A member asked:

For what conditions can you not have invisalign ?

13 doctors weighed in across 8 answers

Invisalign: Invisalign can effectively treat most malocclutions, the main limitations would be true skeletal malocclutions which are relatively rare.

Answered 4/1/2016

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Dr. Lance Timmerman answered

Specializes in Cosmetic Dentistry

Rotations: Despite their best efforts, rotated teeth are a challenge with invisalign.

Answered 9/10/2013

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Many: Invisalign or clear aligners are applicable for a very wide range of orthodontic situations. Only an individual examination by your licensed orthodontic specialist can determine if your specific needs can be treated using invisalign.

Answered 2/16/2013

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More complex cases: Invisalign struggles with certain tooth movements. Rotations beyond 15 degrees are not handled well. Bite correction is difficult with elastics. Crossbites are difficult for aligners to correct. Extraction spaces are difficult to close with parallel roots as an end result. Discuss with your orthodontist.

Answered 3/13/2013

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Dr. Pablo Cuevas answered

Specializes in Prosthodontics

Several: Compliance is the major contraindication. They simply will not work if you do not wear them. Also manual dexterity and arthritis of your hand. You have to place and remove the aligners several times throughout the day. You can have someone assist you with this. High decay rates or periodontal disease. Only healthy teeth should be moved. Last is poor oral hygiene.

Answered 10/4/2015

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None: Invisalign can be used for all conditions, but two phase may be needed... Like orthopedic movement, bringing in an impacted tooth, etc.

Answered 5/28/2013

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Too severe: Invisalign is primary used for mild to moderate malocclusions. If you have severe issues such as an underbite, severe crossbites or crowding, invisalign may not be the best course of action. Discuss with your orthodontist.

Answered 6/20/2014

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Complexity: Not the appliance of choice for complex malocclusions, situations in which expansion will move teeth off of bone support, moderate to severe crowding or spacing, skeletal malrelationships, narrow upper jaw, and many other problems. As clear AlignerMeter as less effective than braces, make sure you get the best treatment possible. See a qualified Orthodontic Specialist.

Answered 12/9/2015

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