Invisalign treatment and Vivera retainers FAQ

Vivera Retainers

Do I need retainers?

In short, yes. Retainers prevent teeth from gradually shifting back toward their initial position after braces, Invisalign treatment or other clear aligner treatments. The right retainers and retainer maintenance can protect the investment you’ve made in your smile and save you money in the long run.

Can I use Vivera retainers if I had metal braces?

Yes! Vivera retainers are designed to maintain teeth that have been aligned by metal braces, Invisalign aligners, and other clear aligners alike! Vivera retainers can also accommodate lingual bars/wires (also known as a permanent or fixed retainer), missing teeth that require an artificial tooth, and bite ramps (also known as turbos or blocks). Ask your Vivera Provider if Vivera retainers are right for you.

How much do Vivera retainers cost?

Cost for Vivera retainers can vary depending on your Vivera provider. Vivera retainers can either come as a single retainer pack or a three set retainer pack. If you do choose to purchase the three set pack, you may save on the cost of each set, and you'll always have a set handy when you need it. Ask your Vivera provider about pricing. 

Are Vivera retainers included in the cost of orthodontic treatment?

They can be. It depends on your Vivera provider and specific situation – talk to your provider to understand how cost works.

How do I get started with Vivera retainers?

Our Smile Concierge Team can help you make an appointment with a Vivera provider near you and answer any additional questions. Many doctors offer free initial consultations. For the best experience, take the time to find the right provider for you — someone who makes you feel comfortable and has the experience you’re looking for.

Can I go to any dentist or orthodontist for Vivera retainers?

Many orthodontists and dentists offer Vivera retainers, but not all do. Our Smile Concierge Team can help you find a Vivera provider near you.

How do I get fitted for my Vivera retainers?

All Vivera retainers are custom-fit to maximise comfort and results. Ask your Vivera provider about getting a digital scan to be fitted for Vivera retainers.

How do I order Vivera retainers?

You can order Vivera retainers through your Vivera provider so that you have a retainer that is custom designed to fit you.

How do I take care of my Vivera retainers?

Talk to your Vivera provider about specific care instructions, but we typically recommend using a soft bristle toothbrush with water or a small amount of toothpaste. Rinse each retainer thoroughly with water after each cleaning.

How often will I need to replace my Vivera retainers?

Consult your Vivera provider for specific guidance, but like most retainers, Vivera retainers should be replaced after a period of use. In general, whenever your retainers look cracked, damaged or are showing signs of breakage, it’s time to switch to a fresh new set.

How do I get a new pack of Vivera retainers when I run out?

If you lose, break, or simply run out of your last set of Vivera retainers, just get in touch with your Vivera provider to help you purchase a new set of Vivera retainers, so you can keep showing off that smile!

What if I lose or break my retainer?

If you decide to purchase a three set retainer pack, you can simply switch into your next Vivera retainer. However, if you only have one Vivera set or you lose or break your last retainer, please get in touch with your Vivera provider to help you purchase a new set of Vivera retainers.

How long will I have to wear my Vivera retainers?

Ultimately, retention protocols are prescribed by the Vivera provider and can be different for your unique conditions and treatment plan. Your provider will give you specific instructions on how often you need to wear your retainers. An example protocol might include wearing the first set full time, then based on the provider’s recommendation gradually reducing until retainers are only worn at night or even a few nights per week.

Are Vivera retainers right for my child?

Yes! Vivera retainers are custom-fit to every smile and work for adults, teens, and little smiles alike.

Can we use Vivera retainers if my child had braces?

Absolutely! Vivera retainers can work for people who have had a wide variety of treatments, including metal braces, Invisalign and other clear aligners.

How long will my child need to wear retainers?

We know you’ve been through a lot to get here, but because teeth continue to shift throughout life, experts are saying retention is for life. The right retainer and retainer routine will prevent your child’s teeth from shifting back over time and having to start over on braces or aligners. Vivera retainers will help you protect the investment you made in your child’s smile.

I’m a teen, and I’m wondering if Vivera retainers are right for me?

Yes! Vivera retainers are custom-fit to every smile, and work for adults, teens, and little smiles alike. Plus, they’re virtually invisible and custom-fit for comfort so they won’t get in your way.

Do I have to wear it every night?

Ask your Vivera provider about your specific retainer protocol, but we get it – we’re striving for consistency over years, not perfection. No need to panic if you’ve missed a night, just do your best to stick with the plan your provider prescribed! In some cases, your provider might even recommend moving to a few nights per week for the long haul to keep your smile looking great.

I had orthodontic treatment a long time ago. Do I still need to wear retainers?

Yes. Teeth continue to shift over time, so doctors are saying retention is for life. The right retainer and retainer routine will protect the investment you’ve made in your smile so you won’t have to start over with braces or aligners.

I haven’t worn a retainer in a while. What do I do?

Talk to your Vivera provider about what you need to do to protect your smile. If you don’t currently have a provider, get in touch with our Smile Concierge, and a member of our team will help you choose a provider in your area and set up a consultation.

I can tell my teeth have shifted. What do I do?

Shifting happens, especially if you’ve lapsed with retention. Talk to your Vivera provider to evaluate your options. If you don’t currently have a provider, get in touch with our Smile Concierge, and a member of our team will help you choose a provider in your area and set up a consultation.

About Invisalign-trained doctors

What is the difference between a general dentist and a specialist orthodontist?

Specific training is required to provide Invisalign treatment, and both Invisalign-trained dentists and specialist orthodontists have completed this training. The difference is that an orthodontist is a dental specialist who has spent 3 or more additional years in an advanced, intensive educational program and only practices orthodontics. A general dentist performs general dentistry including but not limited to check-ups, cleanings and fillings. Some dentists also practice orthodontics.

Do I need a referral to see an orthodontist?

You don’t need a referral to go to an orthodontist, but sometimes your dentist may give you one if they think you need specialist orthodontic treatment. Similarly, an orthodontist may refer you to a dentist if you need general dental work or a tooth extraction to complement the orthodontic work.

What is the relationship between Invisalign aligners and my doctor?

When a doctor decides to provide Invisalign treatment, they undergo Invisalign training. The Invisalign provider training course is offered to those who have their dental practitioner qualification certificate and want to provide Invisalign treatment. This training is not a certification or warranty of a practitioner’s dental license or an endorsement of a practitioner’s dental or orthodontic skills. Once a practitioner completes the Invisalign provider training course, they can provide Invisalign treatment. However, the practitioner remains fully in control of, and responsible for, their treatment decisions. This includes designing a suitable treatment plan (including the predicted tooth movements) and prescribing a series of customised Invisalign aligners specifically to match a particular patient’s treatment plan.

What does it mean by "Invisalign Platinum" providers?

The Invisalign volume-based tier designations (e.g. Platinum Elite (PE), Platinum (P), Diamond (D) and Black Diamond (BD) are based on the number of historical Invisalign cases that a provider has submitted over a defined period of time. The tier system does not represent a doctor’s clinical experience or clinical skills in orthodontic treatment. The Invisalign provider tier level designations are not recognised as specialty areas by any applicable dental associations and have no relevance to a practitioner’s dental or orthodontic skill, or a particular treatment outcome. An Invisalign provider’s Invisalign volume-based tier designation is simply a tool that a patient can use for considering a practitioner’s experience with Invisalign treatment. You should always make your own judgement in selecting a practice and provider to start your Invisalign treatment. It should also be noted that the clinical outcome from Invisalign treatment to is based on a lot of different factors that can include the condition of your teeth, compliance, the treatment plan, and the doctor’s orthodontic experience.

If I move or switch doctors, what happens to the fee that was paid to the original doctor?

Since Invisalign treatment is customised to you, pricing and terms are set by each doctor. As you change doctors, you will need to settle your account with your current doctor and let them know you would like to make a change. Be sure to ask the new clinic what to expect when you are in treatment. If you’re about to start treatment, but think it’s likely you may have to switch doctors (for example, if you’re moving homes or in the military), coming to an agreement up front with your doctor regarding costs and payment schedules is a good idea.

How do I find an Invisalign provider?

Please see here for a list of Invisalign-trained doctors in your area. Invisalign-trained doctors who have completed our training will receive a certificate for the course completion that you can look out for in the clinic. Find Invisalign-trained doctors in your area.

Treatment Information & Duration

How long will treatment take?

The length of your treatment will depend on your specific needs and will be determined by your Invisalign-trained doctor. Some Invisalign treatments can be completed in as little as 4 months, but depending on the complexity of your case your Invisalign treatment could take longer, with treatment times often ranging between 12 and 18 months. 

Do I need to wear my aligners all day?

You should wear each aligner for 20 to 22 hours a day during your treatment for best results and a timely outcome.

How often do I need to see my doctor during Invisalign treatment?

You will visit your Invisalign-trained doctor for a check-up approximately every 6-8 weeks or as clinically required to see how your treatment is progressing. During your check-ups, your Invisalign-trained doctor will check that the aligners are fitting well and make any adjustments if necessary.

Can I get all my aligners at once?

You’ll be provided with enough aligners to last between visits to your doctor (usually 3-4 sets at a time). Your doctor will review your progress every 6-8 weeks or as clinically required and new aligners will be given to you at these appointments. It’s best to speak to your doctor about how many aligners you will be provided with between visits.

How do I store my Invisalign aligners when I'm not wearing them?

In most cases, one aligner case is included in your patient starter kit.

Patients who are being treated with mandibular advancement will receive two aligner cases as part of their patient starter kit.

How often should I change my aligners?

You will usually change your aligners every 2 weeks. However, please follow your Invisalign-trained doctor’s specific instructions regarding when you need to change your aligners as this may vary between patients.

How long before I can start seeing results?

Results with the Invisalign System usually start showing a few months after starting treatment.


How much does Invisalign treatment cost?

Costs vary from doctor to doctor and may be dependent on the complexity of your case and your course of treatment. Please speak to an Invisalign-trained doctor to get a more accurate cost estimate of your treatment. For more information about how much Invisalign treatment will cost, try our cost calculator.

Will the check-ups include a consultation fee?

Consultation fees vary from doctor to doctor. Some may offer free initial assessment while other may charge a fee. It’s best to check with an Invisalign-trained doctor for further details regarding fees. Find out more information about the cost of Invisalign treatment.

Does my doctor offer payment plans for Invisalign treatment?

Individual treating doctors may offer differing payment plans that may not require the full amount to be paid up front. Please ask your Invisalign-trained doctor for his or her payment policy. You can find out more information about how much Invisalign treatment might cost you by using our cost calculator.

Is there a price reduction if I only need the top (or bottom) aligner?

The cost for Invisalign treatment is based upon the consultation needed, is patient specific and will also depend on the Invisalign treatment needed. Your Invisalign-trained doctor will be able to provide a more accurate price guideline.

Does my health insurance cover Invisalign treatment?

If your insurance policy has orthodontic coverage, Invisalign treatment could be covered to a similar extent as conventional braces. However, as medical benefits differ significantly from policy to policy, it’ll be safer to check with your health insurance provider. Find out more information about how much Invisalign treatment will cost.

Is Invisalign treatment more expensive than metal braces?

Costs vary from doctor to doctor and may be dependent on the complexity of your case and your course of treatment. However, the cost of Invisalign treatment may be comparative to that of other alignment procedures. Please speak to your doctor about the comparative cost of treatment. You may also want to consider other treatment-related factors like effectiveness, aesthetics during treatment, duration of treatment, comfort and convenience, to determine the most appropriate treatment for you.

Things to know about Invisalign treatment

Do I need to wear my aligners all day?

You should wear each aligner for 20 to 22 hours a day during your treatment for best results and a timely outcome.

Are there restrictions on what I can eat while on treatment?

No, you can usually eat what you want while in treatment because the Invisalign aligners are removed when eating or drinking. Thus, there’s no need to refrain from your favourite foods and drinks unless instructed by your doctor. However, it’s recommended that you floss and brush your teeth after each meal and prior to re-inserting your aligners to maintain proper oral hygiene.

Can I drink hot or cold beverages while wearing my aligners?

Except for cool water, we recommend that you don’t drink while wearing the aligners. This is to avoid cavities and stains forming on your teeth, or warping your aligners with hot beverages.

Can I drink alcohol while wearing the aligners?

You should remove your aligners to consume anything except for water. Leaving aligners on while drinking may stain them and you may risk developing tooth decay while consuming fluids with sugar in them.

Can I smoke while wearing the aligners?

We don’t encourage smoking while wearing aligners because it’s possible for them to become discoloured.

Can I chew gum while wearing the aligners?

You should not chew gum while wearing your aligners as the gum may stick to the aligners. We recommend removing your aligners for all meals and snacks, including chewing gum.

Can the aligners slip off while I’m asleep?

It is very unlikely that your aligners would ever fall out, no matter what you are doing: sleeping, talking, laughing, etc. Invisalign clear aligners are designed to fit snugly around your teeth, so this should not be a cause for concern. 

Will wearing the aligners affect my speech?

Similar to other orthodontic treatments, the Invisalign aligners may temporarily affect the speech of some people for a day or two. However, as your tongue gets used to having aligners in your mouth, any misarticulation or minor speech impediment caused by the aligners should disappear. Please speak to your doctor about ways to help you get used to your aligners more quickly.

If I feel that my teeth look straight enough, can I stop the treatment?

It’s important that you follow the treatment plan developed by your doctor to ensure the best outcome. Your doctor will determine the recommended treatment duration for you depending on several considerations, including the spacing between your teeth and the need for retention.

I am moving to a different country. How can I continue my treatment?

Invisalign treatment is available in more than 100 countries worldwide, and you can transfer your Invisalign treatment to another Invisalign-trained doctor to continue your treatment. Please speak to your current Invisalign-trained doctor about the process.

Can I wear aligners if I'm pregnant?

The aligners are made of non-toxic, medical-grade plastic and can be worn during pregnancy. If you’re concerned, please consult your healthcare professional.

Is Invisalign treatment painful?

While Invisalign treatment may move your teeth without the pain and anxiety of other straightening methods, some people might experience temporary, minor discomfort for a few days at the beginning of each new stage of treatment. This is normal and is typically described as a feeling of pressure. It's a sign that the Invisalign aligners are sequentially moving your teeth to their final positions. This discomfort usually goes away a couple of days after you insert the new aligner in the series.

I am experiencing pain and discomfort while using my aligners. What should I do?

If you notice a sharp pain or have significant discomfort, stop using the aligners and contact your Invisalign-trained doctor.

Are there any warnings or contraindications with the use of Invisalign aligners?


Invisalign treatment is contraindicated in patients with active periodontal disease. If you have periodontal (gum) disease, you should consult your doctor before undergoing Invisalign treatment.

Warnings with Invisalign treatment include:

In rare instances, some patients may be allergic to the aligner material. If this occurs, discontinue use and speak to a healthcare professional immediately.

In rare instances, patients with hereditary angioedema (HAE), a genetic disorder, may experience rapid local swelling of tissues including the larynx. This may be triggered by mild stimuli including dental procedures. If this occurs, discontinue use and speak to a healthcare professional immediately.

Orthodontic appliances, or parts thereof, may be accidentally swallowed or inhaled.


Do Invisalign clear aligners contain Bisphenol A (BPA)?

All Invisalign aligner and retainer materials are made of medical-grade, high molecular weight, thermoplastic polymers. These materials were selected for use in aligners and retainers based on their properties and safety classification, and have a long history of FDA approvals for long term use inside the human body. Tests conducted to determine the biocompatibility of these materials show they are biocompatible and pass all applicable regulatory requirements and thresholds for human wear in the mouth.

Based on our current knowledge and testing of the raw materials and processes used in the manufacture of aligners and retainers, we are not aware of any latex, parabens, phthalates, glutaraldehyde, epoxy or Bisphenol A (BPA) present in our aligners or retainers. Of course, as with any medical device, you should consult with your health professional about your aligner or retainer treatment and any applicable risks of use.

If I'm travelling, can I get additional aligners at my appointment with the doctor?

It’s recommended to visit your doctor for regular visits to make sure your treatment plan is on track. If you need additional aligners due to travel periods, speak to your doctor as this is dependent on your specific case and treatment plan.

My attachments have turned yellow. What can I do?

Please speak with your doctor, as he or she may need to fully remove the stained attachments and replace them.

Why do some of my aligners have bumps or ridges on them?

Depending on your specific treatment, some of the movements may require either “attachments” or “ridges” to help the aligner grip the teeth. These bumps or wells are where the aligner grips the attachment the doctor places on your teeth. The attachments are actually small pieces of composite the doctor affixes to your teeth that are then gripped by bumps on your aligners. The ridges are slim indentations in your aligners. Your Invisalign-trained doctor will use one or both of these features to achieved the desired movement.

Are the aligners really invisible?

Aligners are virtually invisible and discreet, so most people will not even notice that you’re wearing them.

I’m already an Invisalign patient

I have a problem with my Invisalign treatment

If you have an issue with your Invisalign treatment you will need to speak to your Invisalign Provider. Invisalign is the manufacturer and supplier of your clear aligners which are made according to your Invisalign Provider’s prescription. Your Invisalign Provider is responsible for your Invisalign treatment 

I am moving and I need to transfer my Invisalign treatment to another Invisalign Provider so that I can continue my Invisalign treatment. How do I do this?

You will need to ask your new Invisalign Provider to contact Invisalign for a Patient Transfer Form. The Patient Transfer Form will need to be signed by your new Invisalign Provider and yourself. Your old Invisalign Provider does not need to sign this form. 

Can I order replacement aligners from the Invisalign brand directly?

All aligners and retainers are considered a prescription item and must be ordered through your Invisalign Provider. Please contact your Invisalign Provider directly if you need to order a replacement.

What happens to my personal data?

If you would like to know more information about what happens to your personal data, you can access our privacy policy here. Or you can email your enquiry to  

I am currently undergoing other treatment or taking medication. I would like to know if I can still undergo Invisalign treatment?

Invisalign is unable to answer this question as we are the manufacturer and supplier of your clear aligners according to your Invisalign Provider’s prescription. You will need to discuss any concerns or questions with your Invisalign Provider or other relevant health practitioner.  

I am unable to resolve my concerns with my Invisalign Provider

Invisalign is unable to settle disputes between Invisalign Providers and their patients. If you cannot come to a resolution with your Invisalign Provider, then you will need to escalate your issue to the Dental Council in New Zealand. (You can raise a concern using this link: