Orthodontic Information

Prioritization of dental implants and orthodontic

prioritization of dental implants and orthodontic

In some cases, teeth should be aligned using multiple methods, for example, both orthodontics and dental implant surgery may be required. However, it is necessary to determine which one should be done first. Dental implant surgery is a procedure that can improve the beauty of your oral cavity and teeth. This procedure eliminates your concerns about the extracted or missing tooth by replacing them with artificial teeth. Orthodontics is also a procedure for the alignment of crooked or malpositioned teeth, which can negatively affect the mental health of individuals. An experienced orthodontist well knows that orthodontics and dental implant surgery should be combined in a treatment plan to ensure the health and beauty of jaws and teeth.

implantation of mandibular teeth

Preconditions for dental implant surgery and orthodontics

When you visit a skilled orthodontist to improve your teeth conditions, the orthodontist first reviews the X-ray images and examines your jaws and teeth in a counseling session to determine whether you are a good candidate for orthodontics. In some cases, the orthodontist may decide to perform dental implant surgery before, after, or at the same time as orthodontics. For example, the orthodontist may decide to extract some teeth to provide enough space for the displacement of other teeth. As a result, part of the dental arch remains empty at the end of the orthodontic treatment. If the empty space is not filled with implanted teeth, the teeth may again move towards that space. However, this is a rare condition; in adults, the empty space at the end of the dental arch does not much affect the distance between the front teeth. In general, an orthodontist may recommend the patient to undergo all necessary treatments.

Order of priority

After explaining the significance of combining dental implant surgery and orthodontics in a treatment plan, it is necessary to know that which one should follow the other. There are three scenarios about the order of priority of dental implant surgery and orthodontics.

Orthodontics before dental implant surgery

In dental implant surgery, artificial teeth with a titanium base are screwed into the jaw. Therefore, artificial teeth are fixed and cannot move at all. In cases where patients want to undergo orthodontics to align their teeth, orthodontists usually recommend patients first receive the orthodontic treatment and then undergo dental implant surgery to fill the space on the dental arch.

Orthodontics after dental implant surgery

Even though implanted teeth cannot move, it is sometimes necessary to perform dental implant surgery before the orthodontic treatment. One of the main duties of an orthodontist before the treatment is to decide about the order of priority between these two procedures. For example, dental implant surgery should be performed before orthodontics when an artificial tooth is implanted in that part of the dental arch not affected during the orthodontic treatment or the patient begins orthodontic treatments after missing several teeth, and there is an inadequate number of teeth to hold the orthodontic appliances.

orthodontic treatment after teeth implantation

Simultaneous orthodontics-dental implant surgery

A skilled orthodontist examines and monitors all changes in teeth and jaws during the orthodontic treatment to take necessary actions at each stage. In some cases, the orthodontist may conclude that the patient should undergo dental implant surgery during the treatment. In such cases, the orthodontist should be skilled and experienced enough to manage both procedures simultaneously to achieve the desired therapeutic result.

The first scenario is more commonly performed by orthodontists among the above-mentioned scenarios. However, performing each of these scenarios requires high accuracy, skill, and mastery. Considering the significance of safety during orthodontic treatments, patients are recommended to visit the best and most experienced orthodontist to achieve the most favorable therapeutic result.

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About Dr Abdolreza Jamilian Orthodontist

Dr. Jamilian, an orthodontist, has a specialized fellowship in orthodontic surgery and maxillofacial abnormalities and is a full-time professor in the orthodontics department of the Dentistry School of the Islamic Azad University. He is member of Iranian and European Board of Orthodontics (EBO) and is a member of the Iranian, American and European Orthodontists Association.

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