Are There Any Possible Complications with Invisalign?

August 2, 2025

Woman holding up Invisalign clear aligner.

Invisalign has become one of the most popular orthodontic treatments for straightening teeth. With clear, removable aligners, it offers a discreet and convenient alternative to traditional braces. While most patients have smooth and successful experiences with Invisalign, it’s natural to wonder whether there are possible complications. Like any dental treatment, Invisalign comes with potential challenges, though most are minor and manageable with proper care. Here’s what you should know.

Initial Discomfort and Soreness

When you first start Invisalign—or switch to a new set of aligners—you may experience soreness or pressure as your teeth begin shifting. This is a normal part of the process and typically fades within a few days. Over-the-counter pain relievers and cold compresses can help ease the discomfort until your mouth adjusts.

Speech Changes

Some patients notice a slight lisp when they first begin wearing Invisalign. This happens because the aligners add a thin layer over your teeth, which can affect how your tongue moves. The good news is that most people adapt within a week or two, and speech returns to normal with practice and consistent wear.

Gum and Soft Tissue Irritation

The edges of new aligners may occasionally rub against your gums, tongue, or cheeks, causing irritation. Trimming rough spots or using orthodontic wax can relieve discomfort. If irritation persists, your dentist can adjust the aligners to fit more comfortably.

Compliance is Crucial

One of the biggest challenges with Invisalign isn’t physical—it’s behavioral. For the treatment to work effectively, aligners must be worn 20 to 22 hours a day. Forgetting to wear them, removing them too often, or not following your dentist’s instructions can slow down progress and extend treatment time.

Dry Mouth or Excess Saliva

Wearing aligners can sometimes affect saliva flow. Some patients experience temporary dry mouth, while others notice an increase in saliva at first. Staying hydrated, chewing sugar-free gum, and practicing good oral hygiene usually resolve these issues quickly.

Aligners Can Stain or Warp

Since Invisalign trays are clear, they can stain if you drink coffee, tea, or wine while wearing them. Hot beverages can also warp the plastic. Always remove your aligners when eating or drinking anything other than water, and rinse them regularly to keep them clear and fresh.

Rare Complications

In rare cases, patients may develop allergic reactions to the plastic material or experience unexpected tooth movement. These situations are uncommon, but they highlight the importance of regular check-ins with your dentist or orthodontist to monitor progress.

While Invisalign is safe, effective, and far more comfortable than traditional braces for many patients, no treatment is entirely risk-free. Most complications with Invisalign are minor, temporary, and easily managed with proper care and professional guidance. If you follow your dentist’s instructions and maintain good oral hygiene, you can expect a smooth journey toward a straighter, healthier smile.

About the Practice

If you’re interested in straightening your smile, West Hartford Dental Group has you covered! We provide a clear solution with Invisalign aligners. Our treatment is generally shorter than traditional metal braces, not to mention much more comfortable. There are no dietary restrictions like with old-fashioned brackets and wires, and our aligners are specially made for each patient. Ready to get started on your journey to a healthier, straighter smile? Just click over on our website to schedule your appointment or call (860) 236-4249.