Invisalign for adults with gum disease

BY Dr. Rooz Khosravi

What is a periodontal disease (gum disease)?‌

Gum disease, also called periodontal disease, affects the tissues supporting and surrounding your teeth.

Gum disease divides into two types: gingivitis and destructive periodontal diseases. Gingivitis is redness and swelling of gum tissue. Poor oral hygiene (no brushing and flossing) often cause inflammation of gum line. This type of gum disease is reversible with good oral hygiene.

Periodontitis is a severe gum disease that causes bone loss and inflammation in the bone and gum tissue. Bleeding gums and bad breath are signs of gum disease for both types.

Crooked teeth causing food particles trapped between the teeth and leading to plaque buildup and tartar. This will eventually results in gum disease. Patients with diabetes and other systemic conditions are at the higher risk of gum disease.

Gum disease could lead in tooth loss overtime. Regular checkup to monitor the health of gums and to prevent tooth decay helps maintaining a good oral health.

Gum health and gum recession

Gum recession occurs when healthy gums lose its bone tissue. Poor oral habits could also cause gum recession. Misaligned teeth with thin soft tissue can have gum recession. Orthodontic treatment can improve the position of the teeth and results in a better periodontal health.

Invisalign treatment

Invisalign Bellevue

Dentistry has significantly changed in the last decade. Orthodontic treatment with the traditional metal braces is not the only option.

Clear aligners or Invisalign aligners are a series of removable plastic trays incrementally moving teeth. Patients often wear each set of aligners for 7 to 14 days. New set of aligners then continue the tooth movements based on the treatment plan. Removable aligners needs to cover the teeth for 22 hours per day to be effective.

Invisible Clear aligners

Clear aligner is the generic term for Invisalign clear aligners. Invisalign was the first aligner system offered as an esthetic alternative to metal wires and clear braces. Over 75 different clear aligner systems are available for orthodontic treatment with aligners (aligner therapy).

Benefits of Invisalign

‌Esthetic is the main advantage of invisalign – i.e., aligner treatment. Patients would also have less restricted food diet with Invisalign compared to traditional braces.

Most adult patients seek for aligner treatment even that this treatment option is a choice for teens (Invisalign teen). Invisalign treatment takes the discipline of wearing aligners all the time to incrementally build the health and confident smile.

Invisalign for adults with gum disease

Patient with controlled gum disease can go under orthodontic treatment to address misalignment, spacing, or crooked teeth. Orthodontic treatment in adults can move the teeth in a better position to improve periodontal health with straight teeth.

Dentists can use both clear aligners and metal brackets to treat adult patients with gum disease. Dentists that use Invisalign are called Invisalign providers. Aligner treatment uses software to move teeth, giving more control over tooth movement. This can benefit patients with gum disease.

Orthodontic treatment is more than cosmetic dentistry. A straighter smile ought to be a health one.

How does Invisalign work?

Clear aligner treatment starts with collecting 3D images of the teeth and xrays of the bone and teeth. Orthodontist use digital scanners like Itero or 3Shape to capture 3D imaging of the teeth. Additionally, orthodontists use CBCT to evaluate the periodontium, amount of bone loss, and levels of roots in the bone. Orthodontists often evaluate these records in the first office visits.

Align technology was the first company that offer an appliance for a discreet orthodontic care option. Invisalign journey shows how orthodontists tweaked treatment process to use custom-made plastic aligners to move the teeth. Fast forward, many aligner systems offer similar or better options for patients.

A digital tooth movement software is then used to create a treatment plan. Series of aligners, a smooth plastic with the programmed tooth movements, then fabricated based on the treatment plan.

People with gum disease may have problems with how their teeth fit together, like overbite, crossbite, or underbite, requiring treatment. Some of these conditions can be the cause of poor gum tissues.

Invisalign aligners vs Braces

Invisalign system allows similar movement of teeth compared to traditional metal braces. Self-conscious pateints would pick aligners over braces.

Braces are fixed on the teeth so there is limited maintenance involved in the treatment. Clear aligners should be removed to eat food or clean the teeth. Braces requires less hassle of remembering to wear aligners. Both of these orthodontic treatment options are viable for candidates of orthodontic treatment.

Invisalign treatment time

Clear aligners and metal brackets take the same amount of time for treatment if the patient wears them as directed.

Patients with gum disease may need slower orthodontic treatment, leading to longer treatment times.

Invisible aligners treatment cost

Cost of invisalign (clear aligner treatment) depends on the complexity of the care. Most orthodontic offices offer payment plans with no interest.

They would also help you to use your FSA or HSA to maximize your beneits as well as using your dental insurance to partially pay for your orthodontic care. Ask for payment options during your consultation to fix your crowded teeth and achieve the new smile you’ve always dreamed of.

‌Orthodontic services for adults with gum disease in Bellevue

Orthodontic treatment for adults in Bellevue

Our clinic in Bellevue offers adult orthodontics treatment. This incudes adult patients with gum diseases. The complexity of the treatment varies among different patients. Treatment options include clear aligners (aka Invisalign) for a better smile or more complex treatment with gum specialists and prosthodontists. We collaborate with gum disease specialists to offer orthodontics for patients with periodontal diease.

Dr. Rooz Khosravi, an associate professor of orthodontics, discuss all the treatment options in your free consultation. The PORTH team will tell you all about your dental care, including how much Invisalign costs and how you can pay. We accept most insurance plans and help you achieve a healthy beautiful smile.

Our clinic serves patients from Bellevue, Seattle, Kirkland, and Redmond. Our flexible office hours with evenings and some weekend schedule helps adults patients seek orthodontic treatment.

Learn More about Orthodontic Treatment at PORTH

Schedule a virtual consultation today or schedule an in-person appointment at our Sammamish or Bellevue clinic. Your first free appointment includes recommendations for orthodontic treatment.


Can I wear braces if I have periodontal disease?

Yes. A patient with controlled periodontal disease can start orthodontic treatment.

Can Invisalign pull your tooth out?

Technically no. Tight aligners and severe bone loss can lead in a tooth ending up in an aligners.

Can aligners cause any gum issues?

Poor oral hygiene and lack of flossing and brushing can cause gingivitis – a reversible gum disease.

Do Invisalign retainers cause problems to the gums?

No. Clear retainers with smooth plastic won’t cause problem to the gum tissue.

Does Bone Loss Make Invisalign Treatment Impossible?

No, many adult patients have bone loss. The key is to make sure that there is no active periodontal disease present when starting aligner treatment.

How to know if you are a good candidate for Invisalign?

When you don’t want to wear braces and you are ready to follow all the requirements of aligner treatment.

Should I Get Braces or Invisalign If I’ve Had Gum Disease?

Braces or Invisalign are good choices for patient with controlled gum disease.

What are the criteria for Invisalign braces?

The patient should wear the aligners full time. When it comes to gum health, Invisalign braces or metal braces are the same. The Invisalign braces treatment requires healthy gum before it starts.

What are the key benefits of Invisalign as an adult?

Aligner treatment in adults straightens teeth, reducing tartar and plaque buildup for healthier gums.

Am I going to have black triangles after orthodontic treatment if I have gum disease?

The levels of bone is often lower than normal in patient with gum disease. Aliginig the teeth in these patient sometime cause black triangles. A space between your straight smile. You can use polishing between your teeth during the treatment to reduce this. Or you can opt for veneers in some cases