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Everyday Dentistry

Invisalign Clear Aligners

Straightening teeth with a series of clear removable trays. Increasingly popular with adults in their fifties, sixties, and beyond — and often for reasons that have nothing to do with appearance.

Treated by

Dr. Jonathan Berkowitz, DMD

Residency-trained Prosthodontist

  • University of Michigan prosthodontic residency
  • Ten years attending prosthodontist, Northport VA
  • Implants placed and restored in-house
Read his full background

How it works

A digital scan of your teeth is used to plan the movement from the current position to the target position. That plan is divided into a sequence of clear aligners, each moving the teeth a small amount.

You wear each aligner for one to two weeks, for twenty to twenty-two hours a day, removing them to eat and to clean your teeth. Most cases take between six and eighteen months.

You will see the projected outcome before starting. That simulation is a plan rather than a guarantee, but it gives a realistic picture of what is achievable.

Why older adults straighten their teeth

Appearance is part of it, but it is frequently not the main reason.

Crowded and overlapping teeth are considerably harder to clean, and they trap plaque in places a brush cannot reach. For a patient managing gum disease, straightening the teeth makes daily cleaning meaningfully more effective and can be the difference between controlling the condition and losing ground.

Teeth also drift over a lifetime, particularly after a tooth has been lost. Drifted teeth create uneven contacts and concentrate force where it does not belong, which causes wear, cracks, and failing restorations.

And sometimes alignment is preparatory. Where a tooth has tipped into a gap, upright positioning may be necessary before an implant or bridge can be placed properly. In those cases the aligners are part of a larger restorative plan rather than a cosmetic treatment.

Is it right for you?

Aligners handle crowding, spacing, and many bite discrepancies well. Severe skeletal problems, substantially rotated teeth, and complex cases may need conventional braces or an orthodontic referral, and we will say so.

Healthy gums are a prerequisite. Moving teeth in a mouth with active periodontal disease accelerates bone loss, so gum health is addressed first, without exception.

The treatment also depends heavily on compliance. Aligners only work while they are being worn, and twenty hours a day is a real commitment. If that is unrealistic for you, it is better to know at the start.

Retainers are required afterward, indefinitely. Teeth move back toward their original position given the chance, and this is where most orthodontic results are eventually lost.

Questions

Things people ask

If your question is not here, call the office. Nobody will pressure you into booking.

Call 212-874-1700
Will anyone notice I am wearing them?

They are clear and fit closely, so in normal conversation they are not obvious. Small tooth-coloured attachments are sometimes bonded to certain teeth to help with specific movements, and these are visible on close inspection.

They are considerably more discreet than fixed metal braces, which is generally the point for adult patients.

Am I too old for orthodontic treatment?

No. Teeth can be moved at any age — the biology is the same at seventy as at seventeen, though movement can be somewhat slower.

What matters is the health of the gums and supporting bone, not your age. We assess that before starting.

Does it hurt?

Not really painful, but expect pressure and tenderness for a day or two each time you change to a new aligner. Most patients describe it as a dull ache that settles quickly.

Changing to a new aligner at bedtime helps you sleep through the most noticeable phase.

Talk it through with a specialist.

Most people considering implants or major reconstruction have been thinking about it for a long time. A conversation costs nothing and there is never any pressure.

40 West 86th Street, Suite 1C · New York, NY 10024