Can I Get Invisalign on My Top Teeth Only?

December 4, 2025

Woman putting Invisalign aligner on to top teeth.

Invisalign has become a popular orthodontic option for people looking to straighten their teeth discreetly and comfortably. A common question many patients ask is, “Can I get Invisalign on my top teeth only?” The short answer is yes, in some cases. However, whether this approach is right for you depends on your bite, alignment needs, and overall oral health.

When Top-Only Invisalign May Be an Option

Top-only Invisalign treatment may be suitable if your primary concern is limited to the upper teeth and your bite is already well-aligned. This is often the case for minor cosmetic issues such as slight crowding, spacing, or a single tooth that is out of position on the top arch. Patients who previously had braces and experienced minor shifting of their upper teeth may also be good candidates for top-only treatment.

In these situations, focusing treatment on the upper teeth can improve appearance without the need for full orthodontic correction.

Why Bite Alignment Matters

Even if only your top teeth look misaligned, your upper and lower teeth work together as a system. Moving only the top teeth can sometimes create or worsen bite problems, such as overbite, underbite, or uneven tooth wear. For this reason, dentists and orthodontists carefully evaluate how your teeth fit together before recommending Invisalign on just one arch.

In many cases, aligners are prescribed for both the top and bottom teeth—even if movement on one arch is minimal—to maintain proper bite alignment throughout treatment.

Benefits of Top-Only Invisalign

When appropriate, top-only Invisalign can offer several advantages. Treatment may be shorter, require fewer aligners, and cost less than full Invisalign treatment. It can also be a great option for patients seeking subtle cosmetic improvements without a more extensive orthodontic plan.

Limitations to Consider

Top-only Invisalign is not suitable for everyone. Patients with moderate to severe bite issues, jaw misalignment, or complex orthodontic needs typically require treatment on both arches to achieve safe, stable results. Choosing top-only treatment when it isn’t appropriate could lead to discomfort, uneven wear, or long-term dental problems.

Yes, it is possible to get Invisalign on your top teeth only, but only in the right circumstances. A professional evaluation is essential to determine whether this approach will deliver both the cosmetic improvement and functional balance your smile needs. Consulting with a dental professional ensures your Invisalign treatment is tailored to your goals while protecting your long-term oral health.

About the Author

Dr. Jeffrey Neal is a 1997 graduate of the Medical College of Virginia School of Dentistry, receiving the Society of Dentistry for Children Award. He completes nearly 200 hours of continuing education courses per year to stay on the cutting edge of dental treatment and has finished 3 postgraduate residency programs in TMJ disorders, orthodontics, and dental sleep medicine. Dr. Neal also stays current through memberships in the American Dental Association, the Virginia Dental Association, and the Richmond Dental Society. If you’re interested in Invisalign treatment, we’d love to serve your needs and help you meet your goals. Schedule an appointment online or call (804) 447-1435.