Orthodontists: any way to help correct uneven wear (due to crowding) that involves less discomfort than invisalign? (ultra-low pain threshold here).

Few choices: If your teeth are in the wrong position, they must be moved or removed to accomplish your goal of having straight teeth. Having personally had braces for over 5 years, my first inclination is to say "just suck it up." as a dentist, i would tell you to take nsaids after any change in ortho aligners or wire change. Many a mom used to say, "you can't have your cake and eat it, too!" just do it! ;-).

Ortho tx: If you have very low pain threshold, fixed ortho would be the way to go we can use very light tension wires that will move the teeth gently. It may take a bit longer but will be more comfortable. Invisalign can be somewhat annoying.

Priorities?: Nothing ventured, nothing gained. No pain, no gain. Some suggestions: first and foremost- get a consult with both a restorative dentist and an orthodontist. Discuss your options and what to expect. Make no assumptions. Find out the facts. Honestly, discomfort is really minimal and temporary with orthodontic treatment and an investment in your health! no magic potions here. Your choice!

Yes: You might try braces with ultra-thin heat-activated nickle titanium wire. This delivers a very, very low initial pressure, keeping discomfort levels down.

Regular braces: surprisingly, for many patients as they are not touching you gumline constantly, traditional metal (or ceramic) braces are more comfortable than invisalign.

Tooth disconfort: Tooth movement is accomplished by putting gentle pressure of the teeth. No matter what type of "braces" you have, you can expect some tooth discomfort. One of the advantages of clear aligners is they should not cause any soft tissue irritation, because they are smooth and don't project out which regular braces do. So, in summary, I would recommend the clear aligners as the best way to treat you

Opinion: Please consult wth a qualified Orthodontic Specialist who will have at his/her disposal the full gamut of Orthodontic treatment modalities. There are a lot of choices available to you. Discomfort is moderate, tolerable, and modifiable. The real question should be, "What's the best way to treat my problem." See a Pro.