Can I get braces if I have a dental implant?

Doctor's Answers 1

Having a dental implant does not mean you cannot get braces.

However, an implant behaves very differently from natural teeth. Natural tooth roots are surrounded by the periodontal ligament in the bone. Implants lack this tendinous support and are instead directly in contact with the bone.

When an orthodontic force is applied to a natural tooth, inflammation develops in the surrounding bone. This triggers a cascade of biochemical signals that result in bone remodeling as the tooth is moved with braces.

An implant behaves more like an ankylosed tooth (a tooth which lacks a periodontal ligament and is fused with the bone). This means that the implant cannot be moved orthodontically.

If the orthodontic plan does not involve significant movement of the other teeth:

If the orthodontic plan does not involve significant movement of the other teeth, then it may still be feasible even with an implant present. However, if the orthodontic plan involves extractions with space closure and other significant movements, the implant may need to be surgically removed and repositioned. At the very minimum, the implant crown may need to be changed to give a proper contact.

Similar Questions

Why do different dentists disagree on whether I should have a root canal treatment or an extraction and dental implant?

Dentists choose treatment plans based on many different factors. Some of these factors have nothing to do with clinical data. As a patient, your dentist should go through the different treatment options with you so that you understand the treatment itself, and the long term maintenance required with that selection. Keeping the tooth by performing root canal treatment and a crown may mean that the tooth may still crack further and require extraction at a later date.

Photo of Dr Jaclyn Toh

Answered By

Dr Jaclyn Toh

Dentist

Should I get dental implants or braces for a front lower teeth gap due to removing baby teeth in my adulthood?

Losing a baby tooth later in life always presents as a dilemma for patients. Certainly a missing front tooth affects our confidence as it is in a visible region. This is often a multidisciplinary problem and best assessed by an orthodontist who work closely with a restorative dentist.

Photo of Dr Enrica Sham

Answered By

Dr Enrica Sham

Orthodontist

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