Invisalign Dentist in Portland
Adult Clear Aligners Planned Around Your Broader Dental Goals
Straight teeth are only one part of orthodontic planning. For many adult patients, tooth movement also affects restorative space, tooth wear, bite relationships, gum levels and the final smile design. At , we plan orthodontic treatment in the context of the patient’s broader dental goals.
We provide Invisalign and adult clear-aligner treatment for patients seeking discreet alignment, bite improvement or preparation for cosmetic and restorative care. Before recommending treatment, we consider tooth position, existing dental work and the intended endpoint for your smile.
Call to request an adult orthodontic evaluation and discuss whether clear aligners fit your goals.
Reasons Adults Seek Orthodontic Evaluation in Portland
We commonly evaluate:
- Adults who want to improve crowding, spacing or smile alignment
- Patients with orthodontic relapse
- Patients preparing for veneers, crowns, implants or full-mouth rehabilitation
- Patients with worn teeth or bite concerns who may benefit from tooth repositioning before restorative treatment
- Selected patients with TMJ symptoms who need orthodontic treatment after appropriate evaluation and stabilization
- Patients whose tooth position and arch form are being evaluated as part of a broader airway or restorative plan
Candidacy depends on the movements required, bite relationships, dental health and periodontal support, meaning the gums and bone that support the teeth. Your ability to follow the prescribed wear plan also matters. Some orthodontic concerns require a different approach or coordination with another provider.
Invisalign & Clear-Aligner Candidacy
Clear aligners may be used to move teeth gradually while allowing patients to maintain a discreet appearance. Treatment planning is individualized to tooth position, periodontal support, bite relationships and the intended restorative or cosmetic endpoint. Clear aligners aren’t presented as a one-size-fits-all solution, and some cases may require a different orthodontic approach or collaboration with another provider.
Adults often ask about aligners for crowding, spacing, mild bite concerns or teeth that shifted after previous orthodontic treatment. An evaluation determines whether predictable movement is possible and whether existing crowns, implants or other dental work affects the plan.
Adult Clear-Aligner Evaluation & Treatment Planning
We begin by reviewing your concerns and examining the relationships among your teeth, bite, jaw joints, muscles and existing dentistry. We also discuss whether alignment is the primary goal or one phase of a larger cosmetic, restorative or functional plan.
When useful for diagnosis or treatment planning, our records may include digital photography, bite analysis and cone-beam computed tomography (CBCT), a type of three-dimensional dental imaging. Computerized jaw-function or muscle analysis may also be appropriate in selected cases. Complex plans can involve multidisciplinary coordination or collaboration with another provider.
A clear-aligner process commonly includes:
- Initial evaluation: We assess oral health, tooth position, bite relationships and treatment goals.
- Digital treatment planning: Records or scans may be used to review proposed tooth movements and the intended endpoint.
- Active treatment: Patients receive a series of aligners and attend progress checks according to their individual plan.
- Plan adjustments: Additional aligners or refinements may be recommended when clinically appropriate.
- Retention: After active movement, retention helps maintain the corrected tooth positions.
Aligners generally need to be removed for eating and oral hygiene. Daily wear, aligner changes, appointment frequency and total treatment time vary, so we confirm those details after evaluating your case.
Orthodontics before Restorative Dentistry
Moving teeth before definitive restorative treatment can sometimes create better space, improve tooth proportions, reduce unnecessary tooth preparation and make the final restorative design more conservative. In comprehensive cases, orthodontics and restorative dentistry should be planned together from the beginning, even when treatment occurs in separate phases.
The appropriate sequence depends on the condition of the teeth and the intended final result. Orthodontics may come before veneers, crowns or implants, while other cases require restorative care first or coordinated phases of both treatments.
Orthodontics & TMJ Evaluation
We don’t present orthodontic treatment as a universal treatment for temporomandibular disorders (TMD), which affect the jaw joints, chewing muscles or both. Patients with significant jaw pain, locking, functional limitation or active bite instability should receive an appropriate evaluation before the orthodontic plan is finalized. When TMJ concerns are present, the objective is to understand the condition and plan tooth movement responsibly.
Dr. Maryam Motlagh has more than two decades of experience researching and treating occlusion-related TMJ problems. That background helps us distinguish tooth-alignment goals from active jaw-joint or muscle concerns that may need evaluation or stabilization before orthodontic treatment proceeds.
Why Choose Our Portland Invisalign Dentist
Dr. Maryam Motlagh and Dr. TerryLynn Tennant lead an approach that combines adult orthodontics with restorative planning, cosmetic dentistry, advanced diagnostics and physiologic bite principles. We evaluate the broader dental system before recommending complex or irreversible treatment.
Dr. Motlagh is a co-founder and CEO of Myoaligner and a Fellow of the International College of Cranio-Mandibular Orthopedics. For adults comparing providers, we explain who will supervise treatment, how existing dental work may affect tooth movement and how orthodontics fits with later cosmetic or restorative care.
Coordinate Clear Aligners with Your Broader Dental Plan
If you’re considering adult orthodontics, especially as part of a larger restorative or cosmetic plan, request an appointment to discuss the best sequence for your case.
We can evaluate whether Invisalign fits your goals or whether another orthodontic approach, preliminary care or coordinated treatment plan should be considered.
Call to schedule your consultation with .
What Patients Say After Their First Diagnosis
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This is not your average dental office, this is Aesthetic Smiles. I won't go anywhere else. Recently had a much needed deep clean done at AS. I appreciated her attention to detail so much! She made sure I would walk away with a future for healthy gums and a better smile. I am so thankful for the work she did, and for all the work AS has done for me so far.Mindy
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Great staff and Dr. Tennant is knowledgeable, empathetic, approachable, and relatable.Craig Zanon
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My treatment here made a big difference in my overall quality of life.Ritika Saripalli
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The staff is so nice.Shari Young
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Very friendly and professional. They always do good work.John Blyler
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The inlays she created to take in and out so you can correct your bite are cutting-edge technology.Judy Masterson
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After a few years of work I can breathe better, I no longer get jaw pain and my teeth are straight.Samantha Alt
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Great staff and great services.Madison Maixner
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The knowledge and capabilities they possess, along with their eagerness to help, make for great treatment!ClDl SolshineGrowing
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Always the best and fun too, but still very professional.Matt Voegtle
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Always the best of professional service.Joe Glomboski
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Seriously, this is the best dentist ever! They are beyond thorough, competent, and friendly.Suzie Gannett
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They make going to the dentist a pleasure.Joanne Moutoux
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I can not say enough good things about Dr. Motlagh and her entire staff.Jackie Snook
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Very relaxing environment and quality job.Stephen Fenzi
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I had weekly headaches until I had an orthotic fitted. They went away!Evan Komp
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They do a great job.Laurie King
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The treatment is non-invasive, using the latest technology.Miriam M
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So passionate about their work and create a caring and comforting atmosphere!Rachel Arnold
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This is the best experience I have ever had with a dentist and dental practice!Emma Kintz
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Her and her staff do an amazing job and are very caring!wanda briggs
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Caring and professional group!Eric Kaczmarek
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The quality of work, atmosphere, amenities, and staff are as good as it gets.Dick Capello
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Their standards of care are extremely high and the final result always exceptional.Greg Pressler
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They regained my trust in dentistry and I look forward to my appointments now.Jamie Nadherny
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They are absolutely wonderful and make you feel very comfortable.Corie Parker
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They make you feel so comfortable and make your experience a pleasant one every time!Vanessa Benedetti
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Even after moving across town I come to Aesthetic Smiles, her work is impeccable.Kelly Rees
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They are helpful, thoughtful, attentive, and they listen to you!C Loescher
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When I left, I felt like I was much more informed and prepared for my dental future.Lyndsay Gomez
AND MORE CONFIDENT SMILE. Request Appointment
Professional Partnerships
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LVI -
International College of Cranio-Mandibular Orthopedics (ICCMO) -
VIVOS -
Airway Health Solutions -
Myoaligner