Is It Possible to Get Invisalign® Aligners With Cavities?

January 15, 2026
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Invisalign® is a popular treatment for those who want to straighten their teeth without the metal look of traditional braces. Unlike braces, these clear aligners are discreet and blend seamlessly with your smile.

Patients with cavities may be wondering whether it is possible for them to undergo Invisalign® treatment. If you have a similar concern, this blog will help you make an informed decision for your oral health.

Can You Get Invisalign® if You Have Cavities?

Cavities can affect your teeth in more than one way, including your smile and oral health. The good news is that you may still be a candidate for Invisalign® even if you have cavities! Before starting treatment, your orthodontist will thoroughly examine your teeth and gum health.

If you have any existing cavities, they may recommend treating them with dental fillings first before starting with orthodontic treatment. This also helps ensure that your teeth are healthy and stable to undergo Invisalign® treatment.

Once they are restored, your Invisalign® aligners will be custom-made to fit the shape of your teeth. Patients with existing fillings or dental work can also safely undergo this treatment with proper planning.

Can Invisalign® Aligners Increase the Risk of Cavities?

Cavities can develop for many reasons, regardless of whether you are undergoing orthodontic treatment. While the treatment itself does not cause cavities, wearing Invisalign® aligners for 20–22 hours a day can increase the risk if oral hygiene is neglected.

With daily use, plaque and bacteria can build up on both your teeth and the aligners. If there is a lack of routine cleaning, these harmful bacteria can weaken tooth enamel and may lead to tooth decay.

It is more likely to happen in patients with existing cavities or those with worn-out enamel. This is why maintaining excellent oral hygiene during Invisalign® treatment is essential to prevent cavities and gum problems.

How to Prevent Cavities During Invisalign® Treatment

Here are some effective tips for avoiding cavities with Invisalign® and maintaining your oral health at its best:

  • Brush your teeth using a soft-bristled toothbrush after meals or at least twice daily.
  • Floss carefully to remove plaque buildup between teeth.
  • Use an antibacterial mouthwash if recommended by your orthodontist to limit bacterial growth.
  • Clean your aligners daily to prevent plaque and bacteria buildup.
  • Limit the intake of sugary and acidic foods/drinks, as they can increase the risk of tooth decay.
  • Avoid eating or drinking anything except water while wearing your aligners.
  • Keep up with your regular and orthodontic checkups, so that any sign of cavities can be addressed at an early stage.

Final Thoughts

If you have cavities, it is best to consult with your orthodontist to determine whether Invisalign® is right for you. They may recommend restoring the cavities first before treatment to ensure successful results. For a personalized consultation, visit our orthodontist at Capital Springs Orthodontics today. Call us at (512) 447-6453 to schedule an appointment!

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