Over the last decade clear aligners such as Invisalign have gained immense popularity as a discreet and effective orthodontic appliances. Many individuals contemplating improving their smile and bite with orthodontics wonder “Can my regular dentist do Invisalign?”(or any Orthodontic treatment for that matter) While it is true that legally dentists can offer clear aligners, the stark reality is that not all providers are created equal when it comes to understanding orthodontics.
Clear aligners are an appliance that can be used for orthodontic treatment(to straighten teeth and correct a patient's bite). The success of Invisalign treatment hinges on the proficiency and experience of the practitioner. Here is the candid truth: your dentist may legally offer clear aligners, but without extensive expertise, they may be charting uncharted territory.
Whether braces or clear aligners are used, orthodontic treatment requires a nuanced understanding of tooth movement, biomechanics, occlusion, growth and development, tooth eruption and comprehensive treatment planning. One red flag to here from a provider is that a dentist states they are “certified in Invisalign” or that they now have new technology to do Invisalign. Clear aligners are not new technology, and Invisalign has been available since the late 1990’s. This is a common phrase used by general dentists to lead unknowing patients to believe they are on the leading edge and experts on orthodontics. The truth is dental school has very limited to no orthodontic training with most programs have nothing more than a few lectures on Invisalign and no hands on training, let alone starting and finishing a case or any fundamental knowledge in orthodontics.
Orthodontic specialists go on to a 2-3 year ADA approved residency program. All Orthodontists are dentists first, and out of 100 dental school graduates only 6 go on to become orthodontics because of the competitive nature. In these residency programs, orthodontists become experts on the skills required to manage tooth movement and guide growth and development while treating hundreds of cases. In practice, orthodontists focus on straightening teeth and correcting bite issues all day, every day.
Opting for clear aligners or braces from an under qualified dentist could lead to suboptimal results, prolonged treatment times, and extensive complications down the road. Most times, dentists will focus on straightening the front teeth that a patient sees and will not address and bite issues. They may not tell you, or even be aware of bite or occlusion issues you may have. A bad bite can lead to many dental problems down the road such as tooth wear over the entire life, TMJ discomfort, and a smile that does not last a lifetime.
Orthodontists are experts at using both clear aligners(Invisalign) as well as braces, expanders, jaw surgery, and various appliances and are specialists in straightening the teeth and correcting bite issues.
So what should you consider when contemplating orthodontics?
- Inquire on their specific training and experience in orthodontics and if they are actually an orthodontist. Have they gone to an ADA and CODA approved residency program?
- Ask if they are confident they can provide the same level of orthodontic care of a licensed orthodontist.
- Ask to see some cases they have treated that are similar to yours to see before and after photos. Make sure that you are shown the issues, if any, with your bite and how they plan to be addressed. An orthodontic specialist will be better equipped to handle the complexities of treatment.
Having a general dentist perform orthodontics is similar to a general physical doing plastic surgery. While maybe it can legally be done, do you want to risk it? If you needed a knee or hip replacement and your general physician told you they recently got certified in the procedure, you would be skeptical and would would to see an orthopedic surgeon with the expertise and experience to complete the procedure. Just as a cardiologist will have a lot more specialization when it comes to heart conditions than a general physician, the same holds true with teeth and orthodontics.
Remember, while your dentist can legally offer and deliver clear aligners, seeing a provider that completed an orthodontic residency and is best way to ensure your orthodontic care is completed by a real orthodontist. Why risk the health and esthetics of your teeth as well as your money by seeking treatment from a provider with less education, knowledge and training?