Are there any adverse side effects, either short or long term for teeth filing? for procedures such as invisalign, this might be required

Less enamel: The side effect of filing the teeth in the interproximal areas is less enamel... But only a very, very small amount is removed (usually .5 mm or less) to create space. If its done on 10 surfaces (5 teeth total) 5 mm of space will be gained, enough to wiggle some malpositioned teeth into place. The procedure is quite common.

Yes: You and your doctor must be partners in this 'filing' of your teeth in order to accomodate the invisalign requirements. Too much filing may in some circumstances cause permanent damage to your teeth.

NO unless too much: Selective enameloplasty aka inter proximal reduction or tooth slenderizing when done via the invisalign numbers will not introduce any sensitivity normally. If by chance it does denquel toothpaste or flouride will rmemdy.

No,: No, the filing we do is very limited and we do not remove enough of the tooth enamel to cause direct negative effects in either the short or long term.

No adverse effects: Interproximal reduction to create space to alleviate crowding and conserve tooth structure(as opposed to extracting teeth), has been conducted in orthodontic treatment for decades with no adverse effects. Research has indicated that enamel that has undergone interproximal reduction actually uptakes more mineral than was originally present, possibly making the tooth more resistant to decay.

Fillings: Fillings are needed when bacteria damage teeth. The infected tooth material (decay) is removed and replaced with an inert filling material. Decay causes the damage, not the filling material. See a specialist Orthodontist who will work with your Restorative Dentist to arrive at the best solution for your overall problems. No Orthodontist will do Rx until all teeth/gums/bone are healthy.