A member asked:

After 2 deep cleanings on right and left side, my gums are not bleeding where its inflame, can i still go through with invisalign treatment?

7 doctors weighed in across 4 answers
Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Ask dentist: Ask dentist who will do the invisalign. In general you want gums in good shape before.

Answered 7/19/2015

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Good: good, no bleeding. But continued inflammation contraindicated Orthodontic treatment as tooth movement + gum inflammation = bone loss. You have a complex multidisciplinary problem. Please see a Periodontist who is best trained to prepare your supporting tissues for tooth movement. See an Orthodontist who is best prepared to do the movement.

Answered 7/19/2015

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Get clearance: From a Periodontist first. Then, assuming they give the green light, use an orthodontist who is trained in tooth movement. An earlier answer noted checking with the dentist who does the treatment-- I would not use a general dentist for what is truly orthodontic treatment.

Answered 1/6/2019

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Periodontal disease: Absolutely essential to keep the gums at best shape possible and stabile. Close periodontal care and maintenance is essential. The fact that inflammation is decreased does not mean you are cured from periodontal problem.

Answered 1/6/2019

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