Traditional vs. Invisalign: Which Orthodontic Method Improves Dental Arches? - Dentistry

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During traditional or Invisalign orthodontic treatment, is the alveolar bone also corrected?


Dr.
Tseng: Hello, I am 24 years old and would like to correct my dental issues.
My main concerns are that my upper dental arch is relatively narrow, my upper right central incisor is misaligned, and several of my upper right molars are in an occlusal relationship.
I would like to know what methods, besides orthodontic treatment for tooth alignment, can also improve the narrowness of my dental arch.
May I ask: 1.
Does traditional orthodontics also move the alveolar bone to improve the dental arch? 2.
Does Invisalign also move the alveolar bone to improve the dental arch? 3.
Between traditional orthodontics and Invisalign, which method is more effective for improving the dental arch? Thank you for your assistance!

Longlong, 20~29 year old female. Ask Date: 2024/05/16

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Longlong: 1.
Traditional orthodontics or Invisalign have limited movement of the alveolar bone.
It is recommended to consult an orthodontist to determine if, in addition to traditional orthodontic treatment, orthognathic surgery or the use of a palatal expander is necessary.
3.
A palatal expander should be used to address the issue of narrow dental arches.
Director Tseng Guang-hui, Nantou Hospital Dental Department.

Reply Date: 2024/05/16

More Info


When considering orthodontic treatment options, particularly for improving dental arches, it's essential to understand the differences between traditional braces and Invisalign. Both methods aim to correct dental misalignments, but they have distinct mechanisms and implications for the dental arch and surrounding structures.

1. Impact of Traditional Braces on Alveolar Bone: Traditional braces utilize brackets and wires to apply continuous pressure on the teeth, which can lead to the movement of the teeth and, to some extent, the alveolar bone. This process is known as bone remodeling, where the bone adapts to the new position of the teeth. While traditional braces can help widen the dental arch, especially when combined with devices like palatal expanders, the movement of the alveolar bone is limited. The primary focus is on aligning the teeth, but with appropriate techniques, orthodontists can achieve some degree of arch expansion.

2. Impact of Invisalign on Alveolar Bone: Invisalign employs a series of clear aligners that gradually shift the teeth into their desired positions. Similar to traditional braces, Invisalign can also induce some degree of bone remodeling. However, the extent to which Invisalign can effectively widen the dental arch is generally less than that of traditional braces, particularly for significant arch expansion. Invisalign is more suited for minor adjustments and alignment rather than substantial changes in the dental arch width.

3. Effectiveness in Improving Dental Arches: When it comes to improving a narrow dental arch, traditional braces tend to be more effective than Invisalign. This is primarily because traditional braces can incorporate additional appliances, such as expanders, which are specifically designed to widen the dental arch. These appliances can exert more force on the teeth and surrounding bone, leading to more significant changes in arch width. In contrast, while Invisalign can provide some level of arch expansion, it is generally not as effective for cases requiring substantial widening.

In your case, where you have a narrow upper arch and specific alignment issues with your teeth, consulting with an orthodontist about the possibility of using traditional braces with adjunctive devices (like a palatal expander) may be the best approach. This combination can effectively address both the alignment of your teeth and the width of your dental arch.

Additionally, it's important to consider that the success of any orthodontic treatment also depends on individual factors such as the severity of the misalignment, the age of the patient, and the specific dental anatomy. Therefore, a thorough evaluation by an orthodontist is crucial to determine the most appropriate treatment plan tailored to your needs.

In summary, while both traditional braces and Invisalign have their merits, traditional braces are generally more effective for improving dental arches, especially in cases of significant narrowing. If your primary concern is not only aligning your teeth but also expanding your dental arch, discussing traditional orthodontic options with your orthodontist would be advisable.

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