Missing teeth can make you hesitant about pursuing orthodontic treatment. You might wonder if Invisalign aligners can work when you have gaps in your smile.
Yes, you can sometimes get Invisalign with missing teeth, but it depends on the location, number, and size of the gaps. At Grand West Dental, we can evaluate your situation to determine if Invisalign alone can help or if you’ll need additional treatments first.
What Invisalign Treatment Involves
Invisalign uses custom-made clear plastic trays that fit snugly over your teeth. These aligners apply gentle pressure to gradually move your teeth over time.
You’ll receive a series of aligners that you switch out every one to two weeks. Treatment typically takes 12 to 18 months, though your timeline may vary based on your needs.
For Invisalign to work properly, you need to wear your aligners for 20 to 22 hours each day. You can remove them for eating, drinking, brushing, and flossing.
Missing Teeth & Invisalign: When It Works & When It Doesn’t
When Invisalign May Work
Small gaps from extracted teeth can sometimes be closed using Invisalign aligners. However, in many cases, closing gaps with Invisalign isn’t advised.
When Missing Teeth Create Challenges
Large gaps cannot be closed with aligners alone, especially when multiple teeth are missing in key positions. These situations often require tooth replacement before or during orthodontic treatment.
Missing teeth that affect your bite alignment may need to be replaced first to ensure that your Invisalign treatment achieves the desired results. Your dentist will assess how the gaps impact your overall oral health and function.
Treatment Options When You Have Missing Teeth
Dental Implants Before Invisalign
Dental implants replace your missing teeth with permanent, natural-looking restorations. Once your implants heal completely, you can begin Invisalign treatment to align your remaining natural teeth.
This approach gives you a complete smile foundation before starting orthodontic work.
Gap Closure with Invisalign
Moving your existing teeth to close small spaces works well when you have adequate bone support and healthy surrounding teeth. Your dentist will determine if your remaining teeth can handle the movement required to close the gaps. The size and location of missing teeth play an important role in this decision.
Combined Treatment Approaches
Many patients benefit from coordinating multiple treatments to achieve their desired results. This might involve temporary restorations during Invisalign treatment, followed by permanent replacements once your teeth reach their final positions.

Alternative Solutions for Missing Teeth
Traditional Braces
Metal braces might handle certain missing teeth situations more effectively than clear aligners. Braces can apply different types of force and provide more precise control in complex cases.
Your dentist can help you understand whether traditional orthodontics might serve your needs better than Invisalign. Each treatment option has different advantages.
Dental Bridges & Partial Dentures
Bridges and partial dentures can replace missing teeth before or during orthodontic treatment. These restorations fill gaps and restore proper chewing function while still supporting your facial structure.
At Grand West Dental, we work closely with The Denture Centre to provide quality prosthetic solutions in-office.
Comprehensive Smile Restoration
Some situations benefit from a complete approach that addresses missing teeth, alignment issues, and cosmetic concerns together.
Your dentist can help you understand how different treatments work together to achieve your smile goals. Proper sequencing ensures each phase supports the next for optimal outcomes.
Getting Professional Assessment in Chatham
Every missing tooth situation is different, which is why professional evaluation is necessary before starting orthodontic treatment.
What to Expect During Your Consultation
Your comprehensive oral examination will include x-rays and detailed assessment of your teeth, gums, and bite. This helps identify all factors that could impact your treatment success. It includes:
- Complete evaluation of your remaining teeth and oral health
- Discussion of your treatment goals and expectations
- Review of all available treatment options
- Referral coordination when specialized care is needed
Treatment Planning Process
Grand West Dental Group has provided comprehensive dental care to the Chatham community since 1977. We coordinate with local providers to ensure you receive all the care you need close to home.
Ready to explore your options for achieving a straighter, more complete smile? Contact our team today to schedule your consultation and discover which treatments can help you reach your goals.



