Orthodontics and Dental Implants: Which Comes First?

The Golden Rule: Orthodontics First

In the vast majority of cases, orthodontic treatment should precede dental implant placement. Why? Because braces and aligners can move your natural teeth, but not implants.

A dental implant is anchored directly into the jawbone through a process called osseointegration. Once this fusion is complete, the implant becomes immobile - exactly like an ankylosed natural tooth. It is therefore impossible to reposition it afterwards.

Key Point: If you place an implant before orthodontics, you risk compromising the final alignment of your smile, as the orthodontist will have to work "around" this fixed element.

Why Is This Sequence Important?

1. Creating Optimal Space

Orthodontic treatment allows you to create exactly the space needed for the implant. If your adjacent teeth have drifted into the empty space left by the missing tooth, orthodontics can reposition them to make room for an appropriately sized implant.

2. Optimizing Available Bone

Orthodontic movement stimulates bone remodeling. By moving adjacent teeth, we can sometimes improve the quality and quantity of bone available for the implant.

3. Ensuring an Aesthetic Result

Pre-aligning the teeth allows the implantologist to place the implant in the ideal position, ensuring a harmonious and natural smile.

Exceptions to the Rule

There are certain situations where an implant may be placed before or during orthodontic treatment:

• Implant as Anchorage: In some complex cases, an implant (often a mini-screw) can serve as an anchor point to facilitate orthodontic movements.
• Occlusion Stabilization: If a missing posterior molar compromises jaw stability, its early restoration may be recommended.
• Immediate Replacement Cases: After an extraction, an immediate implant can sometimes be considered if orthodontics does not concern that area.

Timing After Orthodontics

Once orthodontic treatment is complete, it is generally recommended to wait a few weeks to several months before implant placement. This stabilization period allows:

• The bone and tissues to consolidate in their new position
• Confirmation that the alignment achieved is stable
• Precise planning of implant positioning with 3D imaging

The Importance of a Coordinated Team

The success of your treatment relies on close collaboration between your orthodontist and your implant surgeon. At Dr. Benguira's Orthodontic Center, we work closely with implantology specialists to ensure optimal planning of your case.

Our 3D imaging technology (CBCT) allows us to precisely visualize the available space, bone quality, and ideal position for your future implants - even before starting orthodontic treatment.

Do you have missing teeth and are considering orthodontic treatment? Take advantage of a free consultation to evaluate your situation and establish a coordinated treatment plan.

Article written by Clara Morgan, Orthodontic Assistant
Dr. David Benguira Orthodontic Center
www.monorthodontiste.org