You have to really be diligent. So, if you are not able to do that, then braces may be the better option for you. Someone who has a severe, what we call a skeletal discrepancy, where the jaws are just completely different sizes. It also depends on what they want to achieve. Do they really want to correct the problem of the discrepancy between the jaws, or is it just the matter of aligning the teeth? Someone who is not compliant, sometimes younger patients are forgetful. If they go to school, they can sometimes lose the aligners if they take them out on their lunch break.
A lot of the time they just get wrapped in a tissue, and then they go in the bin with the rest of the rubbish, so that’s a big problem. So, you have to really be diligent. So, if you are not able to do that, then braces may be the better option for you. People who have implants. Implants don’t move with braces or Invisalign so we have to sort of work around it. People who have big, large spaces. I mean, empty spaces with no teeth. The longer there is a span of empty space without a tooth, it’s harder for the aligners to grip, because it’s a long span for the plastic to go over without bending. So, they may not be a candidate for Invisalign.
However, the technology does allow us to do some modifications, and a lot of the, most cases, are treatable with Invisalign. But we do discuss that and do a careful assessment to see what’s appropriate and what’s not appropriate.