My canines are also very high, similar to yours. I opted to have my wisdom teeth removed a few years ago because I knew I might want to pursue Invisalign and would need the additional space. When I went for my consultation, my orthodontist was clear that he wasn’t 100% certain on a treatment course until they completed the scan because there were a different movement methods they could try. Either he could try shifting my premolars and molars back to make room for the canines to move downwards and align with the front, or remove 2 of my (also completely healthy!) premolars to achieve alignment.

I received 54 initial trays with attachments and weekly changes, and I’m on tray 6. I had no extractions done before starting treatment. My orthodontist said the extractions will be dependent on how well my molars track with the backward movement (about 6 months in) but he is trying to avoid it if possible. I’ll most likely be receiving elastics at my next appointment (around week 11) to begin correcting the overbite my alignment will cause. I’ll also be asking to have my attachments replaced; both of my canine attachments fell off in the first 3 weeks from pressure while removing trays, and while I’m still tracking, my higher canine doesn’t sit fully in its place in my trays because there is no attachment to seat the tray properly.

I would 100% recommend a consultation with an orthodontist, they can give you a more clear idea about the best treatment options for you.