Date of Award



Department of Orthodontics

First Advisor

James Chen

First Committee Member

Heesoo Oh


Given the recent implementation of Invisalign First for early interceptive orthodontic treatment, a limited number of orthodontists have had experience with this treatment modality and there currently are no published studies on the topic. The present study aims to use a qualitative survey to identify common themes in providers’ perceptions of Invisalign First as a new treatment option for early interceptive orthodontics. Twenty-three orthodontists in the private practice sector voluntarily participated in an open-ended survey via email. The results of the survey indicate the following common themes in regards to benefits of Invisalign First: fewer emergencies, patient comfort, patient experience, patient happiness, ability to correct multiple things at once, and arch development. Some of the commonly cited drawbacks of Invisalign First are the following: attachment bonding issues, poor retention, and cost. Overall, all participants except for two (of twenty three) will continue to offer Invisalign First in some capacity. Seventeen participants spoke favorably of the treatment modality and would recommend Invisalign First to other providers. The results of this study provide a framework from which a more robust survey can be constructed. The intent of the future study is to gather and synthesize orthodontists’ perceptions based on experience with Invisalign First in a way that readers can constructively evaluate the potential for this treatment modality in their orthodontic practices.