Orthodontic braces and dental implants do not always have to be contradictory. Indeed, sometimes one of these two types of therapy depends on the prior application of the other.
For example, orthodontics can pre-create the space needed for implant placement. On the other hand, sometimes during orthodontic therapy we apply implants, most often mini implants, in order to have a firmer foothold for the application of force.
Therefore, these two disciplines are often used together, even dependent on each other.
Also read: The importance of oral health as a factor in general health
What are dental implants?
A dental implant is a tooth replacement. It is made of biocompatible materials, titanium or zirconium. The surgeon places the implant in the jaw and then the dentist places a prosthetic construction, dental crown or bridge on it. Therefore, it can be a replacement for one tooth or be a support for several teeth in a row, or larger prosthetic replacements.
It completely takes over the appearance and function of the natural tooth and prevents the decay of the remaining bone. This helps maintain healthy teeth and avoid grinding them.
Implants restore the function of chewing, fluid intake and normal speech. Also, due to the beautiful appearance and functionality of real teeth with a new smile, people regain self-confidence.
Types of dental implants
If the patient has loose or broken teeth he will get an endodontic-endossal type of implant. The dentist will place a post in the root canal of the tooth (it can be a different shape of the figure or a screw). In this way, the dentist strengthens the tooth and restores the normal contact of the tooth root with the crown.
Endossal or intraosteal type of implantation. During the implantation process, the dentist implants the lower part of the prosthetic apparatus into the bone tissue. Such implants consist of 3 parts: a part of the root is located in the bone tissue, the neck at the level of the gums on the mucosa, and a supraconstruction that replaces the lost tooth.
If the height of the upper part of the alveolar bone is not enough, the surgeon uses a subperiostal type of implant. The metal frame of the subperiosteal implant becomes the support of the oral cavity.
In cases of atrophied alveolar maxillary bone the surgeon uses intermucous implants to to attach the prosthetic device more securely.
There is also a type of dental implants, mini implants, that orthodontists use along with braces in the treatment.
What is orthodontics?
Orthodontics is a specialist branch of dentistry that deals with the diagnosis, prevention and correction of incorrect tooth position, and incorrect relationship between the upper and lower jaw.
Most patients turn to an orthodontist because they want to improve the appearance of their teeth. Also, their smile and face, as they are aware that nowadays facial aesthetics are important in all segments of life. Beautiful teeth contribute significantly to raising self-confidence.
However, it should be noted that the proper relationship of teeth and jaws is not only aesthetically important. It also has a positive effect on the health of the entire dental system. Properly placed teeth are easier to clean, which reduces the possibility of caries and periodontal disease.
Should you get braces or implants when missing teeth?
Dentists often meet people who have tooth malformations or who have missing teeth. Possible causes of tooth loss are various. Tooth decay by caries, periodontitis, congenital lack of teeth and a wide range of trauma, and patients most often report to the dentist due to impaired aesthetics.
To compensate for the lack of teeth, there are various therapy strategies. It can include orthodontic space closure, orthodontic implant space opening, and natural tooth transplantation.
The ideal treatment involves the most conservative option that meets the aesthetic and functional needs of the individual. For some, the best solution will be orthodontic treatment with braces to close the gap from the missing tooth, for others the installation of a dental implant, which, of course, depends on the situation.
The choice of appropriate therapy depends on the analysis and assessment of various factors. Each of the mentioned strategies has its advantages and disadvantages, indications and contraindications, and limitations. Therefore, an interdisciplinary approach and teamwork are crucial to achieve the ideal end result in order to determine the best solution for each patient individually.
Can you get braces if you have dental implants?
Yes, you can get braces if you have dental implants screws. Dental implants that were installed before the orthodontic therapy can also serve to strengthen the anchor during therapy. This means that the implant will allow a better distribution of the forces applied during therapy, allowing us to accelerate or improve the effectiveness of orthodontic treatment.
Can you get dental implants if you have braces?
If you currently have braces, the best option would be to plan the placement of the dental implant ahead and install it after you remove the braces. This is the best way because all the teeth will be in the correct position.
Braces before dental implants
In most cases, if a person needs both orthodontics and dental implants, it’s better to get braces first. There are several reasons for this, but we will explain the two most important ones.
First is because once an implant is placed, it’s fixed to the jaw and it can’t move as real teeth do. If the teeth around the implant need to be moved, the implant might be blocking it to be placed in the right position. Therefore, it’s better to place the dental implant after the braces are off and the surrounding teeth are correctly positioned.
Second, braces are often put on before installing a dental implant to create enough space for its placement. So, you won’t be able to place a dental implant before the orthodontic treatment makes enough room to fit a crown that goes on the implant.
Braces after dental implants
In some cases, it is better to have dental implants placed before braces. Sometimes the dental implants that are placed before braces don’t even have an impact on the therapy. This is mostly if the teeth that have to be realigned aren’t near the implant.
For example, if you need the orthodontic treatment only on your front teeth and you are also missing a molar, you can easily place the dental implant in the place of the missing molar before putting braces.
In other cases, as we already mentioned, an implant can be useful for orthodontic work. Because the dental implant is fixed firmly in the jaw, it will not move. Therefore, the dental implant can be used to anchor your braces and help to provide the force necessary to move the surrounding teeth.
Can you use Invisalign with dental implants?
Since every case is different, in general, can you get Invisalign with an implant depends on the goal dental implant during the treatment and the placement of the implant. Therefore, there is a chance that you can still be considered a candidate for Invisalign treatment. However, it may involve some compromise.
We already mentioned in what cases it is preferable to do the orthodontic treatment before getting implants. The same rules apply for Invisalign too because dental implants can’t move once they are in the bone.
So, if you already have a dental implant before you started your orthodontic therapy, you can still move your other teeth into the right position. However, the teeth that are near the implant may not be moved perfectly. So, you should discuss your desired outcomes with your orthodontist. Depending on the placement of the implant, it may or may not affect the outcome of the therapy.
Whether you need braces while you already have an implant or you are planning orthodontic therapy and getting an implant, dental implants and braces can be combined. However, depending on the case, the therapy will vary. Therefore, interdisciplinary planning with an orthodontist and dental surgeon is needed for the best results.
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