pierson-ortho

Gummy Smile? Here's What's Actually Causing It and How to Fix It for Good

Tue, 21 Apr 2026 12:39:18 GMT

Everyone has insecurities. Some are small, some are big. Some you can change, some you have no control over. To have insecurities is to be human!

For many people, something in the “I wish I could fix this” category is a gummy smile. This is an extremely common cosmetic concern that has many people zooming in on photos and asking questions like why do my gums show when I smile?

Which is then typically followed up with questions like: what causes a gummy smile? What does gummy smile treatment look like? Or how to fix gummy smile?

The reality is that gummy smiles aren’t all created equal. There’s a wide range of root causes, and because of this, there’s an equally wide range of treatment options.

In recent years, a treatment option that has blown up in popularity is the lip flip. Scroll through social media, and you’ll find thousands of lip flip before and after transformations.

What is a lip flip? It’s a Botox-based treatment that relaxes your upper lip, so it sits lower and covers more of your gums, while also giving the lip a fuller appearance. It’s a quick fix that can look great, and for some people, this temporary cosmetic workaround might be all they’re looking for.

However, for others, where their gummy smile has functional root causes, like the way their teeth sit, how their jaw is developed, or how their bite functions, a simple lip flip won’t truly fix the appearance of a gum smile.

In this guide, we’ll discuss what actually causes a gummy smile, how to tell what could be causing yours, and explore what gummy smile treatment options exist. By the end, you’ll understand why an orthodontist should be your first call when figuring out how to correct your gummy smile.

What is a Gummy Smile Exactly?

While some studies will try to link an exact measurement to what defines a gummy smile, it’s less about a number and more about how your smile makes you feel.

If you notice that your gums show when smiling more than you’d like them to and you wish your top gums were less visible, then it makes sense to explore gummy smile treatment.

And it’s worth noting that it’s okay to care about this! Some people might feel superficial caring about a gummy smile. But wanting your smile to feel balanced and avoid the appearance of having large gums and small teeth is completely normal. Smiling is one of the best things we do as humans and you should never have to feel self conscious about yours.

So now that we got that out of the way, let’s get into what can cause excessive gingival display.

What Causes a Gummy Smile?

A wide range of factors can cause a gummy smile, and understanding the root cause is hugely important in picking the right gummy smile treatment. So if you’ve been wondering stuff like why do I have a gummy smile, or why do some people have gummy smiles while others don’t, then this section will give you some much needed clarity!

Teeth Don’t Fully Erupt

Sometimes conditions will limit a person’s teeth from fully erupting during development. They remain stuck further up in the gums, creating an appearance of tiny teeth big gums. However, in reality the teeth aren’t actually small and the person doesn’t really have abnormally long gums; the teeth just haven’t fully emerged from the gum line. In these cases, an orthodontist or periodontist can have a significant impact in changing the appearance of a person’s smile.

Jaw Development Issue (Vertical Maxillary Excess)
Gummy smiles can also be caused from a skeletal imbalance between the upper and lower jaw where the upper jaw grows too far downward during development. This imbalance is called vertical maxillary excess and makes it so there’s more visible gums when smiling. It’s often genetic and can also come with serious bite issues like an open bite. For an imbalance like this, the gummy smile isn’t just a cosmetic issue, it’s a functional one as well. For mild to moderate cases, it’s possible for orthodontics alone to make a meaningful difference in bringing proper alignment to the jaws. However, for more serious cases, it could require surgical orthodontics.

Hyperactive Upper Lip

A hyperactive upper lip is when there is a muscular issue with a person’s lip that makes it so their lip functions properly at rest, but rises higher than typical when they smile. Essentially, when the lip muscles contract, they do so more forcefully and it causes the upper lip to travel higher than average. In this case, a lip flip could actually be a great fit, because the Botox is able to relax the overactive muscles. However, the solution is temporary (only lasts 3 to 4 months), so it requires consistent maintenance. And if there’s an underlying issue related to the person’s bite or teeth then a lip flip alone might not give a complete result.

Gum Overgrowth (Gingival Hypertrophy)

There’s other scenarios where the gum tissues themselves are actually thicker or longer than average, and are covering more surface area of your teeth than normal. This gives the appearance of a gum smile as your teeth appear to be buried under the high gums. It’s a condition that can have many different causes, from genetics to a side effect of certain medications to hormonal changes. Correcting it typically requires either a gingivectomy or a crown lengthening procedure in order to remove the excess gum and reshape the tissues to better frame the teeth.

A Combination of the Above

In many patients, a gummy mouth is actually caused by a number of these factors, all coming together to create a situation where there’s more gums showing while smiling. For example, you could have slightly shorter teeth, a mildly overactive lip, and a bite that needs correction. The complexity of the causes behind gummy smiles is why getting a professional consultation is important. Orthodontists are trained to assess how the teeth, jaw, bite, and gums all work together, making them uniquely positioned to understand the true nature of your gummy smile.

Gummy Smile vs. Normal Smile: What’s the Difference?

When you’re comparing a gummy smile vs normal smile, you shouldn't boil it down to a number. The reality is that showing a little bit of gums when you smile is totally normal. Most people do. And if your gums show when smiling more than average, but it doesn’t bother you, then don’t sweat it!

When a gummy smile becomes a problem is when it begins to affect how you feel about yourself or how you interact with the world. For example, you might find yourself looking at photos and seeing more gums than teeth. Perhaps you avoid smiling as wide as you want or even cover up your smile because you’re afraid of showing gums. When the fear of gummy teeth reaches this point, it’s time to start looking into how to fix a gummy smile.

How to Fix a Gummy Smile: Understanding Your Real Options

If you’ve been researching how to fix a gummy smile or how to get rid of a gummy smile you’ve probably come across all kinds of treatment options from Botox, to surgery, to home remedies. As you now know from reading about what causes gummy smiles, the treatment that works is completely dependent on the cause.

The Lip Flip: What It Is, When It Works, and When It Doesn’t

A lip flip is a cosmetic procedure where small amounts of Botox are injected into the muscle that controls the upper lip. The Botox causes the muscle to relax, and the lip “flips” slightly upward and outward, relaxing over the gums.

Let’s get a few questions out of the way:

How long does a lip flip take?
The procedure takes about 10 minutes.

How much does a lip flip cost?

It typically costs anywhere from $75 to $200 per session.

How long does a lip flip last?

Results will normally last about 3 to 4 months.

It’s possible that you found this article by researching something like how to fix gummy smile Botox, or maybe you were just down a rabbit hole looking at lip flip before and after photos. Some of the results are certainly impressive and if a hyperactive upper lip is the primary cause of your gummy smile, then it could be a good treatment option. Here’s a breakdown of some pros and cons:

When the lip flip makes sense:
When a hyperactive upper lip is the root cause of your gummy smile, and there aren’t any issues with teeth alignment, gum shape/ size, or jaw position, then using Botox to relax an overactive muscle could provide you with a satisfying improvement.

When the lip flip isn’t the answer:

If your gummy smile is caused by gum overgrowth, short or crowded teeth, an imbalanced bite, or a jaw that’s out of position, then a lip flip really won’t be an effective solution. And think about it from a mathematical standpoint. If you’re spending an average of $150, 4 times per year, that’s $600, which over 5 years is $3,000. Meanwhile, there’s no actual improvement to addressing the root cause, and so you’ll have to continue making those quarterly payments with no end in sight.

How Orthodontics Can Fix a Gummy Smile, Permanently

For many patients, an orthodontic treatment option can be the most effective gummy smile fix. Especially when the cause of the gummy smile is structural. The great thing about orthodontics, is that unlike a lip flip, it addresses the root cause of the problem and the results aren’t temporary. With orthodontics you can get some truly amazing gummy smile before and after results.

Whether it’s correcting how teeth are positioned, or changing the alignment of the bite or jaw, orthodontics can not only improve the aesthetics of your smile, but also fix underlying functional issues that coincide with your gummy smile.

Braces for Gummy Smiles

Traditional braces are an effective tool for correcting gummy smiles when they’re caused by vertical tooth positioning or involve problems with your bite. Braces have come a long way over the years, becoming far more comfortable and precise than they once were. When exploring this option, you’ll come across two types of traditional braces: metal and clear/ ceramic braces. Functionality wise they operate the same. It’s more a matter of your personal aesthetic preference.

At Pierson & Saunders Orthodontics in San Antonio, we use a combination of innovative technologies like the iTero 3D digital scanner, and modern techniques like indirect bonding to ensure that gummy smile treatment is precise, efficient, and comfortable.

Invisalign for Gummy Smiles

Invisalign is a more discrete option than traditional braces and can also be a powerful tool for correcting gummy smiles. It’s especially helpful when the teeth need to be moved upward, or crooked teeth need to be repositioned in a way that less gums show. If the problem is tooth positioning, Invisalign could be a great option.

At Pierson & Saunders we deliver aligner plans that are truly personalized to you and as a Blue Diamond Invisalign Provider, we are an experienced and trusted partner for making sure treatment achieves your desired goals as efficiently as possible.

Surgical Orthodontics for Complex Cases

For gummy smile cases involving jaw positioning, like when there’s significant vertical maxillary excess, gummy smile gum surgery in the form of surgical orthodontics may be necessary. This option is for more complex cases, when orthodontics alone can’t bring your jaw back into proper alignment. When this is the case, you and your orthodontist work closely with an oral and maxillofacial surgeon who surgically repositions your jaw into proper alignment.

At Pierson & Saunders we would be able to coordinate this care closely with one of our trusted surgical partners in the San Antonio area.

Other Gummy Smile Treatment Options

Orthodontics is often at the center of how to fix gummy smile problems, since it addresses the underlying structural issues causing the gummy teeth appearance. But there are other treatments that could come into play during a person’s corrective plan.

Crown Lengthening Procedure

The crown lengthening procedure is a periodontal surgical treatment that removes excess gum tissue, while also reshaping the underlying bone that holds your teeth in place. By doing so, the crown of your tooth (the visible part of your tooth) appears to be longer, reducing the appearance of big gums teeth.

Gingivectomy

A gingivectomy also reshapes the gum line and reduces gum tissue overgrowth, but unlike the crown lengthening procedure, doesn’t involve altering bone. It’s often performed with a laser and recovery is pretty quick. If the primary reason you have particularly visible gums while smiling is due to gum overgrowth, then a gingivectomy is a nice and simple solution.

Lip Repositioning Surgery

Lip repositioning surgery is for those who have a hyperactive upper lip, but want a permanent alternative to repeated Botox injections. This surgery modifies the tissue inside the lip, so that it doesn’t rise up as high when you smile. It’s obviously more invasive than a lip flip, but it has lasting results. It’s an option that’s explored after all other structural concerns connected with a person’s gummy smile have been addressed.

How to Fix a Gummy Smile Naturally or Without Surgery

Many people search for how to fix a gummy smile naturally or how to fix a gummy smile without surgery. Ultimately, whether or not a natural or non-surgical fix is the best treatment option depends on the cause of the gummy smile.

For example, if the cause of your gummy smile is a hyperactive upper lip, then a lip flip could be a good non-surgical option. Or if the positioning of your teeth is the main culprit, then Invisalign or traditional metal or ceramic braces could be effective non-surgical methods.

Ultimately, it’s important to set up an orthodontic appointment so that they can do an in-depth evaluation and figure out your best path forward.

How Much Does It Cost to Fix a Gummy Smile?

At this point, you’re probably wondering, how much does it cost to fix a gummy smile?

As you can imagine, it varies significantly depending on the cause and treatment.

Here’s a general breakdown:

Lip Flip Cost (Botox): It’s roughly $75 - $200 per session and to maintain the appearance you’ll need to receive an injection every 3-4 months, indefinitely.

Cost of Gingivectomy / Crown Lengthening: $1,000 to $4,000+ depending on the scope of the procedure, but typically only a one-time procedure.

Cost of Invisalign/ Cost of Braces: This is where cost gets harder to estimate, because it truly depends on the complexity of your case. However, at Pierson & Saunders we offer flexible payment plans and complimentary consultations so you can understand costs before starting treatment.

Surgical Orthodontics Cost: This is the most expensive treatment option and is often a significant investment, but is also often covered in part by dental insurance when there are functional issues at play.

One thing to keep in mind when you’re doing the lip flip vs orthodontics cost comparison is that while a lip flip may feel affordable at first, the recurring cost can add up quickly. The nice thing about orthodontic treatment is there’s a defined cost and a defined endpoint where at the end of treatment, the root cause of your gummy smile will have been addressed. You’ll have a gummy smile fix that lasts a lifetime.

What to Do First: Start With a Consultation

If you’re smiling with gums showing, and aren’t sure how to begin your journey of gummy smile treatment, the best thing you can do is set up a proper evaluation before assuming anything about what’s causing your gummy teeth appearance.

During this initial orthodontic appointment, your orthodontist will evaluate your teeth, bite, jaw, and gums, determining if your gummy smile is caused by muscular, structural, dental, or skeletal issues. From here, they’ll be able to recommend treatment, so you can have a clear idea of the best path forward.

Something to keep in mind: Many patients will come into their initial orthodontic consultation thinking that their gummy smile is simply a cosmetic concern; when in reality, a gummy smile is a symptom of a larger functional issue. For example, it could indicate a misalignment with your bite that could create jaw tension and lead to discomfort while chewing. This is why it’s so important to see an orthodontic specialist who can make sure everything is in balance and functioning properly.

At Pierson & Saunders Orthodontics in San Antonio, we offer initial consultations that are complimentary. Both Dr. Bradley Pierson and Dr. Kristin Saunders are board-certified orthodontists, and have extensive experience treating everyone from kids to teens to adults. With all of the latest technology, like the iTero 3D digital scan machine, we can get a precise and comprehensive understanding of your oral structure. We’ll then walk you through what we’re seeing and why we’d recommend different treatment options. This way, you’ll leave your appointment with a clear plan, timeline, and understanding of your payment options, so you can make an educated decision on how to move forward.

We have two convenient locations in San Antonio:

North Loop

8358 N Loop 1604 W. San Antonio, TX 78249

(210) 695-1116

Alamo Ranch

11923 Culebra Rd. San Antonio, TX 78253

(210) 981-6264

Conclusion

The bottom line is that a gummy smile isn’t a problem with one solution. The causes of each gummy smile are unique to the individual and therefore gummy smile treatment is also unique.

The lip flip has its place and we aren’t here to dismiss it, but it’s often more of a temporary cosmetic solution than a structural correction. If you’re considering getting a lip flip to treat your gummy smile, we highly recommend first setting up an orthodontic appointment, so you can have a clear understanding of what’s driving your gummy smile.

By understanding the root cause of your gummy smile you give yourself the chance to learn how to fix your gummy smile for good, so you can have your own gummy smile before and after results that don’t wear off after 4 months.

Come visit us at Pierson & Saunders Orthodontics, named a Top Dentist by San Antonio Magazine, a peer-nominated honor where local dental professionals nominate the colleagues they trust most. We have two convenient locations in San Antonio and offer complimentary consultations, so there's no reason to put it off!

Why Early Orthodontic Evaluations Matter

Tue, 07 Apr 2026 08:41:02 GMT

Is your child 7 years or older? If they are, have they gone to an orthodontist yet?

If not, it’s time to change that!

In orthodontics, the “magic age of 7” marks a unique time in a child’s life where the development of their mouth is in full swing and an orthodontist is able to see certain problems developing before they’ve become problematic.

By catching problems early, an orthodontist is able to guide growth using non-invasive methods, helping your child avoid more complex, invasive, and expensive treatments down the line.

This is why early orthodontic evaluations matter. It can be the difference between a simple non-invasive treatment plan versus a complex surgical approach.

Even if your child doesn’t end up needing early orthodontic intervention, seeing orthodontic specialists early can give you the peace of mind that your child’s mouth is developing properly and can create a good baseline for growth monitoring.

In this blog, we’re going to be breaking down everything you need to know about what early orthodontic consultations are, when they should happen, and why they’re important for your child’s developmental health.

What is an Early Orthodontic Evaluation

An early orthodontic evaluation for children is where an orthodontic specialist examines your child’s teeth, bite, and jaw to see how they’re developing.

It doesn’t automatically mean that your child is going to need orthodontic treatment. In fact, most children don’t start treatment immediately. This initial orthodontic consultation is all about growth monitoring and making sure that your child’s development is headed in the right direction.

It’s a proactive step toward optimal dental care, where if there is a problem developing, an orthodontist can correct it early, before it turns into a bigger and more complex challenge.

By typing into Google, kids orthodontist near me or childrens orthodontics near me, you can take the important first step of finding a quality orthodontist to give your child an early orthodontic consultation.

When Should a Child See an Orthodontist?

So, you see the importance of an early evaluation, but exactly when should a child see an orthodontist?

It’s commonly accepted, and is recommended by the American Association of Orthodontics, that kids should get their first orthodontic consultation around the age of 7.

If you’ve wondered before when should kids see an orthodontist, you probably figured it would be later, and are thinking that 7 sounds early. However, at this age, adult teeth are starting to come in, the jaw is actively developing, and certain bite issues are starting to show.

This makes it a perfect time for an orthodontist to determine if there are any issues popping up, and if there are, intervene early with simple treatment options that can minimize the complexity of future treatments. When it comes to orthodontics, the earlier the better.

Why Early Orthodontic Evaluations Matter

So, what exactly makes timing so important and what’s the actual importance of early orthodontic treatment?

Let’s dive into it!

Catching Problems Before They Get Worse

There’s all kinds of early indicators that your child’s development is headed in the wrong direction that an orthodontist can pick up on during an early evaluation.

Some common issues that can be identified during an early evaluation include:

Tooth crowding and spacing issues
Bite issues (crossbites, underbites, overbites, etc.)
Jaw growth imbalances (narrow upper jaw, upper and lower jaw not growing in sync, etc.)

One of the biggest benefits of early orthodontic treatment is that when issues are caught early, there’s a wider range of treatment options available and less invasive treatments are more effective. By catching problems early, you’re not reacting to a problem, you’re staying ahead of it. When possible, preventive orthodontics for kids is almost always going to be better than reactionary treatment.

There’s all kinds of early intervention orthodontics treatment options that help a child’s mouth develop properly. For example, a palatal expander for kids can widen a narrow upper jaw, and could prevent a child from needing jaw surgery in the future.

And that segues into our next point of why early orthodontic evaluations matter.

Guiding Jaw Growth

A huge advantage that a child has over an adult when it comes to orthodontics is that they’re still growing.

One of the things that interceptive orthodontics (early treatment or Phase I treatment) is especially important in correcting is improper jaw growth. By guiding the development of a child’s jaw, an orthodontist can correct certain issues like jaw alignment and overcrowding of teeth.

Interceptive orthodontics for kids is only possible while your child is still growing which is why it’s so important for your child to get an early evaluation.

Making Future Treatment Easier

A huge goal of early orthodontic treatment for children is making future treatments simpler. This could lead to a number of benefits ranging from decreased treatment times to less painful treatment to a reduced price for treatment.

Essentially, smart orthodontic treatment planning that starts early can make a huge difference in your child’s overall orthodontic journey and experience.

Monitoring Growth Over Time

Even if your child doesn’t need treatment right away, consistent growth monitoring is critical for making sure your child’s development stays on track.

That way, if anything does change with your child’s development, an orthodontist can identify it right away, making sure the problem is addressed before it becomes more difficult to correct.

Children’s orthodontics really comes down to keeping an eye on things, and acting when the time is right with a strategic and staged approach.

Building Confidence Early

For a lot of kids, going to the orthodontist can be overwhelming and intimidating. By getting your child into an orthodontist at a younger age, the process of going to the orthodontist can be normalized, so that when it’s time to actually begin treatment they feel more comfortable.

What Happens During an Orthodontic Consultation?

Your child’s initial orthodontic consultation will be a simple and stress-free affair.

First, an orthodontist will begin by examining your child’s teeth and taking images or x-rays if needed. After evaluating your child’s jaw growth and spacing they’ll then discuss with you and your child what next steps look like.

In many cases, growth monitoring and continued observation will be recommended. If treatment is decided to be the best option, then a detailed orthodontic treatment plan will be put together so you know exactly what to expect.

How Early Orthodontics Fits Into Overall Dental Care

A person’s dental health journey starts long before their orthodontic journey. In fact, as a parent you probably remember typing into the search bar, pediatric dentist near me or kids dentist near me, trying to figure out the best dentist to bring your child to.

Regular dental visits are key for keeping your child’s teeth healthy and aren’t replaced when your child begins seeing an orthodontist.

The purpose of children’s orthodontics is more to make sure your child’s teeth fit together properly. The most optimal dental care is when your child’s dentist and child’s orthodontist work together in a coordinated effort.

Signs Your Child Might Need an Early Evaluation

The magic age of 7 is a great general benchmark, but the reality is there also might be certain signs that it could be a good idea to get your child in to see an orthodontist sooner than that.

As a parent keep an eye out for the following:

Early or late loss of baby teeth
Difficulty chewing or biting
Mouth breathing
Prolonged thumbsucking past early childhood
Crowded teeth
Jaw shifting ot clicking
Bite issues that could require underbite treatment for kids, a palatal expander for kids, or other early corrections

If you notice that your child is experiencing any of these then it could be time to set up an early evaluation sooner rather than later.

Finding the Right Orthodontist

There’s a few common ways that you might find an orthodontist.

You could start your search with a quick Google of kids orthodontist near me or childrens orthodontics near me . That’s a great way to kick things off.

Or, since you already likely searched childrens dentist near me or top pediatric dentist near me years ago, and have a pediatric dentist that you like and trust, there’s a good chance they’ll have recommendations of good orthodontists to reach out to.

Lastly, you could ask friends and family who have already had kids go through orthodontic treatment. Honest reviews from people you trust are a great way to get the inside scoop.

Ultimately, you want to find an orthodontist that’s going to focus on guiding growth and doesn’t rush treatment. Every child’s mouth develops differently and the goal of treatment should always be to create a plan that fits their specific needs.

Conclusion

When it comes to orthodontics, timing really is everything, and after reading this blog, it should be clear why early orthodontic evaluations matter. An early evaluation isn’t about immediately starting treatment, it’s about making sure your child’s development is on the right track and preventing small problems from developing into bigger ones.

The magic age of 7 is real. By identifying issues while your child’s mouth is still developing, an orthodontist can guide growth and make a real difference in simplifying future treatment.

If you’re looking for a quality orthodontist in San Antonio to help your child with an early orthodontic evaluation, the team at Pierson and Saunders Orthodontics is ready to help. We make sure that treatment is uniquely tailored to the needs of your child and ensure that the process is never rushed, always putting your child’s long-term development first.

How Long Does Invisalign Take? | Board Certified Orthodontist Explains

Mon, 23 Mar 2026 18:24:19 GMT

So, you’re interested in Invisalign. But naturally, you have some questions.

Most likely near the top of your list is the question: how long does Invisalign take?

Whether you’re planning treatment around a big life event or you simply want to know what to expect, knowing the Invisalign process timeline can be helpful for wrapping your head around treatment and starting treatment confidently.

So what’s the answer? The short answer is that most patients complete treatment in about 12 to 18 months. However, like many things in orthodontics, the answer is a bit more nuanced than that, with the length of treatment being dependent on factors like the complexity of your case and how your mouth responds to treatment.

Since everybody’s case is unique, the best way to get an accurate timeline estimate for your Invisalign treatment is to schedule an initial orthodontic consultation. However, in this article we’ll still give you plenty of info so you can at least get an idea of how long Invisalign treatment takes and why. So let’s get to it!

The Short Answer: How Long Does Invisalign Take?

Invisalign treatment uses a series of custom clear plastic trays that gradually move your teeth into alignment. So when you’re asking the question of how long is Invisalign treatment, you’re really asking about the length of time from the first set of trays to the last.

The biggest factor that determines the average length of Invisalign treatment is case complexity, so let’s break the averages down by that:

Mild cases: 6-9 months

Moderate cases: 9-15 months

More complex cases: 12-24 months

Treatment timelines exist on a wide spectrum, where slight adjustments may be relatively quick, while other more complex cases, especially if they involve a bite correction, can require 2+ years of treatment. So, if the reason you’re reading this blog is because you’re wondering how long does Invisalign take to straighten teeth, just know that you might not have a great idea of your individual timeline until you go and see an orthodontist.

When Will You Start Seeing Results?

Slightly different than total treatment time, but still a common question that we get is: how long does it take for Invisalign to work? As in, when will you start to notice results?

The great thing about Invisalign is that it starts working almost immediately. As soon as you put your first set of trays in, they begin applying consistent pressure, which starts the process of gradually shifting your teeth.

Most patients will notice a visible difference in about 4 to 8 weeks, so it’s really not much of a wait before you start seeing real results.

Since Invisalign treatment is a series of plastic trays, you may also be wondering how long you wear each aligner set for. Each set of aligners is designed to move your teeth slightly, and you’ll often switch to the next set after about 1 to 2 weeks.

Invisalign Timeline: What to Expect Step-by-Step

When you know the full Invisalign process timeline, it can make the experience feel a lot more manageable, so let’s break it down into steps.

Initial Consultation and Planning

The first step for any orthodontic treatment is an initial orthodontic consultation. During this stage we’ll examine your mouth, take digital scans of your teeth, learn about your goals, and answer any questions you may have. We’ll then put together a treatment plan, where you’ll know both what we recommend and why we recommend it.

Getting Your Aligners

After your plan is finalized, your scans are used to manufacture your aligners. If you’re wondering how long does it take to get Invisalign, it typically takes about 2 to 4 weeks for your aligners to be fabricated and shipped to the office.

Active Treatment Phase

You’ll wear your aligners for 20 to 22 hours per day, and will switch to a new set every 1 to 2 weeks. This active treatment phase makes up the majority of your Invisalign treatment time, and depending on the range of factors we already mentioned, you could be in the active treatment phase for anywhere from 6 to 24 months.

Refinements (if needed)

After treatment, it’s possible that you may need small adjustments or refinements to dial in your final result. With orthodontic treatment, patience can often be the key to great results.

Retainers

The final piece to any Invisalign treatment is a retainer. Getting a retainer will prevent your teeth from shifting back, preserving your result in the long-term.

What Affects How Long Invisalign Takes?

There are a few things that impact how long your Invisalign treatment takes. A couple of these are out of your control, but one is very much in your control and matters a lot.

Case Complexity

The more movement that’s needed to correct a person’s spacing, crowding, or bite, the longer the treatment timeline. Some patients wonder how long does Invisalign take for mild crowding and the answer is that in many cases, it’s on the shorter end of the timeline. Generally, the simpler the movement, the faster the results.

Patient Compliance

Wearing your aligners the recommended 20 to 22 hours per day is critical for making sure your treatment stays on track. If you don’t wear your aligners consistently, you can significantly increase your Invisalign treatment team, and make treatment more complicated.

Biological Response

Everyone’s body is unique and responds to treatment differently. For example, age and bone density are two factors that can have a big impact on how quickly teeth respond to treatment. Someone who’s younger and still growing will often have teeth that move more easily, while an adult’s teeth are more resistant to change, and therefore have a slower process.

How to Make Invisalign Work Faster

If you want to stay on the shorter end of your timeline there’s a few ways to do that:

Wear your aligners consistently, sticking to the recommended 20 to 22 hours per day.
Stay on schedule with switching your aligners. Often every 1 to 2 weeks.
Keep up with your appointments, so your orthodontist can make sure everything is on track.

Consistency and compliance are key to making sure your treatment is as efficient as possible, and ensuring you get the best results possible.

Conclusion

As you can see, “how long does Invisalign take?” doesn’t have a super straightforward answer, and depends on a wide range of factors from your biology, to the complexity of the case, to how consistently you wear your aligners. While most patients will fall into the 6 to 18 month range, your exact timeline is unique to you and your situation.

Ultimately, the best way to know how long Invisalign treatment will take is to book an initial orthodontic consultation, so if you’re in the San Antonio area, and are looking for a trusted and quality orthodontist, give us a call at Pierson and Saunders, and we’ll make sure you’re in good hands when you embark on your Invisalign journey.

What is the Process of Getting Braces? | Why Indirect Bonding is so Important

Tue, 17 Mar 2026 15:51:37 GMT

Braces. When you read that word there’s a good chance it evokes some sort of emotion. Maybe it’s excitement, because you’ve been waiting to fix your smile and it’s finally time. Maybe it’s worry, because you’re a parent of an anxious child and are unsure how they’ll handle the process. Maybe it’s fear, because you’re concerned that the braces are going to hurt. It’s certainly a spectrum and however you’re feeling is completely normal!

One thing that everyone can benefit from before getting braces, regardless of how they feel about them, is knowledge about what the process of getting braces actually looks like. Shedding some light on the “how” can really help ease any stresses or anxieties around it.

If you or your child are gearing up to get braces there’s probably a ton of questions racing through your mind.

Like, how are braces put on? Or, how long does it take to put braces on? Or maybe, what are the steps involved in the braces process?

Well, if you have questions about the braces process then I have some good news for you: you’re in the right spot! In this article we’re going to break down the steps involved in getting braces, provide you with helpful info on how to protect your braces after installation, and talk about a modern technique called indirect bonding that can make the process even more comfortable and precise.

Understanding Orthodontic Treatment

Orthodontic treatment has a ton of benefits that go well beyond straightening your teeth for aesthetics. Orthodontic treatment can improve bite function, reduce uneven wear on teeth, allow for easier brushing and flossing, and create an overall healthier balance within your mouth that’s more conducive for long-term oral health.

That’s obviously not an exhaustive list of everything orthodontics can help with, but you probably wouldn’t want to read all that, so let’s get into the meat of the article: how to get braces.

Steps Involved in Getting Braces

The braces process happens in a few different stages and knowing these orthodontic braces steps can help alleviate some anxiety around the process. After all, sometimes the unknown is the scariest part!

Initial Consultation

The first step of any orthodontic treatment is the initial consultation. During this stage, an orthodontist will examine your bite and teeth, take any needed images or scans, and talk with you about your goals. This phase is all about diagnosing the issues you’re experiencing and determining the best treatment plan, whether that’s braces, or clear aligners like Invisalign, or another orthodontic option.

Treatment Planning

Once there’s a diagnosis, and the orthodontist has a clear understanding of your teeth and bite, they can move forward with putting together a personalized treatment plan. You’ll be recommended a treatment option, given details on the process and what the overall timeline looks like, as well as provided an explanation of the expected results. Questions are encouraged so don’t hesitate to ask your orthodontist if you’re unsure about something!

Now let’s imagine you’ve gotten your treatment plan and the recommended option is braces, well let’s see what the process of getting braces put on looks like!

How Are Braces Put On? The Step-by-Step Process

Patients are always asking questions like how long do braces take to put on? Understanding the braces steps can help answer this question and make you feel more confident going into the process of getting braces.

Step 1: Cleaning and Preparing Teeth

In order for the brackets to bond properly to the teeth, the orthodontic team must clean and dry your teeth.

Step 2: Placing the Brackets

When placing the brackets, they’ll position each one in a unique way depending on what’s required to get the most efficient tooth movement.

Step 3: Securing the Brackets

A special adhesive will be used to bond the brackets to the surface of the tooth. Once the brackets are in position, a curing light will harden the adhesive so that they’re firmly set.

Step 4: Adding the Archwire

After the brackets are secured, the next step is running an archwire through them. Designed tension on this wire creates gentle pressure on your teeth and gradually moves them into the desired positioning.

Once patients see the teeth braces steps laid out clearly, it makes the whole process feel a lot more manageable.

Then for the answer to the question of how long does it take to get braces put on? Typically the appointment lasts somewhere between 60 and 90 minutes. A large portion of this time is spent correctly positioning the brackets and making sure they’re in their proper placement before securing them.

Since that meticulous placement accounts for most of your time in the chair, how great would it be if the orthodontist could take care of that part ahead of time?

Well, ask and you shall receive! Some modern orthodontic practices (Pierson & Saunders being one of them of course!) have adopted a technique that allows for that very thing. This process is called indirect bonding.

What is Indirect Bonding?

With indirect bonding, the braces procedure is a little bit different and can change the answer to the question of: how long does it take to put braces on teeth?

Traditionally, the orthodontist carefully places each individual bracket one at a time while the patient is sitting in the chair. However, with indirect bonding, the brackets are all able to be positioned ahead of time. But how?

It starts with a 3D scan of your teeth. This is then used to plan the exact placement of every bracket and produce a physical model of your teeth. The orthodontist will then perfect the positioning of the brackets on this model before your appointment. When it’s time to put your brackets on, these pre-positioned brackets are then just transferred to your mouth with a custom tray.

Basically, the time consuming precision work of placing the brackets in their planned positions all happens before you sit down in the chair.

Why Indirect Bonding is an Upgrade

So why does indirect bonding matter? Is indirect bonding better? Is indirect bonding quicker?

Not only can indirect bonding save you time in the chair, but it can also improve your overall treatment outcome. Bracket placement plays a huge role in how efficiently your teeth move during treatment, and indirect bonding allows for extremely accurate bracket placement.

Let’s take a look at the 3 biggest advantages of indirect bonding:

Better Precision

Since the bracket placement is planned digitally and an orthodontist can take as long as they need when positioning the bracket, you can be sure the bracket placement is going to be as accurate as possible.

More Efficient Appointments

Since the brackets are transferred using a tray rather than being placed one-by-one, while you’re sitting in the chair, the process of getting braces with indirect bonding can be a lot more efficient.

More Consistent Results

By having a carefully planned setup, the treatment process is smoother, more efficient, and can deliver more predictable results.

Taking Care of Your Braces After Installation

Alright, so your braces are in place and you’re on the path to straighter teeth. Next step, figuring out how to take care of them so that you can keep your teeth healthy and your treatment plan on track.

One of the singular most important things you can do, while having braces, is maintaining excellent oral hygiene. It takes a little bit more work than when you don’t have braces but it’s well worth it. Brackets and wires create a lot of places for food and plaque to hide, so you have to be diligent when it comes to brushing and flossing.

Here’s some general tips for making sure your braces stay intact and your oral hygiene stays fresh:

Brush after meals whenever possible
Floss daily using floss threaders or orthodontic floss
Use orthodontic wax if you have a bracket or wire that’s causing irritation
Avoid hard or sticky foods that could damage your brackets

Conclusion

Understanding the process of getting braces ahead of time can help make the whole experience feel much less intimidating. By pulling back the curtain, you can see that it’s simply a series of carefully planned steps that are designed to bring you a beautiful and healthy new smile.

With advanced techniques like indirect bonding that make the braces process more precise and efficient, the patient experience for getting braces has never been better.

At Pierson & Saunders we are proud to be at the forefront of adopting modern technologies and techniques that make treatment for our patients easier and more comfortable. If you’re looking for an orthodontist in San Antonio for you or your child, schedule an appointment with us today, and see what orthodontic treatment is supposed to be like.