Very normal (and expected) for teeth to be sore when eating for the first 3-5 days. That soreness means your teeth are moving! Good luck with your Invisalign journey.

Thanks for sending the video! It looks like this case should be corrected with braces. This is not Invisalign software btw. I would recommend getting a second opinion.

Good observation! It's much harder to expand in adult because there's no new bone made so teeth must be housed in the bone housing. This would have been best with extraction treatment as a teenager.

We use all custom appliances (Invisalign, Custom Braces, Expansion). Everything we do is with esthetics, function and biology in mind.

Great question! Clear aligners are not really designed for skeletal expansion. It is standard in the orthodontic profession to use a Maxillary Expander for what you are describing. I do have a new video about Invisalign Palate Expander coming out soon which is a newer alternative to the Traditional Expanders. I would probably stay away from clear aligners for skeletal expansion. You can still do clear aligners for teeth alignment, but not recommended skeletal expansion. Hope that helps!

Glad the video helped! In general, it's about 0.25mm or 1 degree rotation per tray. We don't want teeth moving too fast ... that's called extraction. Good luck with your Invisalign.

Great question! That is usually a question for your general dentist. Extractions and Dentures are usually procedures with your normal dentist. If you are unsure about the treatment plan, then I suggest you get a 2nd or 3rd opinion before you remove teeth. Once you remove teeth, you can't put them back. Natural teeth are generally always better than fake teeth. You may see a decline in health with good teeth are removed. Be slow to make this decision. Wishing your mom all the best!

If your teeth were like any of the examples, then you can absolutely get Invisalign as an adult. Invisalign is great for reducing flaring. It sounds like orthodontic treatment could be life-changing for you. I hope you can get treatment soon! Wishing you all the best!

Yes, I'd say mine are in between these cases.

Thanks for watching! You must have a cutting-edge orthodontist. Custom braces are the future and only a small percentage of orthodontists are using them. Your treatment will finish quicker with a better bite just because you have custom braces. Smartphone vs Flip Phone. Way to go!!!! I got a custom braces (metal version) video being posted next.

Tricky scenario ... When you close gaps, you are effectively making the arch length smaller which constricts the jaw ---> the opposite of widening. It depends on how much rotation/crowding vs gaps between your teeth. If you have more rotations/crowding, then fixing a narrow smile is more realistic. If you have just gaps and no crowding, then you might not be a good candidate for widening.

@@drpassamano my teeth are angled inwards a little (or alot) atleast my bottom ones, will invisalign bring them out more ?

@@crayoneater1717 Another good question. Invisalign is not really designed to procline (forward angulate) teeth in the absence of crowding. If you have spacing, then I would say no. If you have crowding, then I would say yes. If you have neither spacing or crowding, then your teeth angulation will likely stay the same. Hope that helps!

Great question! The amount of expansion/jaw widening will be determined on your size of the jaw / amount of bone you have to house your teeth. If you have bone available to move teeth into, then you can absolutely expand as an adult. The issue with adult expansion is that you won't grow new bone like a teenager would during growth spurts. Short answer is YES, if you have bone to move teeth into otherwise you will get gum recession. Hope that helps!

Yes. Take strong painkillers for the first few days of new trats. Your teeth are getting used to new trays again each time

Great question! Orthodontic tooth soreness occurs the most at the beginning of treatment when teeth are being moved for the very first time. As you progress through the treatment, then the teeth are much less sore because the mouth is used to teeth moving. If you are experiencing a lot of pain with each tray, then definitely contact your orthodontist to make sure it's normal. Hope that helps!

Great question ... There are now alternatives to Invsialign today vs 5 years ago when Invisalign was the main clear aligner on that market. Spark can absolutely do expansion just like Invisalign can. As long as you have space for your tongue, then beathing issues don't usually arise from orthodontic treatment.

@@drpassamano Thank you so much for answering!

Eversmile White Foam is available on Amazon, Walmart, Walgreens, etc ... (eversmilewhite.com is the corporate website)

Great question! If the arch is narrow, then expansion can also work to retract and re-angulate teeth. If the arch is already wide and no additional expansion can be done, then the options are to IPR or extract. Hope that helps!

It depends ... there's always some relapse associated with the removable retainers. Most of the time it's small / unnoticeable, but sometimes stubborn teeth may want to go backwards and can be out of alignment soon. The permanent retainer wire is 100% effective in keeping the front teeth straight.

Yeah, why bother straightening teeth that are about to fall out! lol

@@one_hoop spoke to my dentist yesterday and she literally told me to use my normal toothpaste and avoid hydrogen peroxide toothpaste. From London btw

@@fahad7148 I'm only 10 days in, so my experience is very limited. I'm experimenting with drinking coffee with them in today to see how much it stains (teeth versus aligner). I will remove them and rinse afterwards. Hopefully, I don't look like that photo after one day!

Wisdom teeth have nearly no effect on the flaring of the front teeth. I've seen some wisdom teeth alter the equilibrium and cause crowding, but never seen it cause flaring.

Great question. As long as the IPR is done correctly, then there is no downsides. You shouldn't have sensitivity and you shouldn't be more prone to cavities. It's very safe (if done correctly).

What happened may I ask?

Thanks for the feedback. Orthodontic treatment varies from patient to patient and results are definitely not the same for all people. I use Digital simulations to simulate where teeth are going before we start any treatment so we can see if there are going to be negative effects. Orthodontists should be looking at the face, lips, tongue, airway, bite, gum health, etc prior to doing treatment to make sure it benefits the person. In some cases, you can reverse some orthodontic movements so maybe you can get another consultation to see if you can make your situation better. Don't settle.

@@drpassamano I consulted few orthodontist but they said it can't be reversed. I didn't get about this - don't settle

Absolutely! Munchies are great for seating the aligner. Way to go!

Good tip! Munchies are also more expensive. I've had patients use pen caps, wine corks, rolled up towels and erasers. Anything can work!

Problem with Chewies is that they change the shape of the aligner and force systems are deranged. Using harder “objects” is even worse 🤬

I’m pretty sure Invisalign can close your bite. It works by not only extruding your incisors but by intruding your molars simultaneously

Invisalign can usually handle 2-3 mm open bite. Go see an Invisalign Orthodontic Specialist to see if you can close your open bite. Go for it!

This is correct. :-)

Great tips! Thanks for adding more tips!

Search EverSmile White Foam. It's available on Amazon, Walgreens, Walmart, etc.

I'm now in the middle of making a decision and it's so hard . The main reason is that his teeth looks good. Do I really need to expander them, and then spend more time on braces to correct the bigger space?

But he does have very narrow airway. He felt harder to breathe. He has chronic headache (checked neurologist, ENT, took blood work, ct, MRI, all good).

If a child's teeth are good, do we do expansion, just for bigger airway? If we do so, will his face look weird , his smile with turned out to be full of teeth(too much of teeth)?

He has a very small mouth

Thanks for the message. Please do a PubMed search for Maxillary Expander and Airway. You will find plenty of studies showing a positive result of increased airway with nearly zero side effects. It's actually quite amazing what an expanded maxillary arch can do for breathing. Even if the breathing improves 10-25%, it might be the difference in resolving the symptoms you listed. I've had patients do expansion in the absence of a crossbite and still get the benefit of airway improvement. Give it a try.

The biggest open bites I've closed are 5 and 6mm open bites. I've done plenty of 3-4mm open bites.

Cleaning crystals is just like dish soap in a powder form. It's a gimmick IMO.

Ok

Got my Invisalign last week. My kit did include the cleaning crystals. However, I didn’t like the round chewies so I ordered different ones with small stick attached from Amazon.

Custom Braces can be done with both Clear Ceramic and Metal! For Metal, the customization is in the glue base while the customization is in the ceramic pad for the Clear.

you mentioned kriss ai, just curious what is that for?

I recently got Invisalign, and KRISS AI helped me prepare and maintain my treatment by providing information on cleaning, foods to avoid, and proper usage.

@@uzmitin It's like Chatgpt AI but for dental specific :)

How does KRISS AI work? Would also like to use it

@@shyrahgail Kriss AI is super user-friendly! You just type in your dental question and get answers right away, kind of like a dental search engine.

Get a second or third or even fourth opinion. There's many ways to get the result you are looking for. Educate yourself!

There are many ways to reduce protrusion which do include distal jet, extraction, IPR, Space closure, Surgery, TADs, etc ... every person is different and the mechanics differ for each person. Finding a great orthodontist will ensure you get an amazing result!

Please reply

Great question! Braces generally reduce bimaxillary protrusion better than Invisalign because braces can do greater movements more efficiently. The slide I put up of braces had much more retraction/uprighting than the Invisalign retraction/uprighting. Hope that helps!

Just did! Thanks!

@@drpassamano when u say braces, ur referring to braces with extractions correct? Because i had nonextraction braces that only made my teeth flared and mouth really protrusive. So if i want a significant reduction in my protrusion, extraction is the way to go?

Sorry to hear about your issue. IPR is a very common and safe procedure. I've done it thousands of times. If it is done correctly, then the results are amazing. This is why choosing your doctor is very important.

@@drpassamano just because it is common doesn’t mean it is smart

@@drpassamano I chose I very highly qualified orthodontist. The problem is orthodonture in general. The things you all practice are completely backwards

@@drpassamano just like up until a couple years ago you would have told me that mercury fillings were a very common and safe procedure that have been done millions of times. Except we’ve known that mercury is highly toxic to humans for well over a hundred years and that you were poisoning literally generations of people with this practice that had all the logic of a kindergartener. Not only is that committing a mass atrocity, but those toxic heavy metals get passed down congenitally from mother to fetus, so in order to save a dime you literally subjected the human race to endless suffering. And when you’re questioned about it it’s just a shrug of the shoulders and an oopsies. IPR is the exact same way. It has all the logic of a kindergartener and the fact that you all practice it doesn’t give it validity. It just means that you all are complicit in the idiocy.

Great question. TADs can be used on any case. The question is if it's needed. I only use TADs when auxillary forces are needed to accomplish the goal. These patients in this video did not need TADs. Thanks!!

Every one says no for extractions , it's bothering alot don't know why

It sounds like you need to get a second or third opinion. Please educate yourself before committing to treatment. Every person has different needs and different treatment plans. Good luck!

Teeth extractions can be good for some people and bad for some people. This is why choosing your doctor/orthodontist is very important.

Hello u can remove ur wisdom teeth and create space and use mini screw or TAD to move ur teeth..use that method , u won't get satisfaction from any other methods.

Absolutely! IPR is a great method for those patients that already had extraction and additional retraction/uprighting is needed. As long as you have enough enamel, then this is a great way to get straighter teeth!

Teeth are not like cars meaning that you can't put them in reverse. The wisdom teeth have no effect on anterior flaring. I have yet to see anyone successfully wisdom teeth space for flaring. This is why choosing your doctor is very important.

@@drpassamano Thank you Dr. I also had my wisdom teeth extracted as well right now I'm having some discomfort on bottom teeth I think its because my front and bottom tooth hit each other when saying certain words so I have to be careful when I speak

I've also done open bite closure with braces before. I use Invisalign more though because it can hold vertical, but with Custom Braces, then it is less of a difference. Damon braces are not custom braces. You'll likely be wearing the up/down rubber bands. Good luck!

Great question! It's less effective but can usually accomplish a great result. Invisalign usually works better than braces for skeletal open bites. Hope that helps!

Thank you!!!

Thank you!!!!

Thank you, Sabrina!!

Thank you, Amanda!