and their team. They can assess the impact and make necessary adjustments to the treatment plan, such as modifying the duration you wear your current set of aligners or speeding up the transition to new refinement aligners if the current ones no longer fit due to significant tooth movement.

Key Steps for Resuming or Restarting Treatment

Evaluating Your Progress  

As the hero of your Invisalign journey, the first step is consulting with your dentist to assess the current state of your teeth and alignment. This evaluation is crucial to determine the best path forward in your treatment plan, tailored specifically to your unique situation.

Factors Influencing the Decision  

Whether you need to restart treatment or resume where you left off depends on several factors, such as the duration of the interruption and how much progress you made before pausing. Each patient's situation is unique, and your personalized approach will ensure you get the best possible outcome.

Resuming Treatment  

If your interruption was brief and your teeth haven’t shifted significantly, you might be able to continue with your current aligners or a slightly modified plan. In cases where an aligner is lost or damaged, wear the previous set (e.g., wearing aligner number 7 if number 8 is missing) until a replacement arrives. This proactive approach helps maintain your progress and prevents further complications.

Starting Over  

For those who’ve experienced significant regression due to a prolonged interruption, restarting treatment might be necessary. This involves creating new custom aligners based on the current state of your teeth. While starting over may feel like a setback, it ensures your aligners fit correctly and effectively move your teeth toward your perfect smile.

Commitment and Planning  

Your commitment to your treatment plan is essential. By setting realistic expectations and preparing for potential obstacles, you can avoid future interruptions and maintain consistency in your treatment.

Support and Resources  

Remember, you’re not alone in this journey. Leverage the support and resources provided by your orthodontic care team. Regular check-ups and open communication will keep your treatment on track, helping you achieve the smile you’ve always wanted.

Conclusion: Your Path to a Perfect Smile Continues

Interruptions in your Invisalign treatment are a common challenge, but they don't necessarily mean starting over. By assessing your situation and consulting with a professional, you can find the best way to continue your journey to a perfect smile.

If you’ve experienced an interruption and are unsure how to proceed, we're here to help. Schedule a consultation with us at NYC Smile Design for a personalized assessment and guidance on the best path forward. Call us today and take the next step toward completing your smile transformation. Your perfect smile is still within reach, and we’re here to support you every step of the way.

Topics:

Invisalign