Invisalign Refinements
Invisalign Refinements is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Orthodontic treatment designed specifically for the unique needs and goals of adult patients.
Adult Orthodontics: Aligned Teeth at Any Age
Adults represent the fastest-growing segment of orthodontic patients, and for good reason. Crooked teeth, crowding, and bite misalignment do not improve with age — they get progressively worse. Enamel wears unevenly, gum recession accelerates around malpositioned roots, TMJ strain increases as compensatory habits develop, and the aesthetic impact compounds over decades. Adult orthodontics at ADSC addresses all of these concerns with treatment options that fit professional lifestyles and realistic timelines.
The biological difference between adult and adolescent orthodontics is bone density. Adults lack the skeletal growth potential that expedites tooth movement in younger patients, and the alveolar bone is denser and less responsive to orthodontic forces. This means adult treatment may take modestly longer and requires more careful force calibration to avoid root resorption. Pre-treatment periodontal evaluation is essential — teeth can only be moved safely through bone that is healthy and adequately supported.
Treatment options for adults span the full range: Invisalign clear aligners for discretion-sensitive professionals, ceramic braces for those needing fixed mechanics with reduced visibility, lingual braces for complete concealment, and metal braces for complex cases requiring maximum control. Many adults also benefit from interdisciplinary planning — aligning teeth to prepare for implants, crowns, or veneers that achieve best function and aesthetics simultaneously.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for smooth continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Orthodontic Biology in the Adult Periodontium
Adult orthodontic tooth movement occurs through the same bone remodeling cycle as adolescent movement — osteoclast-mediated resorption on the pressure side and osteoblast-mediated deposition on the tension side. However, the adult periodontium presents distinct biological conditions. Cortical bone is thicker and more mineralized, requiring longer for remodeling activation. The periodontal ligament may be narrower and less cellularly active. Pre-existing periodontal disease — bone loss, attachment loss, or gingival recession — reduces the envelope of bone available for tooth movement and increases the risk of further attachment loss if oral hygiene is inadequate during treatment. The root resorption risk is modestly improved in adults, particularly for teeth with short or blunted roots, which is why CBCT imaging is integral to adult treatment planning. Controlled force levels (typically lower than those used in adolescents) and adequate movement intervals between activations allow the adult periodontium to remodel without iatrogenic damage.
Why Choose a Specialist?
Adult orthodontic treatment at ADSC integrates periodontal assessment as a prerequisite. Patients with active periodontal disease undergo scaling and root planing or other periodontal treatment before any orthodontic force is applied — moving teeth through inflamed or compromised bone risks accelerated attachment loss. CBCT imaging evaluates root length, cortical bone proximity, and existing bone levels around each tooth, enabling force prescriptions that respect the adult periodontium's remodeling capacity. The multi-specialty environment allows smooth coordination between orthodontic, periodontal, and restorative planning.
Your Invisalign Refinements Treatment Steps
- Consultation & Exam: Comprehensive invisalign refinements evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your invisalign refinements options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for best healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
A Note from Your Dental Team
In my experience, the patients who get the best results from invisalign refinements are those who come in with realistic expectations and follow their post-treatment instructions carefully. I’d rather spend extra time explaining what to expect than have a patient be surprised later.
“Every patient I see has a different story, a different set of concerns, and a different definition of what ‘success’ looks like. That’s why I don’t believe in one-size-fits-all treatment plans. When you come in for a consultation, I’ll listen first, examine second, and recommend third.
I also won’t recommend a procedure you don’t need. If your tooth can be saved with a filling instead of a crown, I’ll tell you that. If watchful waiting is appropriate, I’ll explain why. My job isn’t to sell treatment — it’s to give you my honest clinical judgment so you can make an informed decision.
If you have questions about whether this treatment is right for you, or if you’ve been told you need this procedure by another dentist and want a second opinion, call us at (503) 822-0096. We’re happy to take the time to explain everything — no rush, no pressure.”
— Dr. Merat Ostovar & Dr. Jovan Gvozden | Aloha Dental Specialty Center, Beaverton, OR
I know many patients feel anxious about dental procedures — you’re not alone in that. What I hear most often after treatment is: “That was so much easier than I expected.” We’re here to make this as comfortable as possible for you.
Are You a Candidate for Invisalign Refinements?
Most patients in good general health are candidates for invisalign refinements. However, certain factors may affect your eligibility or require modifications to the treatment plan:
- Medical conditions: Uncontrolled diabetes, autoimmune disorders, or blood-thinning medications may require coordination with your physician before treatment.
- Bone quality: For invisalign refinements involving the jawbone, adequate bone density is essential. A CBCT 3D scan during your consultation determines this precisely.
- Smoking: Tobacco use significantly impairs healing. We strongly recommend quitting 2-4 weeks before and after any surgical procedure.
- Age: There is generally no upper age limit. What matters is your overall health, not your age. We have successfully treated patients in their 80s and 90s.
The only way to know for certain is a consultation with our board-certified specialists. Call (503) 822-0096 to schedule your evaluation — we’ll tell you honestly whether this is the right treatment for your situation.
Typical Healing Timeline:
Days 1-3: Initial healing, mild swelling managed with ice and medication. Days 4-7: Swelling subsides, gradual return to normal diet. Weeks 2-4: Soft tissue heals completely. Months 2-6: Bone remodeling and full integration (for surgical procedures). Individual recovery varies — we provide detailed post-op instructions specific to your procedure.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
Am I too old for orthodontic treatment?
No. Teeth can be moved at any age as long as the supporting bone and gum tissues are healthy. Patients in their 40s, 50s, 60s, and beyond successfully complete orthodontic treatment. The determining factor is periodontal health, not chronological age.
Is Invisalign the best option for adults?
Invisalign is the most popular choice among adults due to its near-invisible appearance and removability. However, "best" depends on the case. Complex bite corrections, significant rotations, or cases requiring precise vertical control may achieve better results with fixed braces. The consultation determines which system delivers the best outcome for your specific needs.
Will orthodontics fix my jaw pain?
If your TMJ symptoms are related to malocclusion — unbalanced bite forces causing joint strain — orthodontic correction can reduce or eliminate those symptoms. However, TMJ dysfunction has multiple causes. A thorough evaluation including CBCT imaging of the condyles determines whether bite correction is likely to address your specific symptoms.
How long does adult orthodontic treatment take?
Twelve to thirty months depending on complexity. Minor crowding or spacing cases can complete in under a year. Complex bite corrections, especially those involving periodontal considerations or restorative coordination, may require two years or more. The estimated timeline is established at the consultation.
Can I get orthodontic treatment if I have crowns or veneers?
Yes. Brackets bond effectively to porcelain crowns using specialized adhesives, and Invisalign aligners work regardless of the restoration type. If existing restorations will be replaced after alignment, temporary restorations may be used during treatment. The interdisciplinary plan coordinates orthodontic goals with the final restorative outcome.
Will adult orthodontics affect my gum health?
Orthodontic treatment performed with appropriate force levels and good oral hygiene can actually improve gum health by resolving crowding that previously trapped plaque. However, moving teeth through bone with existing periodontal disease can worsen attachment loss. This is why periodontal health is evaluated and stabilized before orthodontic treatment begins at ADSC.
Do many adults actually get braces?
Approximately one in three orthodontic patients in the United States is an adult. The availability of discreet options (Invisalign, ceramic braces, lingual braces) has made adult treatment socially comfortable. Many adults report that colleagues and friends do not even notice they are in treatment.
Can orthodontics prepare my teeth for implants?
Yes. A common adult orthodontic goal is to create or redistribute space for dental implant placement. Teeth that have drifted into an edentulous space can be uprighted and moved to their proper positions, opening adequate space for an implant with best crown dimensions. This is a frequent scenario in interdisciplinary treatment planning at ADSC.
How much does adult orthodontic treatment cost?
Depending on the treatment modality and complexity, adult orthodontics at ADSC ranges from $3,500 to $7,000. Insurance orthodontic benefits, if available, apply. Monthly payment plans and CareCredit/Cherry financing are available to make treatment accessible without a large upfront investment.
Will I need to wear a retainer after adult orthodontics?
Yes — and compliance is even more critical in adults than adolescents. Adult teeth have spent decades in their malpositioned locations, and the periodontal fibers have strong memory of those positions. Nighttime retainer wear is a lifelong commitment. Many adult patients opt for bonded fixed retainers on the lower teeth for permanent, compliance-free retention.
Can adult orthodontics help with sleep apnea or snoring?
Orthodontic expansion of a constricted upper arch can increase the nasal and pharyngeal airway dimensions, potentially improving breathing during sleep. In adults, this often requires surgically assisted palatal expansion. For patients with obstructive sleep apnea, orthodontic treatment may be one component of a multidisciplinary approach. The sleep/airway team at ADSC evaluates this possibility during planning.
Is orthodontic treatment uncomfortable for adults?
Adults experience the same mild soreness after adjustments or aligner changes as younger patients. Modern light-force systems minimize discomfort. Most adults describe the sensation as tolerable pressure rather than pain, manageable with over-the-counter analgesics for the first few days after each activation.
Can I straighten just my front teeth?
Limited (cosmetic) orthodontic treatment that aligns only the visible front teeth is possible for mild crowding and spacing cases. Treatment time is shorter (6 to 12 months) and cost is lower. However, limited treatment does not address bite relationships. If the underlying bite is a contributing factor to your concerns, comprehensive treatment produces a more stable and functional result.
What if I had braces as a teenager and my teeth shifted back?
This is extremely common and accounts for a significant portion of adult orthodontic cases. Relapse after teenage treatment, usually due to inconsistent retainer wear, can be corrected with Invisalign or short-term fixed braces. The second round of treatment is often shorter and less complex than the original.
How do I start adult orthodontic treatment at ADSC?
Schedule a consultation appointment. The visit includes a clinical examination, digital scanning, radiographic imaging (panoramic and CBCT as indicated), and a discussion of findings, treatment options, estimated timelines, and costs. Records are analyzed to develop a treatment plan, which is presented at a follow-up visit. Treatment can begin as soon as the plan is approved and any prerequisite procedures (periodontal treatment, restorations) are completed.
Ready to Straighten Your Smile? Schedule an Adult Orthodontic Consult
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026