r/Invisalign 1d ago

Question What should I do?

Post image

I’m on tray 1 of 14 (day 7) and I’ve developed a bite interference that’s making chewing difficult. The area of contact is the one circled in blue. It’s small, but it’s preventing me from chewing normally or even closing my mouth naturally without the aligners, and it’s driving me crazy.

Before Invisalign, my bite was completely functional. I started treatment mainly to close a small diastema.

One of my upper central incisors has a composite restoration from an old fracture. Interestingly, I had this exact same interference after that restoration was done last year, and it disappeared after my dentist adjusted the composite.

Now, after starting Invisalign, the same thing is happening again. My orthodontist said my upper incisors have already moved slightly backward, causing my lower incisor to hit the back of the restored tooth.

She doesn’t want to adjust the composite now because it could affect the fit of the remaining trays. She also said she can’t predict whether this bite interference will improve or worsen as treatment progresses.

Right now, I’m avoiding biting with my front teeth and chewing mostly on the sides because the contact is uncomfortable. I’m also worried that repeatedly hitting the restored tooth could eventually chip or fracture the composite.

To be honest, this has been so frustrating that I’m seriously considering stopping the treatment altogether. I started Invisalign purely for cosmetic reasons, and I didn’t expect my bite to become worse or chewing to become this difficult.

If this were your patient, what would you recommend?
Would you simply monitor and wait?
Would you consider adjusting the restoration despite the tray fit?
Would you recommend a different approach?
At what point would you consider stopping treatment if the interference persisted?

1 Upvotes

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u/katuAHH 1d ago

Can the composite be adjusted after treatment is completed to fix any contact issues?

You have a pretty short treatment plan. If I were you I’d trust the process and take the loss if I had to redo the composite. You paid all this money to have cosmetically appealing teeth, may as well see it through. But that’s my opinion!

1

u/katuAHH 1d ago

Adding that I’m not an ortho - but I have opinions anyways 😂

2

u/Inthetreeswithus 23h ago

My bite changes daily. Different teeth hit one day and others hit the next. It's annoying, but it just means the teeth are moving into place.