Invisalign for Overbite? Treatment Options and Alternatives

Invisalign for Overbite: Is It Effective Enough?

Invisalign got its FDA approval back in 1998, and since then, the clear aligners have become popular alternatives to traditional braces with many benefits including being removable. But is Invisalign effective enough to treat an overbite? Read on to learn more about Invisalign and if it’s the right treatment choice for you.

 

Key Takeaways

  • Invisalign clear aligners are provided by many orthodontists, so you don’t have to settle for traditional braces.

  • Invisalign is effective for mild to moderate overbite, particularly where the intercanine width is too narrow.

  • As clear aligners are removable, your dental hygiene is not compromised.

  • Fixing an overbite with Invisalign may take six months to two years.

  • Treatment of overbite is worthwhile, to assist with problems ranging from gum and jaw issues to speech impediments.

 

Can Invisalign Fix an Overbite?

Yes, Invisalign clear aligners can fix mild to moderate cases of overbite. In fact, a 2017 study showed that Invisalign was highly effective at correcting overbites in adults, mainly through incisor movement [1].

However, other trials show less improvement in the Objective Grading System (OGS) scores after treatment with aligners. There is a higher rate of relapse with aligners, but lack of compliance with treatment may be the cause as they are removable [2].

 

Fixing Overbites in Young Patients Using Invisalign

Fixing Overbites in Young Patients Using Invisalign

 

Children with at least some adult teeth (ages 6 to 10) are eligible for Invisalign First, which is designed to accommodate growing kids.

Invisalign Mandibular Advancement is an optional add-on for teenagers and pre-teens that allows for improved overbite treatment. This add-on features precision wings that gradually shift the lower jaw forward, improving the bite and chin appearance.

Summary

Studies suggest that Invisalign is equally effective as braces in treating mild to moderate overbite. Options for children and teens are now available, with the Invisalign First and Invisalign Mandibular Advancement add-on.

 

How To Fix an Overbite With Clear Aligners

Invisalign treatment starts with 3D imaging with the iTero Element scanner. It takes 6,000 images per second to accurately capture how your top and bottom teeth are positioned. Mapping software is then able to calculate the force needed to straighten your teeth, to bring your bottom teeth forward, and anything else you may need correcting.

Your aligner regimen will involve a series of aligners shaped increasingly like your intended teeth positioning. These are meant to be worn 22 hours per day, but you can take them out for eating and brushing your teeth. Every one to two weeks, you change aligners until you reach your goal.

Your treatment plan may also include SmartForce attachments, which increase your aligners’ ability to fix your overbite and other issues by exerting more targeted force. Teens and tweens might require the Invisalign Mandibular Advancement add-on to help move the lower jaw forward.

Habit correction is also important. You might have outgrown thumb sucking years ago, but sucking on an object such as your knuckles or pen, or nail-biting, has the same negative effects on jaw positioning and muscle development. Tongue thrusting is another issue that can be a subconscious habit, where a forward movement of the tongue misplaces muscle and bone [3].

Learn more on how to fix an overbite here.

Summary

Depending on your orthodontic condition and rate of bone remodeling and repair, treatment takes anywhere from six months to two years.

 

How Long Does It Take to Correct an Overbite Using Clear Aligners?

It is possible to correct a mild overbite in as little as six months with Invisalign treatment, and you might notice improvements in a matter of weeks. On average, however, a course of Invisalign treatment takes 26 months [2].

The recommended time between aligners is one to two weeks. However, with orthodontic treatments such as Invisalign, shifting teeth into their proper position first triggers the breakdown of bone tissue and then the regeneration of periodontal tissue.

Both phases require 7-14 days each, so some experts advise that no treatment plan allows for changing or tightening devices more often than every three weeks. Too frequent adjustments may lead to damage to your teeth or alveolar bones [2].

Although this article is not a substitute for customized treatment with your orthodontist, it is recommended that you discuss the time between aligners.

Summary

Clear aligners are best if you have a mild to moderate dental overbite, and prefer the appearance of clear plastic over traditional braces.

 

Are Clear Aligners Right for You?

If you’re unsure whether clear aligners are the best option for you, it is important to consider:

Are Clear Aligners Right for You?

  • If you want to avoid traditional braces, and you prefer the virtually undetectable look of clear aligners
  • Whether your overbite has a dental or skeletal origin. If only your teeth are misaligned, or your jaws are only slightly out of alignment, you are more likely to be a candidate
  • In the situation that you do have a skeletal issue, will aligners be able to camouflage it?
  • If your condition is of a mild to moderate level of severity, as more severe overbites may require different or additional treatment, even overbite surgery in some cases.

Summary

Invisalign may treat a wide range of orthodontic issues, up to a moderate level of severity, and if the teeth are the main cause of your misalignment.

 

What Other Bite Problems Can Invisalign Correct?

Invisalign may correct a range of mild to moderate misalignments. To be effective, these must be primarily dental in origin, where the teeth are not aligned correctly but jaw development has little to no issue:

Other Bite Problems Invisalign Can Correct

  • Crossbite, where the upper and lower jaws don’t align. Some teeth may be in an overbite position, others in an underbite position.
  • Crowded teeth, where there is insufficient space in the mouth for your teeth to be correctly aligned.
  • Gap teeth, where there is too much space between your teeth.
  • Open bite is a misalignment where the top and bottom teeth do not meet in the front or back of your mouth.
  • Underbite, the opposite of an overbite. Here, the lower jaw and bottom teeth overlap your top teeth.
  • Crooked teeth, where your teeth aren’t perfectly aligned but there are no issues with your jaw development.

Summary

Overbite treatment can be necessary to prevent gum damage and treat TMJ issues, which may lead to chronic pain or arthritis.

 

Why Correcting An Overbite Is Important

One of the main reasons why adult patients seek treatment is that they are self-conscious about their appearance. However, there are also health reasons why overbite correction is important.

In some cases, your top teeth may damage your gums by constantly biting into them, or your permanent teeth may be blocked from erupting [4].

Left untreated, an overbite can cause speech impediment, discomfort when eating, and temporomandibular joint (TMJ) disorder.

TMJ issues can cause mild to severe jaw pain, difficulty eating, joint irritation—sometimes leading to arthritis—and a clicking sensation when you open your mouth. While some patients worry that TMJ dysfunction can worsen with treatment, research shows that overbite correction relieves TMJ issues over time [5].

Summary

Invisalign is a discreet, hygienic, and comfortable alternative to braces, and is one of the few FDA-approved clear aligners.

 

Benefits of Invisalign and Clear Aligners

There are several benefits of Invisalign and clear aligners, including:

  • A barely-there look.
  • Greater comfort, as the plastic does not irritate your cheeks.
  • Invisalign is FDA-approved, due to its quality and in-person treatment.
  • Better dental hygiene compared to traditional braces, which can’t be removed and can lead to enamel damage and gum disease [6].
  • At-home clear aligners are a convenient option if you are on a budget or cannot access Invisalign. Learn more in our AlignerCo review or Byte Aligners review.

Keep in mind, the American Dental Association (ADA) and the American Association of Orthodontics (AAO) do not approve at-home aligners due to a lack of support.


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FAQ

What are the most important things to know about Invisalign and overbite?

 

How Does Invisalign Change Your Bite?

How Do You Permanently Fix an Overbite?

What Can Invisalign Not Fix?

Are Braces or Invisalign Better for Overbite?

 

Conclusion

Invisalign is a great alternative to metal braces in cases of mild to moderate overbites and other misalignments. Clear aligners are more comfortable, invisible, and hygienic.

Whether you can fix overbite with Invisalign depends on your individual condition, so it is essential to discuss all treatment options with your orthodontist.

 

References:

  1. Khosravi R;Cohanim B;Hujoel P;Daher S;Neal M;Liu W;Huang G; “Management of Overbite with the INVISALIGN Appliance.” American Journal of Orthodontics and Dentofacial Orthopedics: Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, U.S. National Library of Medicine, Apr. 2017, https://pubmed.ncbi.nlm.nih.gov/28364892/.
  2. Ke, Yunyan et al. “A comparison of treatment effectiveness between clear aligner and fixed appliance therapies.” BMC oral health vol. 19,1 24. 23 Jan. 2019, doi:10.1186/s12903-018-0695-z
  3. Doğramacı, E. J., & Rossi-Fedele, G. (2016). Establishing the association between nonnutritive sucking behavior and malocclusions. The Journal of the American Dental Association, 147(12), 926–934.e6. doi:10.1016/j.adaj.2016.08.018
  4. Millett, Declan T et al. “Orthodontic treatment for deep bite and retroclined upper front teeth in children.” The Cochrane database of systematic reviews vol. 10,10 CD005972. 2 Oct. 2017, doi:10.1002/14651858.CD005972.pub3
  5. Henrikson, T. “Temporomandibular disorders and mandibular function in relation to Class II malocclusion and orthodontic treatment. A controlled, prospective and longitudinal study.” Swedish dental journal. Supplement vol. 134 (1999): 1-144.
  6. Boke, Fatma et al. “Relationship between orthodontic treatment and gingival health: A retrospective study.” European journal of dentistry vol. 8,3 (2014): 373-380. doi:10.4103/1305-7456.137651

 


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