How do pre-existing dental implants affect orthodontic treatment, since dental implants are fixed and unable to move?

Doctor's Answers 1

The biggest question that must be answered is what needs correction.

If only simple alignment is required, then the implant would not pose a major issue. The implant crown may need remaking after the braces come off since the bite will be altered.

If a more drastic correction is required, especially when extractions are part of the treatment plan, implants may be helpful or may pose an issue for space management.

If the implant is on a back tooth and maximum anchorage is desired (to correct protruding front teeth), then the implant can serve as the perfect skeletal anchor when incorporated into the braces.

If the implant is on a front tooth and significant retraction of the incisors is required, then removal of the implant may be necessary to facilitate this treatment.

Ideally, any orthodontic treatment should be discussed prior to implants to ensure patients are fully aware of the future implications of having an implant placed.

Similar Questions

After a dental implant, is it necessary to have follow-up visits at the dentist?

Just like any other type of dental work you may receive, dental implants require maintenance. This maintenance is essential for the longevity of not just the implant, but also to ensure the continued health of the other teeth and your mouth as a whole. Maintenance is essential in preventing the main causes of tooth loss (that resulted in the need for the implant in the first place) which are tooth decay and gum disease. Some patients who have a history of nocturnal bruxism (tooth grinding) may be at increased risk of breaking the implant crown, the fixture screw or the implant itself.

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Answered By

Dr Jaclyn Toh


What are the alternatives to dental implants that I can consider if my jawbone and gums are not suitable for implants?

Here are some alternatives to implants: Fixed bridges The adjacent tooth/teeth are prepared for crowns. The false tooth is fused to the crowns and suspended over the gap. Bridges are suitable for tooth-bounded spaces (there is at least one suitable tooth at the back end of the space). The tooth/teeth chosen to act as supports (abutments) should be stable. Bridges can be more difficult to clean, especially if a fixed-fixed design is chosen instead of a cantilever.

Photo of Dr Jaclyn Toh

Answered By

Dr Jaclyn Toh


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