TEETH NOT TRACKING - WHAT TO DO l Dr. Melissa Bailey
What do you do if your aligners are not tracking (not fitting) and you see halos?
👩🏻⚕️Dr. Bailey is a board certified orthodontist and co-founder of TrayMinder®.
TrayMinder® is an app that helps busy aligner users to remember to wear their trays so that they can achieve their best possible smile.
📱Download the free TrayMinder® app today to help you get better results from your clear aligner therapy: app.trayminder.com.
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🔎 How Teeth Move: • HOW TEETH MOVE WITH AL...
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💡Disclaimer: This video is not intended to provide diagnosis, treatment, or medical/dental advice. Content provided on this KZhead channel is for informational purposes only. Please consult with an orthodontist or dentist regarding any dental related diagnosis or treatment options. Information on this KZhead channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure, or prevent disease.
📱TrayMinder app download: app.trayminder.com
Very helpful. Thank you!
Wish i had seen your videos when i started my treatment. Thank you for the tips, much appreciated x
Dr. Bailey, you are the Queen of Analogies! Thank you for teaching so thoroughly and so simply. 😊
Thanks for watching and for the nice comment.
Thank you Dr V informative video
Glad to hear it. Good luck with your treatment.
This made me feel so much better. So helpful. Thanks so much!!!❤❤❤ 🦷
That’s great to hear :)
Hi Dr. Bailey, once again thank you for your informative video. Merry christmas from Germany and I wish you all the best for next year.
Nice to hear from you Franz. Merry Christmas to you as well :)
Thank you!
I find your videos both reassuring & informative. Thank you so much :)
That’s great to hear. Thank you.
OMG... you are SO helpful! Thank you! Bless you!
That’s so sweet for you to let me know :)
I'm 69 and was surprised to hear that I needed braces. My orthodontist recommended Invisalign. Your videos and TrayMinder app have truly been essential to my success. I'm on my sixth month of an expected 26 month treatment. Thank you so much.
That’s so great to hear. Thanks for taking the time to share your thoughts - it really helps others to find this channel. Good luck with your treatment.
Glad to see someone else my age taking on this treatment. I'm about to start soon and was wondering if I was making the right decision on treatment due to my age.
@@mellauzon4050I’m 63 and just starting. My thinking is I am old for Invisalign but better to do it now than to be unhappy with my teeth the rest of my life.
Thank you! I just switched to a new tray and there's suddenly a gap around the sides of my back two molars on the right. The previous tray fit perfectly so I was very worried. There's no buttons on those teeth so I'm not sure how they're going to extrude to fill that space, but given the angle they're at that seems the most likely reason for the gap. I see my provider in 6 days, so I'm going to keep wearing them and bring up any concerns if I still have them when I go in. You saved me from being panicked all night until I could call the doctor's office in the morning.
I’m on tray 1… it completely stopped hurting after 4 days, no more pressure and no gaps. I’m putting in tray 2 at the end of day 5.
Thanks for this video, it help me to understand more about Tracking. I have just start to wear my Aligners last week, after a week of wearing, i can feel that lower teeth feel tight. i have a sore tongue and a bit of pain. Is it common to have this issue?
I had not been able to get in touch with my aligner provider regarding my teeth not tracking and unfortunately they went bankrupt so I have been at a loss so thank you tremendously Dr. Bailey. I really appreciate these helpful tips!
Glad to hear the videos have been helpful for you :)
How does my doctor expect a bottom tooth to extrude more without an attachment?
My orthodontist is one of the top Invisalign orthodontist In California. She said I absolutely will not be affected by ibuprofen, as you’ve said is the case. I’d like to know what scientific studies were the ones where this is proven, or is it anecdotal ?
Hi! What do you preconise if after 3 trays the tooth is not down… braces will be better?
Hello Dr. Bailey. Thank you so much for the videos. They are so helpful! I have started my treatment a couple of weeks ago. Mine is a four day tray change. I am on my 4th tray and I don't see any changes yet. Any suggestions please?
Thanks for watching. Change can be slow. My advice would be to take teeth selfies (TrayMinder app has a great one) to track your progress.
@@TrayMinder thank you for the response, Doctor! :)
Thank you! I’m a little confused by my bottom front teeth not tracking well. They snap into place and fit my molars great, but haven’t been fitting my bottom front 4 teeth for a month now. I went to my ortho and he just did IPR on my bottom teeth as he said they didn’t have enough room to move up (extrude), but after a week in a new tray since then, my teeth are still haloing on those 4. The bottom 4 are definitely extruding but at different rates. Now I have one bottom tooth that’s higher than the other 3, and 2 of them (my incisors) are barely moving up. I started using chewies but haven’t had much success with them. I asked my ortho if I should call if they continue to halo but he said it wasn’t a big deal if it was just those 4. I feel like his strategy is to keep going since everything else is great and maybe fix those that aren’t tracking with refinements later? I’m not sure.
Thanks for sharing your thoughts and experience with others. It sounds like you have figured out your ortho’s strategy. It’s not uncommon to need additional aligners to refine the case. Good luck with your treatment.
Your advices are always on point. I have a question about my aligners. I am on my 3rd pair. I am already wearing it for 3 weeks already and also doing my chewie exercise. All of my teeth are tracking but only one of my tooth (front tooth on the left) weirdly there is still a halo about 0.5mm space left. Is this fine? Can i change into my next pair?
0.5 mm is very small and the space may be needed as part of your plan. The best thing to do is to take a picture and email it to your treating provider for their advice. Only he/she has your treatment information.
Hello and Happy New Year! Your videos are so informative, thank you for such good service. I'm 54, with some nice size gaps, 3 missing teeth ( one on each side of my top row and one on the bottom left back) my Invisalign provider has me switching out my trays every 4 days. Also I just started ( I'm on day 6). I was told if I did traditional braces it would take 18 months by another dentist. My current Invisalign provider is saying 6 months to complete treatment ( about 50 trays). I did not suggest this pace but I was surprised and excited when she told me the plan. She is not my regular dentist just my Invisalign provider. Also I'm leaving the country for the first 2 1/2 months of treatment ( they gave me 38 trays), I will not meet with her in person from tray 1-38. Does this make sense to you? I was told by other dentist that I would have to check in for the first month weekly. If it does do you have any tips for such a long tray run?
I’m glad to hear the videos have been helpful. Each provider has their own recommendations based on their clinical exam and review of X-rays. The video “how teeth move” on the TrayMinder KZhead channel may be helpful to explain the biology of tooth movement. Good luck with your treatment:)
When I wear my aligner, there's a tooth that is not totally fit with the aligner, I think this is because that tooth is not as tall as the other teeth around it, and only that tooth and there is no attachments on it, is that okay??
First of all, greetings! I wish you a good day. As someone who has undergone an orthodontic examination, I would like to ask a question because some of the things my doctor told me are not clear in my mind. For my slightly overbite and crooked teeth, I asked my doctor whether a veneer/zirconium treatment or traditional orthodontic treatment would be appropriate. He stated that the results of both treatments would be similar and effective, but that the classical orthodontic treatment would be more beneficial for general facial aesthetics by changing the "jaw posture" more optimally. Frankly, I was a little confused at that moment, but I did not have the opportunity to ask additional questions. What exactly do you think is the situation my doctor is talking about here, how traditional orthodontics improve the jaw posture more effective than the veneers/zirconium teeths ? Thank you in advance.
Without an in person examination, it would be hard to say. Perhaps you need some bite correction that orthodontic treatment can improve. Reach out to your dental provider for clarification.
Hello Doctor, I have a question 🤔 Can you choose to do both and have the Hawly retainer for the day and the invisible comfortable retainer for the night? And would you suggest that I do braces again, because it's been 10 years since my braces were off and since I last had my retainer(mainly because they got ran over)and I have felt the effects of my teeth moving, intensely.
Most people just stick with one type of retainer. As far as retreat, it varies on an individual basis. You can get a consultation with an orthodontist to see what your options are.
Can not tracking properly cause a wiggly tooth ? I have no cavity on the tooth but notice it is moving more than others. I haven’t been wearing my aligners enough
This explains more. I'm on tray 17, been wearing it 10 days now. I can't get my upper lateral incisor to come down at all. It's seated properly with the attachment in it's hole and all my other teeth are seated properly so would using a chewie not be pushing it up into the gum and not down? The tooth aches from always chewing there. Incredibly frustrating process, kinda wish I didn't start braces 🙈
Great observation. Chewing on the lateral engages/fully seats the aligner and helps with lateral extrusion. If the attachment is fully engaged, then it’s likely the neighboring teeth that are not intruding. Chewing (intrusion forces) on the adjacent teeth may help. Talk to your treating provider for their input as only they have access to your plan. Good luck.
In case of booth strap tachnique, which kind of elastics or rubber bands would you use?
It depends on the length needed, but usually a light elastic, 1/4 light.
Thank you@@TrayMinder
Doctor I think I have halos what you do, I'm nervous because I don't want to take longer with my treatment I remove them only to eat I have them on 22 hours a day, I'm doing everything my doctor told me to do I'm flossing and everything else, what show I do?? i using the elastics, I'm changing them up to 4 times a day . i hope you respond to me because I'm freaking out now.
I have a teeth in the molar they need to close, the tech forgot to put the attachments. After my 2 months visit from one day of attachment, I complain to my Ortho It does no attachment, she said it’s OK but i am wearing for 1 year the that molar move sideways and tilted because its not tight and it causing problems its bite my checks i put wax on it. But then I just continue wearing, during my refinements the tech forget to put the attachment again, i told her there is an attachment for that she said its ok, I talk to my Ortho she said did you put the attachment on the one molar? No. You have to put that on that is causing her problems, so she put the attachment. Ortho said make sure that is tight. From 53 trays, refinements 39 trays.
I’ve been stuck on the same aligners for a month and there’s still a gap even while using chewys. I spoke to my ortho but haven’t really gave helpful advice and I feel like my money is going down the drain. Is it possible to get your opinion or consultation from you?
Sorry to hear that you didn't get the answers you were looking for. I don't do any teledentistry consultations. My recommendation is that you request to schedule a treatment consult with your orthodontist to get some clarification. One thing I tell my own patients is that ultimately, it really doesn't matter how the teeth look in aligners, only how the teeth look at the end. Oftentimes, experienced orthodontist will program overcorrection into aligners to get the ideal finish, which can result in "halos." Good luck.
Hi Melissa! I'm on tray 9. I used to wear my aligner for 7 days but I've always needed an extra 3 days- so my orthodontist changed my days to 10 days per aligner. My orthodontist has provided me with an app called, Dental Monitoring- so I scan my teeth on the app and they let me know if I can move on or not to the next aligner. I've been needing to wear this particular aligner 9 for a long time... today is day 16 wearing it, and I scan again on Dental Monitoring in 6 days to see if I can move on or not- my orthodontist said it's needs more work on my lower. For me, top is perfect and all of my lower are perfect except for one teeth, one of my bottom canine. Do you think it will move into place? I've been using chewies and I've worn this tray for a while and it seems to still have a gap, in my eyes. Sorry for the long paragraph but feedback will really help! Love your videos so so much :)
Thanks for your kind feedback. Some teeth will not track along, for one reason or another. The strategy is to either wear longer, move on or rescan.
How do I reach the 22 hr goal but also wait 30 mins after eating to brush my teeth ? Which is more important
I have the same question.
No need to wait 30 min to brush. These desist go over board with stuff and can never make up their mind. People throughout the world use tools as tools and not cosmetic devices and their teeth are fine. According to some dentist be careful even breathing or that might mess your teeth. Also, you can eat with your Invisilign, especially if you're trays are short term. Just take thn off after eating and clean them, and clean with water and then you can brush your teeth later
You a waterpik after eating. No need to wait 30 min
hi, I have invisalign and found out I have cavity that needs to be filled.. will I need to get another scan for invisalign?
Usually not, unless the filling differs drastically.
What if you have gapping between where your gums are and the top part of the aligners? Will they not work because they aren’t fitted to the top portion of the teeth
Good question. Check with your provider. It depends on your gum line and how low the aligners go.
I wanna know how much mm between the tooth and Invisalign is acceptable. Because I have some room but it’s not like a noticeable big gap
It depends on where and how the teeth are moving and the doctor’s general philosophy on what is acceptable. There are no hard and fast rules, as each patient’s case is different. Reach out to your provider if you’re concerned about the gap. Good luck with your treatment.
I have a problem. The Halos are created in my case because it seems my teeth are getting shorter. I use Tray minder and I have an average of 21.9 hours per day.
We suggest taking a picture with a description of your concern and email it to your treating provider.
How do you know your teeth isn’t tracking before you see your dentist?
Usually you see a gap between your teeth and the tray (ie halo).
Usept 👸 ❤❤😂😂🎉😮😅
My name Melissa golby 11,2992 sorry I tooth 😅
Another tip… before you start, pick a doctor who gives a sh*t like this lady. I have learned more from her than the dentist, not orthodontist (bad choice) that I am doing this with. I was given 5 aligned and told absolutely Nothing and sent on my way. As soon as my Invisalign treatment is up (already paid in full. Also a bad choice I made) I will be changing doctors. This guy is going to lose out on about 30k in further work I need to get done just because I certainly would never trust him again to work WITH me instead of just ignore my questions and concerns.
Whaoo, great to see that there is an app that can help us track our progress through our journey, ✌️🫢😊
We hope that TrayMinder will help you during your treatment. Thanks for the comment :)