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Does Invisalign Leave a Gap Between Tooth and Aligner?

Love Yourself, Love Your Smile

Model with striking makeup and large hoop earrings, illuminated by vibrant pink and blue lighting, emphasizing facial features and glossy lips, reflecting themes of beauty and aesthetics in orthodontics.
  • 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 Invisalignโ€™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 Blue Diamond Top 1% providerโ€”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, donโ€™t sweat itโ€”a small gap is normal and allows for comfortable daily use.ย 

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 toothโ€™s incisal edge (i.e. the toothโ€™s bitingย  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 doesnโ€™t get treatment to correct theย  gap, they run the risk of derailing their orthodontic treatment plan and possibly causing oral damage.ย 

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

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 donโ€™t wear their aligners, there is no pressure, which can cause teeth to regress and delay treatment.ย 

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, weโ€™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!

Smiling couple with confident smiles, showcasing healthy smiles and orthodontic results.
Alexis C.
I’ve been coming here for years and teeth look better than ever. Everyone is knowledgeable and accommodating.
Ronny H.
My experience at this ortho has been great. The staff is really kind and the doctors are very professional in their work!
appolo R.
Amazing staff and doctors! Always so efficient! Irene, Meklit and Anthony are the best!
Response from the owner:Thank you for the kind words about our staff and doctors. We will be sure to pass this along to the team.
Julia
Highly recommend. I had a great experience getting Invisalign here. They are experts at what they do and so kind and professional. Beautiful, bright office with an amazing view is a bonus :)
Response from the owner:Julia, thank you! Kind, professional, expert care in a bright space with a nice view is exactly the experience we hope to give.
Jamie K.
Absolutely could not recommend BHO more. Dr Madan, Dr Sinclair, Gabriel, and the front desk are so lovely and so organized. The office is spotless and beautiful, and they are so clear about what to expect as fast as cost and treatment plan. Absolutely love them and highly recommend them!
Response from the owner:Jamie, thank you for such a glowing review! Clear answers, an organized office, and a spotless space are things we work hard at, so it means a lot to hear that Dr. Madan and the team made that impression.
Annabelle D.
This place is so awesome the people are all so sweet and good vibes and the office has such a beautiful atmosphere and view as well.
Response from the owner:Annabelle, thank you! Sweet people, good vibes, and a beautiful space with a view are a pretty great combination, and we love that you noticed.
Kimberly T.
Great Orthodontist office! They have been amazing to fix my smile!! Highly recommend!
Response from the owner:Kimberly, thank you for the recommendation! We are thrilled that you are happy with your smile.
Brian L.
Beverly Hills Orthodontics absolutely exceeded my expectations and has provided an exceptional service and experience! Dr. Madan and her team are friendly, professional, and genuinely care about their patients. In Oct 2024, I inquired about Invisalign to a handful of orthos. Due to my smile at the time, I was told I needed braces instead of Invisalign from other orthos. Dr. Madan was the one that said she can use Invisalign but I would have to wear bands as well and be disciplined in wearing them to see the results. She was honest and realistic in her approach and I’m glad I decided to go with BH Ortho. Fast forward to July 2026, my gap in my teeth has closed and my teeth are incredibly straight. So thankful for Beverly Hills Orthodontics! The office is clean, appointments are efficient to make via text, and conveniently there are multiple locations across LA. My first two pics show my new smile using Invisalign with Beverly Hills Orthodontics, and my last two pics are before. If you’re looking for an orthodontist who delivers exceptional care and outstanding results, I highly recommend Beverly Hills Orthodontics.
Response from the owner:Thank you so much for your wonderful review! We are thrilled to hear about your incredible experience with Dr. Madan and our team, and we are so happy to see your amazing new smile. Providing honest guidance, personalized treatment options, and convenient, top-tier care across all our locations is always our highest priority. We deeply appreciate your high recommendation and for trusting Beverly Hills Orthodontics with your smile journey!
Rachna S.
My favorite place and all the doctors and staff are very polite, attentive and caring. Love coming for my appointments
Response from the owner:Thank you, Rachna! We appreciate your kind words about our team. It's our goal to provide exceptional care and a friendly environment. We look forward to seeing you again soon!
M K.
Friendly and honest. I’m very happy my daughter is being serviced here. Would recommend it to others.
Response from the owner:Hearing that you are happy with your daughterโ€™s care truly means the world to us! We take a lot of pride in being completely honest, transparent, and friendly with our families every single day. Thank you so much for trusting us with her smile and for recommending us to others!
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  • gap teeth: before and after