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Does Invisalign Leave a Gap Between Tooth and Aligner?

Love Yourself, Love Your Smile

Close-up of a model's face with bold makeup and glossy lips under colorful lighting
  • Dr. Monica Madan
  • October 13, 2022

For years, Invisalign has reigned as one of the biggest names in orthodontics. Approved by the FDA in the late 1990s, Invisalign brought clear aligner treatment to the mainstream and showed the public that orthodontics was more than just wires and brackets. Since Invisalign’s approval in 1998, orthodontists have used the Invisalign system to improve the smiles of more than 12 million people, including 3 million teenage patients.

Here at Beverly Hills Orthodontics, we have been using Invisalign since our founding in 2008. During that time, we have helped thousands of patients perfect their smiles with the aid of Invisalign clear aligners. In fact, we’re recognized as a Sapphire Invisalign provider—the highest status a practice can receive from Invisalign.

Over the years, we’ve seen patients who undergo treatment without issue as well as patients who run into a few problems. One of the most common problems related to Invisalign is a gap between tooth and aligner. Although a small gap may seem innocuous at first, any space between the tooth and aligner is cause for concern. 

Why Does Invisalign Leave a Gap Between Tooth and Aligner?

Although Invisalign aligners should not constrict teeth, they should feel firm whenever they are placed in the patient’s mouth. If there is a very small space between the outer edge of the aligner and your teeth, don’t sweat it—a small gap is normal and allows for comfortable daily use. 

But there are instances in which Invisalign patients develop a significant gap between tooth and aligner that spans from 1 to 4 mm. This kind of gap is not only abnormal, it is a classic sign that the aligner treatment is not going according to plan. 

Any significant gap that forms between a patient’s teeth and their aligners is often called an incisal gap. Named after a tooth’s incisal edge (i.e. the tooth’s biting  edge that makes contact with food), incisal gaps typically form when a patient is not wearing their aligners for at least 22 hours a day. If a patient doesn’t get treatment to correct the  gap, they run the risk of derailing their orthodontic treatment plan and possibly causing oral damage. 

Fortunately, Invisalign patients can avoid gaps with the help of a trusted orthodontist. 

How You Can Address These Aligner Gaps and Bring Treatment Back on Track

If you are in the middle of Invisalign treatment and currently have a significant gap between the aligners and the teeth, the first thing to do is call your orthodontist. Such a gap is a sign that your teeth are not moving as your orthodontist has planned.

In most gap situations, the cause is simple: the patient is not regularly wearing their aligners for 22 hours a day. Invisalign aligners are designed to slowly realign teeth with the aid of consistent pressure. When patients don’t wear their aligners, there is no pressure, which can cause teeth to regress and delay treatment. 

To get treatment back on track, your orthodontist can:

  • Examine the gap and verify whether it is a serious issue or not
  • Check the fit of your aligners
  • Recommend actions to correct the gap
  • Alter your treatment plan to accommodate any delays

With the help of a knowledgeable orthodontist, patients with aligner  gaps can quickly fix their issues and avoid further delays in their Invisalign treatment.

Want to Avoid Invisalign Treatment Problems? We Can Help

Invisalign is one of the most effective orthodontic treatments available today. But that doesn’t mean that problems can’t occur. 

From developing gaps between tooth and aligner to losing aligners altogether, Invisalign patients do occasionally run into issues. Fortunately, a trusted orthodontist can help you quickly resolve any problems and achieve outstanding results. For nearly 15 years, Dr. Monica Madan and the Beverly Hills Orthodontics team have done just that. With our exceptional experience, we’re the experts you want on your side throughout your orthodontic journey.

Your Smile Is More than just two rows of teeth - it's how you show your personality to the world.

Let Dr. Madan and her team help you help keep your smile looking (and feeling) better than ever.
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patient reviews

Enjoy our 5-star experience.

We are thankful for the opportunity to serve our communities with the highest quality care. Check out what our patients are saying about their 5-star experience with us!

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Jie Z.
Great results very friendly staff and scheduling system! Also teeth looked great after effective results! Always getting confirmations which are really helpful!
Anna
I had a wonderful experience with my orthodontist! The doctor is very professional, attentive, and truly cares about the results. The entire staff is friendly and welcoming, and every visit is always a pleasant experience. I’m very happy with my treatment and would highly recommend this office to anyone looking for a great orthodontist!
Anastasia D.
Amazing and courteous staff. Kids not scared to come here. Professional doctors making all feel comfortable
Macklin L.
BH Ortho is the best! I always feel so well taken care of and they truly know what they’re doing. The space in century city is also super nice and clean. I feel lucky to have found them!!
Autumn V.
Im about 20 weeks in with my Invisalign and it’s been an amazing journey so far with this team.
Rachna S.
My favorite place and all the doctors and staff are very polite, attentive and caring. Love coming for my appointments
Eric P.
I love the BHO. staff is so friendly they feel like family. Dr.Madan is so kind. im stoked on my new smile. I always had crooked teeth growing up and now in my early 20s its been life changing.
Joseph O.
Started my Invisalign journey with BHO and it has been a pleasure. Staff is very tentative and accommodating. Would definitely recommend BHO
Irene Q.
I've had a great experience at BHO with invisalign. Their staff is attentive and appointments are flexible. Can't wait for my new smile!
Vibe N.
Excellent service and wonderful staff! Great experience and can really tell a difference in my smile before and after :-)
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