Invisalign

Do I need attachments with Invisalign?

Reviewed by Dr. Samuel Bacon, DDS (dentist). Last reviewed November 3, 2026.

Status: Approved

Short answer: Many people do, but not everyone. Attachments are small, tooth-colored bumps bonded to some teeth during clear aligner treatment. The American Association of Orthodontists says they help the aligners move teeth. They're removed when treatment is complete. Your dentist decides whether you need them and where, based on your treatment plan.

What attachments are

The AAO describes attachments as tooth-colored "bumps" placed on teeth during clear aligner treatment. The aligner grips them, which helps it apply pressure in the right direction.

When they're placed

The AAO lists attachment placement as part of the visit when you receive your aligners, along with instructions on wearing and caring for them.

What to expect

  • They're tooth-colored, so they're less noticeable than metal brackets.
  • Your aligners may feel snug at first because they fit over the attachments.
  • They come off. The AAO notes attachments are removed once treatment is complete.

Caring for them

Brush carefully around attachments. If one comes off, call the office.

At Indy Smile Group

If your treatment plan calls for attachments, your dentist will explain where they go before placing them. If an attachment comes off, call the office that's treating you during office hours. Our Invisalign® patient care guide has the care routine we give our patients.

Next step

Ready to talk it through with a dentist? Book online or call the office closest to you.

Frequently asked questions

Do attachments hurt?
Your teeth may feel some pressure when you first wear aligners over them. Ask your dentist what to expect at the visit.

Will attachments stain?
Brush well and remove your aligners for anything other than tap water, as the AAO advises.

What if an attachment falls off?
Call the office. Your dentist will decide whether it needs to be replaced.

Sources

  1. American Association of Orthodontists – Glossary of Orthodontic Terms
  2. American Association of Orthodontists – FAQs: Aligners
  3. American Association of Orthodontists – Clear Aligners

Last reviewed: November 3, 2026
Reviewed by: Dr. Samuel Bacon, DDS (dentist)

Invisalign®, iTero® and Invisalign Palatal Expander™ are trademarks of Align Technology, Inc. Indy Smile Group is an independent dental practice. It is an Invisalign® provider and is not otherwise affiliated with or endorsed by Align Technology, Inc.

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