Invisalign has revolutionized orthodontics by offering a clear, removable alternative to traditional braces. But if you’ve already had dental work such as crowns, bridges, or veneers, you might wonder if you’re able to get clear aligners. In many cases, the answer is yes. However, there are important considerations depending on the type of dental restorations you have.
Invisalign and Dental Crowns
Crowns are commonly used to restore teeth that are damaged or decayed. They fully cover the tooth, protecting and strengthening it. Having a crown doesn’t necessarily disqualify you from Invisalign. In fact, many patients with crowns successfully complete Invisalign treatment.
That said, your orthodontist will evaluate the stability of your crown and the tooth underneath before starting treatment. In some cases, attachments (small tooth-colored bumps used to help the aligners grip and move teeth) may not adhere as well to crowns as they do to natural enamel. But alternatives, like bonding attachments to nearby teeth or modifying treatment plans, can usually work around this issue.
Invisalign and Dental Bridges
Dental bridges are more complex. A bridge consists of one or more false teeth anchored by crowns on adjacent natural teeth. Because the false tooth in the middle is not rooted in the jaw and is fixed in place, it can’t move independently.
This presents a challenge with Invisalign, which relies on shifting teeth gradually over time. If you have a bridge, your orthodontist may still be able to work around it, especially if the goal is to move teeth that are not connected to the bridge. However, major tooth movement involving bridged teeth is limited. In some cases, the bridge may need to be removed and replaced after orthodontic treatment.
Invisalign and Veneers
Veneers are thin porcelain shells bonded to the front of teeth, usually for cosmetic improvement. Like crowns, veneers don’t automatically exclude you from getting Invisalign, but extra care is needed.
Attachments may not bond as securely to veneers, and there’s a slight risk of damaging the veneers during treatment, especially if pressure isn’t distributed evenly. A skilled provider can work around this by adjusting the treatment plan or avoiding the use of attachments on veneered teeth.
Customized Treatment is Key
If you have any of these restorations, the success of Invisalign comes down to a personalized approach. Your orthodontist will evaluate the condition, placement, and material of your dental work before deciding whether Invisalign is appropriate. In many cases, digital scans and X-rays help create a precise treatment plan that accommodates your dental restorations.
Having crowns, bridges, or veneers doesn’t automatically rule out Invisalign, but it does require extra consideration and expertise. Many patients with existing dental work have successfully improved their smiles with Invisalign. The best step is to consult with an experienced Invisalign provider who can assess your unique situation and design a plan that fits both your goals and your dental history. With the right care, Invisalign may still be a great option to achieve a straighter, healthier smile.
About the Author
Dr. Aarati Kalluri has worked in the dental field for more than 20 years. She is a graduate of the University of California in San Francisco and has undergone advanced courses in implant and cosmetic dentistry. If you’re looking to transform your smile along with improving your oral health and overall well-being, Dr. Kalluri and our team at Infinity Dental Care can outfit you with fully customized Invisalign clear aligners, adults and teens welcome! Schedule your appointment online or call our Hillsboro office at (503) 352-5116.