Wisdom teeth & Invisalign® treatment

Dentist examining teenager’s teeth

You’ve finally started your journey to a straighter smile (or maybe you have been on it for a while) but suddenly there’s a twist – your wisdom teeth need to be removed. Dealing with a major dental procedure while aligning your teeth can be intimidating. You might even find yourself overwhelmed with questions about timing, recovery, and how one treatment might affect the other.

Fortunately, you don’t have to answer these questions on your own. Your dentist and orthodontist can help you navigate the challenges you’re facing and answer any questions you may have.

Will having my wisdom teeth removed impact Invisalign treatment?

The healing process after wisdom teeth extraction can sometimes lead to complications that may impact your Invisalign treatment, including:

  • Dry sockets:1 This condition occurs when a blood clot fails to form or it gets dislodged after wisdom teeth removal, delaying healing. It usually happens 3-4 days after extraction and causes pain, ranging from dull to significant. Treatment involves placing medicated dressings in the socket to aid healing.

  • Tingling (paresthesia):1 This is a rare side effect where numbness or tingling occurs in the tongue, lip, or chin after wisdom teeth removal. It happens when nerves near the extracted tooth are bruised or damaged during extraction, which can last a few days to months.

  • Healing time:1After wisdom tooth removal, it can take months for the area to fully heal. During this time, wearing aligners for the recommended 22 hours a day may be uncomfortable or impractical.

  • Stitch removal:1 If non-dissolving stitches are used during the procedure, they may need to be removed later. This may also temporarily interfere with wearing your aligners as directed.

If your wisdom teeth cause problems while you’re wearing Invisalign aligners, your orthodontist might need to adjust your treatment plan to help keep things on track. Sometimes this means pausing active tooth movement and having you wear your previous aligners or special “passive” ones that hold your teeth in place while the extraction area heals. Invisalign’s ClinCheck software lets orthodontists update and change your plan as needed so you can keep moving toward your desired results.2

Research shows that having teeth removed, like wisdom teeth, makes it more likely that you’ll need to update your Invisalign treatment partway through. In a study of more than 300 Invisalign patients, those who had teeth extracted during treatment were more likely to need a mid-course correction compared to those who didn’t.3

Woman holding Invisalign

Invisalign treatment after wisdom tooth removal

Teeth can sometimes shift after a tooth extraction, including the removal of wisdom teeth.4 However, the amount of shifting varies from person to person. Because wisdom teeth are located at the back of your mouth, their removal typically causes less noticeable shifting compared to tooth extractions in the middle of your dental arch, such as canine teeth.4 If shifting occurs, talk to your dentist or orthodontist to evaluate your aligner fit, so that you can stay on track to your perfect smile.

Healing after wisdom tooth removal

Whether or not you’re wearing Invisalign aligners after your wisdom teeth extraction, proper care is essential for healing. Key tips include:

  • Rest:5 Stay home and rest as much as possible for at least 3-5 days after your procedure to allow your body to recover.

  • Reduce swelling:5 Use an ice pack on the affected area for 20 minutes at a time, placing a clean towel between the ice pack and your skin.

  • Maintain oral hygiene:5 Brush and floss your teeth daily but avoid the extraction sites while they heal. It’s important to keep the rest of your teeth clean during recovery.

  • Take medications as prescribed:5 Follow your provider’s instructions for any medications. These medications can help manage pain and prevent infection, so don’t stop taking them unless directed.

Talk to your orthodontist

Wondering if your wisdom teeth might affect your Invisalign treatment? Schedule a consultation with your dentist or orthodontist. They can answer any questions you have and guide you through a plan that works for your situation, helping you stay on track to achieve the smile you’ve always wanted.

Don’t have an orthodontist? Try the Invisalign Doctor Locator to find a provider near you and get started today.



Disclaimer: The information provided on this website is for educational and informational purposes only and does not constitute medical advice. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. You should consult your healthcare provider regarding any dental or medical condition and not disregard or delay seeking advice based on information found here. Individual experiences with treatments, such as Invisalign, may vary. Comparative statements are based on cited studies and are not intended to imply clinical superiority. Always seek professional advice for your specific needs.

Wonder if Invisalign treatment is right for you?

  1. WebMD. Dental Health and Wisdom Teeth (https://www.webmd.com/oral-health/wisdom-teeth) Accessed 11/15/24
  2. Invisalign Provider. (n.d.). Facts and questions. Retrieved July 2, 2025, from https://www.invisalign.com/provider/education-and-support/facts-and-questions
  3. Zhang, L., Lin, S., Chen, J., Huang, L., Huang, Z., & Li, H. (2022). Risk factors for midcourse correction during treatment of first series of aligners with Invisalign. American Journal of Orthodontics and Dentofacial Orthopedics, 162(1), 57–64. https://doi.org/10.1016/j.ajodo.2021.12.018
  4. Roland J. (2020 Nov 11) Why Teeth Shift after Dental Procedures and Over Time Healthline. https://www.healthline.com/health/teeth-shifting#after-tooth-removal
  5. Cleveland Clinic. Wisdom Teeth Removal (https://my.clevelandclinic.org/health/treatments/22119-wisdom-teeth-removal) Accessed 11/15/24