How do you get started with Invisalign in Windermere?
Getting started with Invisalign at Windermere Dental Group begins with a consultation where Dr. Susana Moncada evaluates your teeth, bite, and alignment goals to determine whether Invisalign is the right fit for your case. If it is, she creates a fully customized treatment plan — including a digital preview of your projected tooth movement — before a single aligner is made. Most adult treatment plans in the Windermere and MetroWest area run between 12 and 18 months, with check-ins every six weeks and far fewer disruptions to daily life than traditional braces.
Here's exactly what the process looks like from your first appointment through your final retainer.

Step 1: The Invisalign Consultation
The consultation is where Dr. Moncada assesses whether Invisalign can achieve what you're hoping for — and whether it's the most appropriate treatment for your specific alignment concerns.
During the consultation she evaluates:
- The degree of crowding, spacing, or misalignment — Invisalign handles a wide range of cases well, from mild crowding to moderate bite correction. More complex bite issues, such as significant skeletal discrepancies, may require a different approach or a combination of treatments
- Your bite — how your upper and lower teeth come together matters both for treatment planning and for determining whether any bite correction is needed alongside alignment
- Existing dental work — crowns, bridges, implants, and large fillings can affect how aligners fit and how teeth move. Dr. Moncada factors all of this into the plan before treatment begins
- Gum and bone health — healthy gums and adequate bone support are prerequisites for orthodontic tooth movement. Any active gum disease or bone loss needs to be addressed first through a cleaning and exam
If Invisalign is the right fit, Dr. Moncada will also discuss whether you'd benefit from traditional braces instead — not every case is better suited to clear aligners, and an honest comparison is part of the consultation.
Step 2: Digital Scanning and Treatment Planning
If you decide to move forward, the next step is a digital scan of your teeth using an intraoral scanner — no messy impressions or trays. The scan captures a precise 3D model of your current tooth positions, which is used to:
- Map out the exact sequence of tooth movements throughout your treatment
- Generate a digital simulation showing your projected result before any aligners are made
- Fabricate your custom aligner series with precision fit to your bite
The digital preview is one of the most useful parts of the process — it gives you a realistic picture of the expected outcome and helps Dr. Moncada confirm the treatment plan achieves your goals before committing to it.
Step 3: Receiving and Wearing Your Aligners
Your first set of aligners typically arrives within two to three weeks. Dr. Moncada will seat them at an appointment, check the fit across every tooth, and walk you through how to insert, remove, and care for them properly.
Key things to know about wearing your aligners:
- Wear time is non-negotiable — aligners need to be worn 20 to 22 hours per day to keep treatment on track. Taking them out more than that slows or stalls tooth movement
- You switch trays every one to two weeks — each new set moves your teeth incrementally closer to the final position. Dr. Moncada determines the switch schedule based on your specific plan
- They come out for eating and drinking anything other than water — this protects the aligner material and prevents staining. Brush before putting them back in
- Some trays feel tighter than others — mild pressure for the first day or two with each new set is normal. Significant pain or a tray that doesn't seat properly is worth calling about
Step 4: Attachments — What They Are and Why Some Patients Need Them
Many Invisalign cases require small tooth-colored attachments — sometimes called buttons — bonded to specific teeth. These aren't visible from a distance but give the aligners additional grip and leverage to accomplish more complex movements, such as rotating a tooth or moving a root rather than just the crown.
Not every patient needs them, but if Dr. Moncada determines they're necessary for your case, they're placed at the start of treatment and removed when your final aligner is complete. They don't affect the appearance of the aligners significantly — the aligners fit over them and remain nearly invisible.
Step 5: Progress Check-Ins
Unlike traditional braces, which require monthly adjustment appointments, Invisalign check-ins are typically every six weeks. These visits allow Dr. Moncada to:
- Confirm teeth are tracking correctly with each aligner
- Make any needed refinements to the plan
- Address any fit issues before they affect progress
- Assess whether additional refinement aligners will be needed toward the end of treatment
Because Invisalign treatment is coordinated by the same provider managing your overall dental care, any restorative concerns that come up — a filling that needs attention, a crown that should be evaluated — can be addressed within the same practice without referrals or scheduling conflicts.
Step 6: Refinements and Final Aligners
As you approach the end of your planned aligner series, Dr. Moncada will assess whether additional refinement aligners are needed to fine-tune the final result. Refinements are common and are part of the Invisalign process — they're not a sign that something went wrong, but rather a built-in tool to ensure the final outcome is as precise as possible.
Once your teeth have reached their final position and Dr. Moncada confirms the result, you're done with active treatment.
Step 7: Retainers — The Step Most Patients Underestimate
Retainers are not optional. Teeth have a natural tendency to shift back toward their original positions after orthodontic treatment — a process called relapse — and retainers are what prevent it.
After Invisalign, Dr. Moncada typically recommends:
- Full-time retainer wear for the first few months post-treatment
- Nightly retainer wear long-term, indefinitely
Retainers are custom-made to fit your final tooth positions. Skipping them — even after a successful treatment — can undo months of progress. This is the step that protects your investment for the long run.
Is Invisalign Right for You?
Invisalign works well for a wide range of adults and teens with mild to moderate alignment concerns. It's particularly well suited for patients who:
- Want a discreet option that isn't visible in professional or social settings
- Have the discipline to wear aligners consistently throughout the day
- Prefer fewer office visits and less disruption to their routine
- Are considering straightening as part of a broader smile makeover that may also involve veneers or whitening once alignment is complete
If you're unsure whether Invisalign or traditional braces is the better fit, Dr. Moncada will walk through both options at your consultation — including an honest assessment of which will get you the best result for your specific case.
Start Your Invisalign Consultation in Windermere
Dr. Susana Moncada and her team serve patients throughout MetroWest, Windermere, Gotha, Ocoee, and Dr. Phillips in a fully bilingual (English/Spanish) practice. Whether you've been thinking about Invisalign for years or just started researching your options, a consultation is the best first step.
Contact us online or call (407) 294-1132 to schedule your Invisalign consultation at our Piazza Grande Ave office in Orlando.

