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Does Invisalign Leave a Gap Between Tooth and Aligner?

Love Yourself, Love Your Smile

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  • 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 VIP Diamond Plus 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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l i z z i e
No one has scheduled my appointment better than Anthony and Dr. Madden is the best doctor!!
Response from the owner:Thank you for your wonderful recommendation, Lizzie! We're thrilled to be considered the best in the area. Your support means a lot to us!
Alessandra M.
Dr Monica and her staff are just the absolute best. Office is beautiful and clean. Staff is great and kind and have never had any issues whatsoever. The work that she and her staff members do is just 10/10. They are also so welcoming and genuinely kind. Dr Monica and even members of her staff like Anthony will have genuine conversations with you and make you feel the most comfortable. Even during a treatment that many (including myself) are not fond of. (Anything dental related can be scary but they truly put you at peace.) I’m so happy that I made the decision to proceed with treatment here. All questions are always answered. Concerns dealt with. And treatment is impeccable. The results I already have solidify why I’m so happy with my decision to get work done here.
Response from the owner:Thank you for your wonderful review, Alessandra. We're thrilled to hear you had such a positive experience. Our team is dedicated to making every visit comfortable and welcoming. Your satisfaction is our priority!
nathalie K.
Very friendly staff & very accommoding. They are very understanding. Everyone here is super welcoming and very nice! Can't wait to see my next appointment.
Response from the owner:Thank you for your glowing review, Nathalie! We’re thrilled to hear that you found our team friendly and accommodating. We look forward to welcoming you back at your next appointment!
T W.
I highly recommend Dr Madan at BHO for all of your orthodontic needs. Between her warm personality, knowledge and skill you will have to look no further.
This office constantly has amazing offers and specials that make their treatment pricing EXTREMELY competitive. Trust me, as I’ve gotten consults from just about every provider in town. I am seeing unbelievable results with my Invisalign treatment only a few weeks in. Dr Madan was the obvious choice, as she made this process as minimally invasive as possible. I have been to multiple of her offices and they all are pristine. I would recommend to anyone in the LA area looking for the best provider for their orthodontist!
Response from the owner:Thank you for your glowing review! We're delighted you're experiencing exceptional results with your Invisalign treatment. Dr. Madan strives to create a comfortable and effective orthodontic experience for every patient.
Eva P.
So far I am having an amazing experience with Dr Madan and BHO. I’ve consulted with many Orthos over the years for Invisalign. Almost all said I would have to extract a tooth to solve over crowding issue on bottom teeth. Within literally 5 weeks of Invisalign, my bottom teeth are almost completely straightened out already. I cannot believe how fast this treatment is working. Not to mention, I had tradition braces in the past and my teeth fully reverted to their original form. It took over 4 years to correct my crowding with braces the first time, back in the day.

How incredible Dr Madan and her staff is , along with her immaculate offices deserves its own second review. 10/10 experience so far highly recommend them!
Response from the owner:Thank you, Eva! We're thrilled to hear about your positive experience with Dr. Madan and our team. It’s rewarding to see your progress with Invisalign. Your recommendation means a lot to us!
Anahit M.
I’ve had a good experience here. I have been coming here for about two years and I’ve seen great progress.
Response from the owner:Thank you for your wonderful feedback, Anahit! We're thrilled to hear about your positive experience and the progress you've made over the past two years. Your support means a lot to us!
valeria
Overall the best experience, definitely helped me get my self confidence back with my smile!!🥰
Response from the owner:We truly appreciate your feedback, Val! It’s fantastic to know that we positively impacted your self-confidence and smile. Thank you for choosing us and sharing your experience! We’re here for you anytime you need us.
Bardia A.
Monica and her team are so nice and professional. The experience has always been welcoming and the office was always clean and I felt totally comfortable coming in during the pandemic. They took every precaution and were so great to work with.
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
Justin H.
We have loved working with the team at Beverly Hills Orthodontics. We had 2 kids go through the Invisalign plan and they were always so nice and helpful in explaining everything. What a difference the program made!
Response from the owner:Thank you so much for the positive feedback. We are honored to serve each and every one of our patients!
Jade L.
Lose this dentist, the doctors are really nice and always answer my questions regarding my teeth.
Response from the owner:Thank you for your kind words about us and our staff!
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