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Which Should Be Done First: Braces or a Tooth Implant?

I need to get a tooth implant. I also need braces. Which should be done first? Or does it matter? Appreciate your help, I am "so confused".

Asked 43 months ago by Nita
Sort 15 expert answers by:
+3

Implants or braces first?

This is another classic "it depends" answer.  Every dental implant and orthodontic case is different, with varying conditions, and goals for the outcome.  Most often, however, it is best to move the teeth to an ideal position (orhodontics) creating the appropriate spaces and anatomy, then place the implant.  However, it is quite common that dental implants are used as anchors for the orthodontic treatment, and of course in those cases the implants are placed first. more
Marcus Whitmore, DDS
Plano Cosmetic Dentist
+2

Orthodontics and Implants

Hi there, I understand your confusion but the answer is really simple. You should go for orthodontics first. Implants are something fixed in the bone  and they cannot move at all as they lack what is called as periodontal ligament which is present in natural teeth. So the braces should be done before and the implants should be done last.
Dalvir Pannu, DDS
San Jose Cosmetic Dentist
+2

Braces before implant except.....

It is best to complete orthodontic treatment first before implants are placed. The only exception is if the orthdontic treatment does not involve the teeth surrounding or opposing the implants. For example, some patients only require orthodontic treatment to align the front teeth while the back teeth are not changed. If patient has a missing tooth in the back, it can be placed earlier. This can be verified by the orthodontist. The other exception is when a dental implant is placed as... more
H. Ryan Kazemi, DMD
Bethesda Oral & Maxillofacial Surgeon
+2

Braces Are Almost Always Done First

In most cases braces are at least mostly completed before implant placement.  If the orthodontic treatment is nearing completion and a patient needs a posterior implant, then I will sometimes have the patient get the implant placed so healing can begin as the braces are getting ready to be removed, but that would require an ideal position with no further movement needed in the impant area.  It is not a good idea to have an impant placed an then try to move teeth... more
Gregory Allen Kerbel, DDS
Dallas Cosmetic Dentist
+2

Usually, braces first before implant

One important thing to note is that an implant cannot be moved orthodontically. Therefore, generally, treatment should be directed to position all of your teeth so that the implant can be fit to the rest of your teeth instead of having your teeth move to fit your implant. Otherwise, you may find that your implant does not line up with the other teeth after straightening your teeth. t times, roots of the teeth may start off being tipped into the implant space and require... more
Jason K. Tam, DDS
Toronto Orthodontist
+1

Braces usually precede implants not always

Depending on the situation, usually braces should preced implants. If you think of teeth as pins in a bowling alley you want them all set just right. It is easier to gauge where any one specific pin goes if all the others are in the right place. Usually, it is best to set the natural teeth where you want before you put an implant because the teeth can move within the bone and an implant can't. An implant fuses with the bone in a way that it doesn't move like... more
Lawrence Singer, DMD
Washington Cosmetic Dentist
+1

Which Comes First: Implant or Braces?

The majority of the time you should have the teeth moved into place orthodontically before having an implant placed. The orthodontist will move the teeth into an ideal position giving you improved aesthetics, an ideal occlusion (bite), and maintaining ideal space for your implant. Following braces you can have the implant placed and a retainer will be made to maintain the space until you are able to have a crown. Good luck.
Scott Young, DDS
Houston Cosmetic Dentist
+1

Braces first

Usually it is best to do the braces first so that all the teeth can be in their ideal, aligned position before the implant is placed. That will also allow the most ideal placement of the implant since it can be angled exactly as it needs to for that space. However, if there is not significant movement of the teeth next to the space where the implant will be, then maybe the implant can be placed and start its osseointegration process (healing of the bone to the implant.)... more
Kristen Berning, DDS
Dubuque Cosmetic Dentist
+1

It's a dental team work

You should have your orthodontist work together with your restorative docor, who is going to plan and restore your implant crown. Most likely you will have orthodontic treatment done and later the implant. Sometimes it can be done simultaneously if space for the implant is sufficient and location of your future implant restoration does not need any "orthodontic assitance".
Zina Kaleinikova, DDS, MS
Cleveland Cosmetic Dentist
+1

Braces First

I would recommend complete orthodontic treatment before having the implant placed.  Orthodontics will create proper space arrangement and root alignment of the adjacent teeth for your future implant.  This will ensure your overall bite and tooth position is the most ideal.
Kimberly Johnson Genc, DDS
Newport Beach Cosmetic Dentist
+1

Depends where the implant will be placed

If a future implant to be place is between two teeth that ultametly will be moved by the orthodontics than orthodontics should be completed first.  If the tooth is in an area where mininal movement is required than it would not matter which procedure is done first.  A through examination and treatment plan is needed before treatment to determine what is right for your particular case.
Ryan Sellinger, DMD
Manhattan Cosmetic Dentist
+1

Timing of Braces and Implant

Most of the time, the braces (orthodontics) are completed before placing an implant. There are exceptions including using the implant to aid in traction for the orthodontics and implants away from the teeth to be moved.
Mickey Bernstein, DDS
Memphis Cosmetic Dentist
+1

Braces first

It should be very obvious from the posts that braces are first in line. However, before starting any treatment, make sure to have a thorough planning session with a dentist that looks at the whole picture. Implants are best described as a journey, many times taking up to a year to finish. Although some are completed in shorter periods, speed is not a measure when you are dealing with dental implants. Braces also take a long time to properly move the teeth, 18 months or longer. Some people... more
Eric Ellis, DDS
Houston Cosmetic Dentist
+1

Braces first, then dental implant

It is actually very important that the braces are done first and then the implant is placed. Once a dental implant has healed in the bone it becomes fixed and cannot be moved by orthodontic treatment. With that said if the orthodontic treatment was completed after the implant was placed potential space discrepancies between your natural teeth and the implant may be created. The implant will become the limiting factor and the esthetics may be compromised.
Antonella Milio, DMD
New York Cosmetic Dentist
+1

Braces first

If braces are going to be done anyway then they should be done first. If not, then the implant likely would be in the way and can't be moved. Braces will allow ideal implant location and angulation.
Lance Timmerman, DMD
Seattle Cosmetic Dentist
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