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Invisalign vs. Braces 
Which Should you Choose
Problems That Can Be Treated 
Invisalign 
• Moderate spacing, alignment 
and bite problems 
• Less effective for certain 
complex cases for which fixed 
braces should be used 
BRACES 
• MOVING TEETH UP AND DOWN 
• MOVING CERTAIN TYPES OF 
BACK TEETH 
• CREATING ROTATIONAL 
MOVEMENT 
• UPRIGHTING TEETH
Aesthetics 
Invisalign 
• Removable plastic trays 
• Designed to be undetectable 
• Popular for those that want 
discrete treatment 
BRACES 
• BRACKETS CEMENTED TO 
TEETH 
• OPTIONS SUCH AS LINGUAL 
AND TOOTH-COLORED 
BRACES THAT ARE ALSO 
LARGELY UNNOTICEABLE
Duration of Treatment 
Invisalign 
• Similar duration to fixed 
braces for similar cases 
• New Accelerated Invisalign 
option halves total 
treatment time 
BRACES 
• DEPENDS ON SEVERITY AND 
COMPLEXITY OF PROBLEMS 
BEING TREATED 
• NEW OPTIONS FOR 
REDUCING TREATMENT TIME
Office Visit Frequency 
Invisalign 
• Approximately every 6- 
12 weeks 
• Determine treatment 
progress and provide 
new set of aligners 
BRACES 
• APPROXIMATELY EVERY 
6 WEEKS 
• DETERMINE 
TREATMENT PROGRESS 
AND TIGHTEN WIRES
Delays in Treatment 
Invisalign 
• Must be worn 20-22 
hours a day or may 
cause delays 
• Lost aligners may result 
in delays 
BRACES 
• AFFIXED TO TEETH SO 
CANNOT BE REMOVED 
• AFFIXED TO TEETH SO 
CANNOT BE LOST
Cost and Insurance Coverage 
Invisalign 
• Cost depends on length of treatment 
and severity of problems 
• Cost often similar to fixed braces for 
similar cases 
• Covered by many forms of dental 
insurance that cover fixed braces 
BRACES 
• COST DEPENDS ON LENGTH OF 
TREATMENT AND SEVERITY OF 
PROBLEMS 
• MAY BE COVERED BY DENTAL 
INSURANCE AS A CLASS IV 
PROCEDURE, SUBJECT TO A NUMBER 
OF COMMON RESTRICTIONS AND 
LIMITATIONS
Comfort Levels 
Invisalign 
• Aligners have smooth edges that 
tend not to irritate mouth 
• Usually causes mild pain when new 
aligners are inserted that can be 
alleviated with over the counter 
medication 
BRACES 
• WIRES AND BRACKETS MAY POKE AT 
MOUTH, WHICH USUALLY ADJUSTS 
OVER TIME AND BECOMES LESS OF 
AN ISSUE 
• USUALLY CAUSES MILD PAIN WHEN 
WIRES ARE TIGHTENED THAT CAN BE 
ALLEVIATED WITH OVER THE 
COUNTER MEDICATION
Eating Restrictions and Oral Hygiene 
Invisalign 
• Aligners can and should be 
removed before eating 
• Aligners should be cleaned 
before they are re-inserted into 
the mouth 
BRACES 
• BEST TO AVOID HARD OR STICKY 
FOODS AS THESE MAY DAMAGE 
BRACKETS AND WIRES 
• MUST THOROUGHLY CLEAN 
BRACKETS AND WIRES AFTER 
EACH MEAL
Dr. Debra Fink was recently chosen by St. Louis Magazine as one of the "Top Dentists 
2014” and she is a recognized leader in St. Louis Invisalign care. She is a practitioner, 
lecturer, author and researcher in the field of orthodontics and she attended Washington 
University School of Dental Medicine for both dental and orthodontic training. Before 
she became an orthodontist, she obtained a master's degree in research biochemistry 
and participated in different areas of scientific and medical research. She has 
continued to pursue her interest in this field and she recently initiated and participated 
in the clinical research about alleviating TMD/TMJ at Washington University School 
of Medicine.

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St. Louis Invisalign care by Dr. Debra Fink

  • 1. Invisalign vs. Braces Which Should you Choose
  • 2. Problems That Can Be Treated Invisalign • Moderate spacing, alignment and bite problems • Less effective for certain complex cases for which fixed braces should be used BRACES • MOVING TEETH UP AND DOWN • MOVING CERTAIN TYPES OF BACK TEETH • CREATING ROTATIONAL MOVEMENT • UPRIGHTING TEETH
  • 3. Aesthetics Invisalign • Removable plastic trays • Designed to be undetectable • Popular for those that want discrete treatment BRACES • BRACKETS CEMENTED TO TEETH • OPTIONS SUCH AS LINGUAL AND TOOTH-COLORED BRACES THAT ARE ALSO LARGELY UNNOTICEABLE
  • 4. Duration of Treatment Invisalign • Similar duration to fixed braces for similar cases • New Accelerated Invisalign option halves total treatment time BRACES • DEPENDS ON SEVERITY AND COMPLEXITY OF PROBLEMS BEING TREATED • NEW OPTIONS FOR REDUCING TREATMENT TIME
  • 5. Office Visit Frequency Invisalign • Approximately every 6- 12 weeks • Determine treatment progress and provide new set of aligners BRACES • APPROXIMATELY EVERY 6 WEEKS • DETERMINE TREATMENT PROGRESS AND TIGHTEN WIRES
  • 6. Delays in Treatment Invisalign • Must be worn 20-22 hours a day or may cause delays • Lost aligners may result in delays BRACES • AFFIXED TO TEETH SO CANNOT BE REMOVED • AFFIXED TO TEETH SO CANNOT BE LOST
  • 7. Cost and Insurance Coverage Invisalign • Cost depends on length of treatment and severity of problems • Cost often similar to fixed braces for similar cases • Covered by many forms of dental insurance that cover fixed braces BRACES • COST DEPENDS ON LENGTH OF TREATMENT AND SEVERITY OF PROBLEMS • MAY BE COVERED BY DENTAL INSURANCE AS A CLASS IV PROCEDURE, SUBJECT TO A NUMBER OF COMMON RESTRICTIONS AND LIMITATIONS
  • 8. Comfort Levels Invisalign • Aligners have smooth edges that tend not to irritate mouth • Usually causes mild pain when new aligners are inserted that can be alleviated with over the counter medication BRACES • WIRES AND BRACKETS MAY POKE AT MOUTH, WHICH USUALLY ADJUSTS OVER TIME AND BECOMES LESS OF AN ISSUE • USUALLY CAUSES MILD PAIN WHEN WIRES ARE TIGHTENED THAT CAN BE ALLEVIATED WITH OVER THE COUNTER MEDICATION
  • 9. Eating Restrictions and Oral Hygiene Invisalign • Aligners can and should be removed before eating • Aligners should be cleaned before they are re-inserted into the mouth BRACES • BEST TO AVOID HARD OR STICKY FOODS AS THESE MAY DAMAGE BRACKETS AND WIRES • MUST THOROUGHLY CLEAN BRACKETS AND WIRES AFTER EACH MEAL
  • 10. Dr. Debra Fink was recently chosen by St. Louis Magazine as one of the "Top Dentists 2014” and she is a recognized leader in St. Louis Invisalign care. She is a practitioner, lecturer, author and researcher in the field of orthodontics and she attended Washington University School of Dental Medicine for both dental and orthodontic training. Before she became an orthodontist, she obtained a master's degree in research biochemistry and participated in different areas of scientific and medical research. She has continued to pursue her interest in this field and she recently initiated and participated in the clinical research about alleviating TMD/TMJ at Washington University School of Medicine.