Incorrect diagnosis: Invisible braces therapy requires a proper diagnosis to determine the complexity of the case. Improper diagnosis or underestimation of the case may lead to an unsuccessful outcome.

This is mostly seen in remote treatment, where patients buy treatment online, and oral scan is done by non dentist. Before the start of the treatment a qualified dentist must evaluate the case.

Complex tooth movements: Removable Invisible Braces may not be appropriate for all cases, particularly those requiring complex tooth movements such as significant rotation or vertical movement.

Evaluation of case is a must, some overbite or jaw mislaignment cases can not be done with removable invisible braces, for them braces should be opted for.

Patient’s age: Children or young teenagers may not be good candidates for clear aligner therapy as their teeth are still developing and moving.

It is important to choose right patient, teen agers and kids are not always good candidate for removable invisible braces treatment.

Incomplete treatment: Treatment must be completed in full to achieve successful outcomes. Failure to complete the full course of treatment as prescribed may result in unsatisfactory results.

At planning stages some aligners companies offer incomplete treatment to save cost.

Tooth or jaw issues : Some patients may have underlying tooth or jaw issues that make invisible braces treatment ineffective. Proper evaluation of such issues is necessary before proceeding with treatment.

Plaque, Cavities, Gum issues must be identified and sorted before starting the treatment, this means clear aligner treatment is should not be planned alone.

Gum disease: Gum disease can make it difficult for teeth to move as required, and can cause inflammation or infection around the aligners. Proper management of gum disease is necessary before clear aligner therapy.

If patient suffers from gum issues before or during the treatment it must be treated for successful teeth movement

Jaw joint issues: Jaw joint issues such as temporomandibular joint dysfunction (TMJ) can make clear aligner therapy difficult, as movement of the teeth may cause pain or discomfort. Evaluation of the jaw joint is necessary before proceeding with clear aligner therapy.

One of the most important issue, when moving teeth any jaw joint issue, because aligners are worn for 21 hours and joint issues must be treated else , the issue can get worse.

Pre-existing dental work: Patients with pre-existing dental work such as bridges, implants, or crowns may not be good candidates for clear aligner therapy as the aligners may not fit properly. Proper evaluation of pre-existing dental work is necessary before proceeding with clear aligner therapy.

A lot of pateint have crowns, or implants, bridge, veneers etc, before starting invisible braces treatment , it is important to ensure how the existing dental work will be affected or if it can affect the treatment.