Just as any orthodontist knows (time to mention that dentists doing invisalign should also be trained with fixed and orthopeadic orthodontics if patients are to get the best treatment) the older the patient the less easy it is to move teeth. Now I’ve treated teenagers right through to a couple of 70 somethings and everyone in between. And whilst you can always get improvements even with much older patients, younger patients with softer bone treat better with a full range of predictable tooth movements. The trick is to realise this and to plan your treatments accordingly. Do you really expect to get much intrusion with older patients? Are you really going to try to rotate canines and heavily twisted premolars annd molars? It just wont happen, so I focus on the movements that will, and bingo! – great results and happy patients every time. The system is great, you just have to know how to use it.
