u/Intrepid-Natural

Hi! I’m an adult patient considering Invisalign and I’ve had three orthodontic consults. I’m trying to decide which treatment philosophy makes the most sense. Consult 2 and 3 are invislaign diamond providers if that helps. Also Ortho 2 and 3 were more personable for me, but again don't know if that matters too.

My case:

• Adult patient in my mid-20s
• Class II malocclusion
• Deep bite
• Overjet
• No major chewing issues or posterior discomfort
• Main goals: improve overjet/deep bite, improve smile/bite long term
• Had braces as a teenager but went to a dentist at the time not an ortho. So already had teeth extractions...
• Was told for absolute correction, jaw surgery bc it is somewhat structural (but i dont want surgery so).

Consult #1:

• Most comprehensive/aggressive plan
• Wanted to move both arches more extensively
• Discussed lower arch coordination/root positioning
• needs upper wisdom teeth removal during treatment for space
• Estimated “near perfect” correction for a non-surgical case
• He said I would need alligners, I don't think Invisalign specifically, but another company idk if that matters
• Most expensive option

Consult #2:

• More moderate treatment plan
• Small amount of IPR
• Also needs upper wisdom teeth removal during treatment to help mechanics
• Estimated about a 50% reduction in one aspect of the bite, but I can’t remember if they meant overbite or overjet
• Lowest cost option

Consult #3:

• More preservation-based plan
• Said my posterior Class II bite is stable and functioning well, so they would not want to disturb it unnecessarily
• Focus would be more on correcting the anterior/deep bite/overjet issues
• Proposed Invisalign with elastics
• IPR of about 0.2–0.3 mm across several upper contacts
• Specifically said wisdom teeth removal is not needed for orthodontic treatment
• Estimated about 80-85% reduction and said I could get good improvement.
• Mid-range cost option
• Also said I could get traditional braces, light force or invailsign as they would all work equally for me...

My life/schedule situation:

• I have a major exam coming up and realistically do not want to schedule wisdom tooth removal in the next 6-12 months unless absolutely necessary (which the first two consults I would need to do)
• I may need wisdom teeth removed eventually for general dental reasons, but not urgently
• Current insurance situation makes timing/cost a factor, but I also don’t want to choose the wrong plan just because of scheduling

My main question:
Is option #3 a legitimate adult orthodontic philosophy - preserving a stable posterior Class II bite while improving the anterior overjet/deep bite - or would I be sacrificing a meaningful amount of long-term result by not pursuing a plan that involves wisdom tooth removal and more posterior correction?

If the final visible smile/aesthetic result would be very similar, I’m leaning toward option #3 because it fits my schedule better and avoids making wisdom tooth removal part of the orthodontic timeline. But I want to make sure I’m not compromising the actual quality of the final result.

Would especially appreciate input from orthodontists or adults who had Class II/deep bite/overjet treated with Invisalign.

Trying to decide between two orthodontists for a severe adult overbite/overjet with a skeletal component (not interested in jaw surgery right now).

Both orthodontists basically said:

• Jaw surgery would be the "ideal" correction, but Invisalign could still provide significant improvement.
• Neither promised a perfect result without surgery.
• Both mentioned I may need my upper wisdom teeth removed at some point if additional space is needed.
• Main goal is improving my overbite and getting a functional, aesthetically pleasing result, not changing my facial structure.

Ortho #1:

• Said I have a fairly complicated case due to the skeletal component.
• Estimated treatment time: ~24 months.
• Cost after insurance: ~$7,200.
• Plan: Invisalign with attachments and elastics, lower arch expansion, and movement of the upper teeth backward. Possible upper wisdom tooth removal if needed.
• Said results could be "near perfect" and look pretty normal, but not a true skeletal correction.

Ortho #2:

• Estimated treatment time: ~18 months.
• Cost after insurance: ~$4,500.
• Plan: Invisalign with some IPR (interproximal reduction/"sandpapering"), movement of both arches (with a lot of correction coming from the upper arch, though also some lower tooth movement), and possible upper wisdom tooth removal if needed.
• Estimated about a 50% reduction in the overbite with good improvement and said I should be able to comfortably close my lips. Also showed me a 3D simulation of the proposed movements.

I liked both orthodontists and neither pushed surgery or overpromised results.

My question is: assuming both are reputable orthodontists, does one treatment philosophy sound better than the other, or do these plans sound fairly similar for a non-surgical adult overbite case?