Attachments, often called buttons, are small tooth-colored bumps bonded to some teeth during Invisalign treatment. They give the aligners something to grip, so the aligners can turn, tip or move those teeth more precisely. They come off at the end of treatment.
Why do some teeth need attachments?
A smooth tooth is hard for a plastic aligner to hold firmly. An attachment acts like a handle: the aligner presses against it in a planned direction. Each attachment’s shape and position is part of your treatment plan, and not every tooth, or every patient, needs them.
How are they put on?
Placing attachments doesn’t need shots or drilling. The tooth is cleaned and prepared, then tooth-colored filling material is shaped onto it using a thin template tray and set with a light. At Behl Orthodontics, this is done at the visit when you get your first aligners.
Will people see them, and how do they feel?
They’re tooth-colored, so most people don’t notice them, especially with your aligners in. Your tongue and lips may notice the bumps for the first few days. Each new set of aligners usually feels tight for the first day or two; that pressure means the aligners are working.
Caring for teeth with attachments
- Brush around each attachment, where plaque can collect.
- Take your aligners out for any drink except plain water, so sugary or staining drinks don’t sit against the attachments.
- After putting aligners in, bite gently on a chewie for a few minutes so they sit fully over the attachments.
What if an attachment falls off?
Keep wearing your aligners and let us know at your next visit, or call us if the aligner no longer fits well. We can replace it.
How are they removed?
At the end of treatment, your orthodontist polishes the attachments off. It takes a few minutes and doesn’t damage the tooth surface underneath.







