Is it Possible to Get Cavities During Invisalign Treatment?

August 2, 2025

Woman holding Invisalign clear aligner.

Invisalign has transformed orthodontics, offering a discreet and comfortable way to straighten teeth without the metal brackets and wires of traditional braces. While the aligners are removable and easier to clean around, many patients wonder: Can you still get cavities during Invisalign treatment? The short answer is yes. Although Invisalign provides many oral health advantages compared to braces, cavities can still develop if you’re not careful. Here’s what you need to know.

Why Cavities Can Still Form with Invisalign

Invisalign aligners are custom-made trays that fit snugly over your teeth. While they are smooth and comfortable, they also create a sealed environment. If food particles, plaque, or sugars are trapped between your teeth and the aligners, bacteria can thrive. This leads to acid production, which erodes tooth enamel and causes cavities.

In other words, the aligners themselves don’t cause cavities, but improper oral hygiene during treatment increases your risk.

Habits That Increase Cavity Risk with Invisalign

Not Brushing and Flossing Before Wearing Aligners

If you put aligners back in after eating without brushing or at least rinsing your mouth, food debris and bacteria stay trapped against your teeth for hours at a time.

Wearing Aligners While Snacking or Drinking Sugary Beverages

Aligners should only be worn when your teeth are clean. Eating or drinking (other than water) with them on creates the perfect environment for decay, since sugars and acids get trapped against your enamel.

Skipping Regular Cleaning of the Aligners

Even if you keep your teeth clean, dirty aligners can harbor bacteria. Wearing unwashed trays repeatedly increases your risk of oral health issues, including cavities and gum inflammation.

How to Prevent Cavities During Invisalign

Brush and Floss Diligently

Brush after every meal and floss at least once a day. If brushing isn’t possible, rinse your mouth thoroughly with water before putting aligners back in.

Clean Your Aligners Properly

Rinse aligners every time you remove them and clean them daily with a gentle, non-abrasive cleanser recommended by your dentist. Avoid using toothpaste, which can scratch the plastic and create spots for bacteria to cling.

Limit Sugary and Acidic Foods

Reducing the amount of sugar in your diet helps protect your teeth from decay. If you indulge, make sure to clean your mouth and aligners thoroughly afterward.

Stay Hydrated

Drinking plenty of water helps wash away food particles and bacteria. It also prevents dry mouth, which can increase cavity risk.

Keep Up with Dental Checkups

Regular dental visits during Invisalign treatment ensure that any signs of cavities or gum issues are caught early.

Yes, it is possible to get cavities during Invisalign treatment, but with the right habits, the risk is very manageable. By brushing, flossing, cleaning your aligners, and avoiding sugary snacks while wearing them, you can enjoy both a straighter smile and healthier teeth. Invisalign can transform your smile, but your daily oral care will determine how healthy that smile remains in the long run.

About the Practice

Here at Elwood Avenue Dental, we’re a locally owned and operated practice providing expert care in the Jenks community. One service we provide is Invisalign clear aligners to give you a discreet solution for a healthier, straighter smile. We’re certified providers, meaning we’re experts in this orthodontic area. Not only that, but we welcome your dental insurance and will maximize your benefits so that you’re not concerned about affording treatment. Ready to get started? Head over to our website to schedule your appointment or call (918) 299-2298.