Invisalign® clear aligner care for teens? Of course!

What Is Invisalign® clear aligner care?


Invisalign® clear aligner care straightens teeth using a series of nearly invisible, removable aligners that are custom-made specifically for your teeth. With each set of aligners, your teeth move – little by little, progressing towards their final desired positions.


This 15 year old’s smile had:

  • Gaps between some top teeth
  • Slanted teeth (caused by thumb sucking)

At age 16, she made excellent progress midway through her Invisalign teen® clear aligner using arch reformulation therapy (ART).


This 16 year old teenager had an:

  • open bite
  • some crooked teeth
  • unsightly spaces
  • posterior crossbite

Excellent progress is evident partway through her Arch Reformulation (with Invisalign teen®) therapy. Now the focus is on the final stages of the correction.

4 advantages of Invisalign Teen® clear aligner therapy enhanced with ART


  • likelihood of a long lasting result is increased
  • provides a natural and non-invasive option for those who want to keep their own teeth instead of having teeth removed
  • healthy gums are a top priority
  • the retainer is comfortable and has an easy to follow protocol

Smile before the start of her Arch Reformulation treatment (with Invisalign teen®) of this 14 year old girl. Her main concern was that her left canine was stuck in her palate (in a dental crossbite). Her left canine is not fully visible from the side.

Inside the mouth views

Day 1: crossbite is present

Partway: crossbite has corrected beautifully. Teeth are in terrific alignment


5 more advantages of ART – Invisalign® Teen clear aligner care


  • teeth are kept strong and healthy
  • keeping your mouth clean is easy peasy
  • can use dental floss
  • with no wires – no pain when wires are tightened
  • fewer visits to the dentist / orthodontist

This 17 year old teen has a warm and gorgeous smile after the conclusion of her arch reformulation therapy with Invisalign® periodontal aligners. This photo was taken prior to the start of her full time retention regimen with retainers (e.g., Vivera® by Invisalign®), an important aspect integrated within the arch reformulation care which helps make the mouth as resistant to relapse as possible.


Frequently Asked Questions – answered by Dr. Elliot Davis


Q) My daughter had a first phase of braces for seven months when she was eight, then for a year and a half when she was 11. Now, she is about to start college and her bite is off. Actually, I am not sure if it (her bite) is off due to relapse or it was never quite right, even at the time her braces were removed.
Should she consider Invisalign teen®? If she has already relapsed possibly twice with braces, is Invisalign teen®, or any orthodontic work, still an option?

A) The short answer is yes, especially if she proceeds with Arch Reformulation therapy specifically designed for Invisalign® teen or Invisalign® clear aligner care.
A number of recent studies by orthodontists seem to confirm that for the majority of patients, pre-teen orthodontic treatment will not eliminate the need for or decrease the length of their eventual orthodontic treatment time. Other studies by orthodontists confirm that relapse in all orthodontic patients occurs in the majority of treated patients. According to those orthodontist authors, the rate of relapse ranges from 70-90%.
That’s one of the reasons why arch reformulation care is designed to help the mouth resist the constantly present forces of relapse and strives to yield excellent and long lasting results.
Let me add a note from personal experience. I have treated many patients who received orthodontic (traditional and/or clear aligner) therapy on more than one occasion. The results they achieved have unanimously reached the high end of expectations and clearly surpassed the results and stability achieved from their prior rounds orthodontics. Their gums are now universally healthier, smiles are lovelier and bites are better.

Q) I was undecided between traditional braces and Invisalign. I just read about Arch Reformulation therapy. It sounds and looks impressive, but is it much more expensive than braces or Invisalign?

A) This is an excellent and frequently asked question. PerioComplete™ works with all of the popular clear aligner orthodontic treatments (including Invisalign® teen clear aligner care). Based on feedback from parents of patients, the fees for Invisalign® teen clear aligner care optimized with PerioComplete™ arch reformulation therapy are comparable to the costs for traditional and clear aligner removable braces.
Here is a significant point. Some of the more difficult patient treatments cannot be handled with common traditional braces or (non-enhanced) Invisalign® teen clear aligner care. Yet these teenagers or young adults can be successfully treated with arch reformulation therapy (ART). The protocol and design are so powerful, even patients who have been told they would require a surgery (e.g., an orthognathic surgery with and an oral and maxillofacial surgeon) to fix a major jaw problem can be treated with arch reformulation. The costs for patients who were told they would require surgery, but chose this method, were a mere fraction.

Q) How common is orthodontic relapse?

A) Very – almost always. According to a recent article by orthodontists which reviewed multiple published studies by other orthodontist researchers over many years, most of the patients who receive dental braces will experience relapse (70-90%)[i]. However, while almost all patients will experience some relapse, the magnitude and seriousness of the relapse varies widely.  Therefore, while some patients will never require subsequent care, the majority will require corrective therapy. Ideally, their care would incorporate arch reformulation therapy to address the bite, gum, bone, TMJ and aesthetic dental issues.

[i]Kaan M, Madlena M. Retention and Relapse: Review of the Literature. Fogorv Sz. 2011 Dec;104(4):139-46.