ANSWER: As an Invisalign Provider for 13 years with involvement in traditional Orthodontics for 20 years previous to that, I believe that by far the
best Invisalign Orthodontic treatment is being provided by General Dentists who have a combination of training and experience in Cosmetic Dentistry, Occlusion, Periodontics, and Invisalign Orthodontics. There are I believe a lot of reasons to say this. Invisalign is a computer driven technology that requires 3 skills that are not normally those of an Orthodontist. To do Invisalign well it is critical that the dentist takes perfect Vinyl Polysiloxane impressions of the teeth. General/Cosmetic dentists take these impressions every day, this is NOT true for traditional Orthodontists. Invisalign Orthodontics requires that dental restorative composite material attachments or “buttons” be placed on very specific areas of certain teeth in order to prevent the aligners from slipping and to assist in the movement of the teeth. These “buttons” are
bonded and should be finished and polished to perfection. General/ Cosmetic dentists work with this restorative material , placing it , bonding it , finishing and polishing it every day, Orthodontists do not and in fact may never have placed a composite bonded restoration since Dental school. In order to make room where there is tooth crowding Invisalign requires that the dentist polish between teeth. The amount of room that has to be made is tiny, but significant and one of the best ways is to use very thin tiny High Speed Diamonds the diameter of a thick hair in a high speed (400,000 RPM) handpiece under high magnification using surgical telescopes and forehead lighting. General/ Cosmetic dentists do this every day and traditional Orthodontists do not and in fact do not normally even own the equipment. In addition a good General dentist will have had Periodontal training and will make sure that his patients have and maintain healthy gums and bone before, during, and after Invisalign orthodontics treatment. Also a dentist who is well trained in Cosmetic Dentistry has a much better ability to achieve a great cosmetic final result and can combine Invisalign with Cosmetic Dentistry. This is an enormous advantage in planning and finalizing your orthodontic treatment. Another bonus in terms of utilizing a good General Dentist is if he has had Neuromuscular Dental training in that he can address issues involving the relationship of your bite and the TMJ to improve, treat, or avoid TMJ problems.