While midline issues can arise from many causes (both mild and severe) there are a few highly effective treatment options — and Invisalign is one of the best. Adults often opt for Invisalign because it can usually achieve the same results as braces without the metal brackets or wires. So if your teeth are slightly off center, Invisalign can correct them efficiently and discreetly.
Read on and you’ll find a ton of helpful information on Invisalign as a midline treatment, plus some alternatives if Invisalign isn’t right for you.
Table of Contents
What Is Midline Misalignment?
Midline misalignment — also called midline discrepancy or deviated midline — is a condition defined by asymmetry between the teeth and facial structure. The center of your front teeth should line up with your nose and between your eyes, but in certain cases, it’s slightly off center.
The condition had its 15 minutes of fame in 2002 when Tom Cruise famously sported braces to correct his midline. You might not be a Hollywood superstar, but a midline discrepancy can still make you less than confident to flash your smile.
Midline issues are fairly common and mild cases are often harmless, just a cosmetic concern. However, more severe cases can alter your backbite or occur alongside a posterior crossbite, which can wear down your enamel unevenly, putting you at greater risk of tooth decay, gum disease, and jaw pain.
What Causes Midline Misalignment?
A few of the most common midline misalignment causes include missing teeth, oversized teeth (macrodontia), undersized teeth (microdontia), the early loss of baby teeth, crowding, and jaw misalignments.
Midline discrepancies can also stem from certain habits. For example, excessive childhood thumb-sucking can cause teeth shifts that alter the midline. Uneven chewing can also, over time, induce similar shifts. Or, they can occur after dental trauma like tooth loss or jaw injury.
Can Invisalign Fix Midline Misalignment?
In most cases, yes. Invisalign is a highly effective and versatile treatment that can correct a wide range of teeth and jaw misalignments. However, your dentist or orthodontist may still recommend braces for certain rare midline cases.
This is because midline shifts often stem from an underlying issue. Some of these issues are minor, like simple crowding or missing teeth, while others are more severe, like posterior crossbite. Invisalign can correct almost all these conditions. Because it can incorporate proprietary “Smartforce” attachments and appliances like elastics, Invisalign can achieve complex tooth and jaw movements, even for issues like overbite or crossbite.
However, if your midline discrepancy is because of a skeletal disharmony that pushes an entire dental arch off-center, your orthodontist might recommend braces instead for their durability and power.
That said, Invisalign isn’t the most affordable option on the market. Even though you might receive insurance coverage (depending on your plan), the average cost of Invisalign is $3,000–$8,000. Yet given their power, quality, and long track record of stunning results, that cost might just be worth it for you.
What’s It Like to Wear Invisalign?
Adults often favor Invisalign over braces because they’re 1) clear, and 2) removable. This means that they’re much less noticeable, and you can take them out to eat, brush your teeth, or attend an important meeting or other special occasion. If your treatment plan includes Smartforce attachments, they’ll stay on the entire time — but again, they’re hardly noticeable.
Invisalign is also typically more comfortable than braces. Since they’re made of plastic, clear aligners irritate the cheeks and tongue far less than metal wires and brackets. Of course, moving your teeth always causes some discomfort, no matter which treatment you pick. Most people find Invisalign the most uncomfortable the first few days after starting a new set of aligners, which you’ll typically do about once every two weeks. But Invisalign offers more comfort and flexibility than conventional braces.
On the flip side, Invisalign treatment requires a lot more discipline than traditional braces. Since Invisalign trays are removable, you have to wear them for 22 hrs each day to align your teeth and jaws successfully. If you’re not motivated enough to play through the pain for the long-term payout — or frequently forget to wear them — Invisalign might be TOO flexible of an option for you, and you may consider a more rigid and consistent treatment, like traditional braces, instead.
Alternative Invisible Aligners
While Invisalign pioneered the mass-market clear aligner and remains among the most popular providers out there, there are a few other clear aligner brands that can match them in effectiveness and efficiency. Plus, there’s a whole new industry on the rise for at-home teeth aligner brands that don’t require a single trip to the dentist.
Whether you’re simply interested in an alternative clear aligner brand or you’re looking to correct your crowding from home, there’s most likely a solution on this list for you. Below, we’ve broken down some of the most popular alternatives to Invisalign.
In-Office Brands
Align Tech (makers of Invisalign) is no longer the only company that partners with dentists and orthodontists to provide treatment with clear aligners. Like Invisalign, these treatments include regular in-person care from your dentist or orthodontist, and they can all incorporate attachments and appliances to correct midline discrepancies.
- ClearCorrect: Founded in 2006, ClearCorrect isn’t as experienced as Invisalign, but they’ve still been delivering quality results for over a decade. They typically charge dentists and orthodontists less for lab fees, which can make their aligners slightly more affordable. Plus, they have multiple treatment plans — including one where you pay per aligner — so they can tailor your plan to your condition.
Check out our full ClearCorrect review to learn more.
- SureSmile: Another one of Invisalign’s oldest competitors, SureSmile launched its clear aligners in 2007. It can treat the same scope of misalignments as Invisalign, and the company says that their patients are less likely to need refinements after treatment. Despite this, they boast lower prices and, since they don’t have a specific mandatory scanner, providers can save money and pass those savings on to you.
Interested? Read through our complete SureSmile review for more.
- 3M Clarity Aligners: 3M — the company behind Scotch Tape and Post-Its — creates clear aligners with incredible teeth-moving power thanks to their unique attachment placement. They’re only available to orthodontists, who can use two different proprietary materials to deliver a treatment highly customized to your condition. Since 3M also makes Clarity Clear Braces, orthodontists can also design a combination treatment that uses them simultaneously with aligners.
Our full 3M Clarity Aligners review has a ton more information.
Home Invisible Aligners:
In recent years, several online companies have entered the industry to provide a more affordable option for adults seeking to correct mild tooth and jaw misalignments from home. Similar to Invisalign, you’ll receive a set of clear, removable aligners customized to your teeth by a dental professional. But unlike Invisalign, they don’t require any trips to the dentist’s office — and treatment often costs a lot less. They can’t handle severe misalignments or significant bite issues, but they’re a convenient choice for milder cases.
- Byte: Byte’s claim to fame is their ability to deliver impressive results even faster than the competition — their average treatment plan length is just 4–5 months. Plus, they put a lifetime guarantee on your smile, and for those who’d prefer to straighten their teeth at night, they offer “At-Night” aligners designed with premium materials to withstand nighttime teeth grinding.
See our comprehensive review of Byte for an in-depth look at their services.
- Candid: Candid started as a fully remote clear aligner service, but have since shifted to a hybrid treatment that combines elements of in-office and at-home care. After an initial in-person consultation and examination with a local dentist, you’ll check in virtually via their CandidMonitoring service every 14 days for the rest of your treatment. It usually costs $3,500 or more, but you’ll get a higher level of care than other at-home options.
Our complete Candid review has a lot more important information.
- SmileDirectClub: SmileDirectClub was one of the first companies to offer at-home clear aligner treatment and continues to be the most popular option. Founded in 2014, SmileDirectClub has treated over 1.5 million patients to date. With SmileShops across the country where you can get a free teeth scan, they’ve also gone the extra mile to make the treatment process as easy as possible. Plus, they have a lifetime smile guarantee and extensive refund policies.
Check out our SmileDirectClub review for a deep dive into their treatment.
Other Treatment Options
Braces
They’re the oldest and most widely-used orthodontic treatment, and they can facilitate impressive smile transformations regardless of your condition. They can induce powerful jaw shifts to correct bite misalignments and may be a more surefire solution than Invisalign for significant midline deviations.
The main advantage that braces hold over Invisalign is their sturdiness and durability. Because you can’t take them off, they’re always working and leave no room for user error. Many adults shy away from the metal brackets and wires involved, but recent orthodontic advancements have created more discreet options like lingual and self-ligating braces.
The average cost of braces is $3,000-7,000, and their average time frame is 12–30 months. This isn’t to say that every single case falls within these ranges. If you have a minor case that doesn’t require complex movements, you might end up with lower costs and a shorter time frame. If you can get past the metal brackets, braces are perhaps the most reliable option available for midline misalignments. If that piques your interest, check out our comprehensive guide to correcting midline misalignment with braces.
Traditional Veneers
But maybe you’re after instantaneous results, a treatment that can transform your smile right away. If your midline condition is minor, veneers could be your answer. Veneers are strong porcelain tabs that a dentist can affix to the surfaces of your real teeth, so you can leave the office with a perfectly straight, white smile, no teeth shifts necessary.
However, to place and arrange your veneers, the dentist may need to shave down your real teeth, which is an irreversible process. Additionally, they don’t solve the underlying issue and they can break, especially if you clench or grind your teeth. Replacing veneers isn’t cheap, and even if yours don’t break, you’ll need to get new ones every 7–20 years.
For mild midline shifts that don’t affect your bite or back teeth, veneers could be an attractive, quick fix. But because veneers cost $500–2,000 per tooth, you’ll want to be absolutely sure that they’re the ideal option for your goals and budget.
Snap-On Veneers
If you like the idea of an instant smile transformation, but the permanence of traditional veneers worries you, snap-on veneers could be a great option. These removable appliances clip onto your teeth, hiding your misaligned midline, along with stains, cracks, chips, missing teeth, and other cosmetic issues.
Companies like Shiny Smile and Removable Veneers USA customize these veneers using molds of your teeth, so they’re a perfect match. They often come in different shades and models — some for everyday use and others for occasional wear.
Snap-on veneers are much more affordable than traditional veneers and many orthodontic treatments, but they’re also not permanent, and they can be slightly uncomfortable to wear. That said, they can work for people with very mild misalignments who want a quick and inexpensive solution. Check out our guide to the five best snap-on veneers to learn more.
Final Thoughts
Your midline misalignment is nothing to be ashamed about! But there’s no problem with wanting to fix it either. There are plenty of effective options, whether your midline issue is caused by slight crowding, severe crossbite, or something else entirely.
Invisalign is one of the most effective and best-looking teeth straightening treatments out there. But remember that every smile is different — an ideal treatment for someone else might not be the best option for you. Don’t dive into a particular treatment without researching the pros and cons, and seeing how they measure up against your unique condition and goals. This way, you won’t just get a great midline discrepancy treatment, you’ll get the best treatment for you.
Frequently Asked Questions
How do you fix a midline misalignment?
If you want to treat the underlying condition that’s causing your midline discrepancy, most orthodontic treatments are good options. But if you have a mild case and you’d rather simply hide it, traditional or snap-on veneers can provide an instant smile makeover.
What causes a midline misalignment?
Common causes include missing teeth, oversized teeth (macrodontia), undersized teeth (microdontia), the early loss of baby teeth, crowding, and jaw misalignments. Excessive childhood thumb-sucking, uneven chewing, or dental trauma like tooth loss or jaw injury can also contribute.
Is midline misalignment a problem?
Sometimes. Mild cases that don’t stem from a bite misalignment rarely present serious medical concerns. But severe midline discrepancies, specifically ones that affect the back bite or are accompanied by a crossbite, can wear down your enamel unevenly, potentially leading to tooth decay, gum disease, and jaw pain.
How long does it take to correct a midline discrepancy?
It depends on the severity of your case. A powerful orthodontic treatment like braces or clear aligners can sometimes correct mild misalignments in just a few months. More significant misalignments, however, often take 12–30 months.
Is midline misalignment noticeable?
For many people, the discrepancy is so slight that it’s barely noticeable. But more serious misalignments are typically more visible when you speak or smile.
Can clear aligners fix a midline misalignment?
Yes! Clear aligner treatments that involve in-person care from a dentist — like Invisalign or SureSmile — can handle just about any misalignment that braces can. At-home aligners like Byte or SmileDirectClub might be good options too, but only for mild cases.
Will insurance help pay for Invisalign?
If your insurance covers orthodontic treatment, Invisalign treatment could be covered in part or in full. To learn more, visit our guide on insurance coverage for Invisalign.
Are at-home aligners a good Invisalign alternative?
Only if you are making cosmetic changes to your tooth alignment. If you have larger or complex shifts to make, you must use an in-office treatment. If you are unsure where your case falls, most remote clear aligner companies will refund the cost of your impression kit if you are not a candidate.
Customer Ratings
- Results: 1 through 9 out of 9 resultsAllan L.USA1 year ago
After
Before-Front
Before-Left
Before-RightI had braces when I was younger but wasn’t the best with the retainer upkeep. Over time my teeth started to shift and I wasn’t 100% happy with my smile anymore. I decided to get Invisalign because I heard it was the preferred brand for clear aligners. For some reason I ended up with Invisalign Express even though I thought that I had the full Invisalign package so I felt somewhat mislead there although I cared more about the end result versus the number of trays I had to wear so if 10 was all I needed than fine.
The end results are about 95% perfect. The bite is more natural and the midline is aligned. There is still some slight impact on the sides but my orthodontist said that was the most Invisalign could fix and that I didn’t need a refinement even though I asked. All in all I would say this met most of my expectations although I feel that if I had the full Invisalign package versus just getting the Invisalign Express option, I would have more perfect results.
Yasmine R.San Diego9 months ago
Before
ProgressI wanted Invisalign because I was tired of feeling insecure every time I had to smile. I chose this current office due to the friendliness of the staff and the very reasonable price for the entire treatment. Previously, I had contacted multiple offices but they did not have as great of an offer as San Diego Smile Pros did. I recommend San Diego Smile Pros and I also recommend the Invisalign treatment to those who want to feel confident when they smile. My treatment is not over yet but I am very happy with the progress. I feel happy smiling now and will be even happier once the entire process is complete. The first two weeks were the most painful but after that, everything became easy and I love that I can still eat whatever foods I want to. Something else that I love is how you have to keep your trays and teeth clean after every meal so this makes you brush your teeth multiple times a day. I love Invisalign.
Stephanie K.Lakewood CO1 year ago
Before
ProgressI was told by a few different dentists that I had TMJ and an overbite slightly from that. I also grind my teeth at night and my enamel was wearing off so the aligned would help train my jaw to separate my teeth from grinding and my jaw to go back to being aligned straight again.
I chose my dentist and this company because my dentist was an acclaimed Invisalign expert and he has a patent on modifiers that are added into my trays to help my jaw, where I can’t get that anywhere else. The process for getting the best results and proper treatment was much more through than a mail at home kit. It is much pricier than other companies but I can already feel my jaw alignment has changed in a few weeks alone. I can see and feel progress in my jaw especially.
Lin Z.Alexandria11 months ago
Before
ProgressI was referred to Blessed Smile, and they way they treat their patience is with incredible courtesy, which I liked.
My bite was affecting the health of my teeth, so I decided to get Invisalign since I was not too keen on having braces as an adult.
Although the cosmetic improvements have been great to my smile, health was definitely my number one priority, which is why I ultimately look the plunge to go for it.
Leslie H.Rapid City, SD1 year ago
Before
ProgressI was hoping to correct crowding, overjet, overbite, and a smaller arch. I’ve done traditional braces before but had to stop treatment for a number of reasons – Invisalign has surpassed my expectations. I’m hardly in pain, I can talk and smile with confidence, and the results are already great. I’m only halfway through, and it’s already showing results. Teeth scan was uncomfortable but nothing like impressions. Aligners came back quickly!
Ashley G.Delran NJ7 months ago
Before
ProgressI’ve always wanted to do Invisalign and when my teeth started shifting, I knew it was time. I’m currently trying to correct a crossbite on my left side. I chose my orthodontist because they are a Diamond provider on the Invisalign website and when I went for my consultation, I felt very comfortable with them. They are very professional and make you feel at ease. I’m still going through my treatment and I already see results. To anyone who it thinking about doing it, I definitely recommend it. But I also want you to know it’s a lifestyle change and takes plenty of patience.
Christina G.Ridgewood5 months ago
Before
Before
Progress
ProgressI had braces when I was in middle school, and did not continue my treatment correctly by wearing my retainer regularly. This year I noticed my teeth had shifted a lot over the years and I went to get a consultation! I was so pleased with the 3D program that shows how your teeth will shift from start to finish, it is actually what convinced me! The orthodontist was very knowledgable and really did a great job explaining the process. I was able to see exactly what to expect at the end. Now that I am over 3 months in, it is the most seamless process ever! Being able to change them once a week and only having to go in every 8 weeks for the next set makes this very easy for working adults! I would highly recommend for anyone looking to better their smile! I already feel more comfortable with mine!
Jeremy W.Atlanta8 months ago
Before
ProgressI purchased aligners with the goal of straightening my teeth, fixing my bite, managing my periodontal disease, and address bone loss in my two lower medial incisors. I chose Dr. Green because he was friendly, energetic, engaged, and a phenomenal musician. My expectations have been surpassed, as this has been such a simple and streamlined journey. Throughout treatment, I’ve received nothing but the most professional guidance from Dr. Green and his team. I laud their good work and was positively surprised with how straightforward this process has been.
Susan F.CAMARILLO, CA6 months ago
ProgressInvisalign has been a great and challenging experience. I can see the end result and looks amazing but it’s been a struggle with clear trays. I didnt know that attachments were going to be added to several of my teeth and keeping the trays in for 22 hours is difficult. In the end though, I would do it again and would still choose to do clear trays over braces and I’m happy with the end result (hopefully only three more trays). Another added note is that the treat has taken longer than orginally discussed, however my dentist has been great if a tooth isnt tracking and new trays are needed.
Results: 1 through 9 out of 9 resultsFrequently Asked Questions
How do you fix a midline misalignment?
If you want to treat the underlying condition that’s causing your midline discrepancy, most orthodontic treatments are good options. But if you have a mild case and you’d rather simply hide it, traditional or snap-on veneers can provide an instant smile makeover.
What causes a midline misalignment?
Common causes include missing teeth, oversized teeth (macrodontia), undersized teeth (microdontia), the early loss of baby teeth, crowding, and jaw misalignments. Excessive childhood thumb-sucking, uneven chewing, or dental trauma like tooth loss or jaw injury can also contribute.
Is midline misalignment a problem?
Sometimes. Mild cases that don’t stem from a bite misalignment rarely present serious medical concerns. But severe midline discrepancies, specifically ones that affect the back bite or are accompanied by a crossbite, can wear down your enamel unevenly, potentially leading to tooth decay, gum disease, and jaw pain.
How long does it take to correct a midline discrepancy?
It depends on the severity of your case. A powerful orthodontic treatment like braces or clear aligners can sometimes correct mild misalignments in just a few months. More significant misalignments, however, often take 12–30 months.
Is midline misalignment noticeable?
For many people, the discrepancy is so slight that it’s barely noticeable. But more serious misalignments are typically more visible when you speak or smile.
Can clear aligners fix a midline misalignment?
Yes! Clear aligner treatments that involve in-person care from a dentist — like Invisalign or SureSmile — can handle just about any misalignment that braces can. At-home aligners like Byte or SmileDirectClub might be good options too, but only for mild cases.
Will insurance help pay for Invisalign?
If your insurance covers orthodontic treatment, Invisalign treatment could be covered in part or in full. To learn more, visit our guide on insurance coverage for Invisalign.
Are at-home aligners a good Invisalign alternative?
Only if you are making cosmetic changes to your tooth alignment. If you have larger or complex shifts to make, you must use an in-office treatment. If you are unsure where your case falls, most remote clear aligner companies will refund the cost of your impression kit if you are not a candidate.
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