Invisalign Comprehensive

Invisalign Comprehensive is our most complete Invisalign plan. It’s for teeth that need significant movement, or a bite that needs correcting as well as straightening. Many people who were told they’d need fixed braces can be treated with Comprehensive instead.

Comprehensive can treat

• Severe crowding: teeth that overlap, twist or sit out of the arch (crooked teeth)
• Larger gaps: spaces of several millimetres between teeth (gappy teeth)
• Overbite and deep bite: upper teeth that cover too much of the lower teeth (overbite)
• Underbite: lower teeth that sit in front of the upper teeth (underbite)
• Crossbite: some upper teeth biting inside the lower teeth
• Open bite: front teeth that don’t meet when you bite together
• Midline and rotation problems: a smile that looks off-centre, or teeth that are turned
• Treatment before cosmetic work: moving teeth into the best position before veneers, crowns or composite bonding

Some very severe bite problems need jaw surgery as well as orthodontics. If that applies to you, we’ll explain it honestly at your consultation and refer you if needed.

• No limit on aligners. Express is capped at 7 stages, Lite at 14 and Moderate at 20. Comprehensive has no cap, so your plan can include every movement your teeth need.
• A refinement included. If your teeth need fine-tuning at the end, your first refinement is included in the price.
• Bite correction. Comprehensive plans can use elastics (small rubber bands) attached to precision cuts or buttons on the aligners to move your teeth into a better bite.
• Predictable planning. Your whole treatment is mapped in 3D before you start, so you can see how your teeth and bite should change, stage by stage.
• Experienced clinicians. Rüh Dental is a Diamond Apex Invisalign provider, three years running, with more than 10,000 Invisalign cases completed.

• Weekly aligner changes. You switch to a new aligner every week, as your ClinCheck plan sets out.
• 22 hours a day. Wear time matters most on longer treatment. Take your aligners out only to eat, drink anything other than water, and brush.
• Attachments. Small tooth-coloured attachments help the aligners grip, rotate and move teeth. They’re removed and polished away when you finish.
• IPR. Some crowded cases need a little interproximal reduction (IPR) to create space, which can help avoid taking teeth out.
• Elastics. If your bite needs correcting, you may wear small elastics for part of your treatment. Your clinician shows you how to fit them.
• Regular reviews. We check your progress at planned reviews and adjust your plan if needed.

On longer treatment, it’s normal for a few teeth to need extra fine-tuning towards the end. That’s what refinements are for, and your first one is included in your plan. Many Comprehensive treatments include a round of refinement aligners to perfect the final details.

• What’s included: one refinement, if you need it.
• How it works: we take a new 3D scan, update your ClinCheck plan and show you the changes before new aligners are made.
• How long it takes: new aligners are usually ready in 2–3 weeks. You keep wearing your last aligner until they arrive.
• What it costs: your first refinement is included; any further refinements are charged separately.

Refinements are a normal part of getting a precise result, not a sign that treatment isn’t working. Wearing your aligners for 22 hours a day and fitting elastics exactly as shown is the best way to keep them to a minimum.

Comprehensive can treat most of the same problems as fixed braces. The main differences are day to day:

• Appearance: clear aligners instead of metal or ceramic brackets
• Eating: you take aligners out to eat, so there are no food restrictions
• Cleaning: you brush and floss as normal, without working around wires
• Comfort: smooth aligners, with no brackets to rub your cheeks
• Discipline: aligners only work when you wear them, so you need to wear them for 22 hours a day

For some very complex cases, fixed braces can still be the better choice. We’ll tell you honestly at your consultation. Read more: the benefits of Invisalign over braces.

Real Rüh Dental patients before and after Invisalign, including larger changes finished with whitening, bonding or veneers.

See more Invisalign results in our smile gallery → or browse Invisalign before and after photos by treatment.

Shared with patient consent. Individual results vary.

More about Invisalign treatment

• Invisalign Moderate
• Invisalign attachments
• Invisalign IPR (interproximal reduction)
• Invisalign refinements
• Invisalign vs braces
• Invisalign retainers
• Invisalign before and after

Invisalign guides

• Can Invisalign fix an overbite?
• Correcting overbite teeth with Invisalign
• The benefits of Invisalign for open bite
• The benefits of Invisalign over braces
• Understanding how Invisalign moves your teeth
• How long does Invisalign take?

Related treatments

• Overbite: how an overbite is corrected
• Underbite: aligners, braces or jaw surgery
• Porcelain veneers: for a bigger change in shape or colour
• Composite bonding: to reshape chipped or uneven edges after straightening