HI, I had lower first molar extracted 5 months ago, the bone graft was placed at the time of extraction, now I need to get braces done to correct the overjet/overbite issue.
The orthodontist wants me to get the braces before getting implant. The treatment would last 21 months with invisalign. I am worried about loosing the bone under the missing molar if the implant is not placed soon. What are my options?
May 1, 2018
Answer: Implant timing with Invisalign or braces
Since you are having a "bite correction" you may wish to consider delaying the implant until the orthodontics is finished, or nearly finished. This gives your orthodontist maximum flexiblity to create an ideal bite, because an implant is absolutely fixed and cannot be moved at all. There is no hurry to get the implant as far as bone is concerned, since several months or a year will make little difference in the amount of bone available for the implant. The above ideas are the same regardless of whether Invisalign or braces are used. Remember when using Invisalign the computer simulation may not actually show exactly what really happens in your mouth because there are many factors that the Invisalign software cannot model.
Helpful 1 person found this helpful
May 1, 2018
Answer: Implant timing with Invisalign or braces
Since you are having a "bite correction" you may wish to consider delaying the implant until the orthodontics is finished, or nearly finished. This gives your orthodontist maximum flexiblity to create an ideal bite, because an implant is absolutely fixed and cannot be moved at all. There is no hurry to get the implant as far as bone is concerned, since several months or a year will make little difference in the amount of bone available for the implant. The above ideas are the same regardless of whether Invisalign or braces are used. Remember when using Invisalign the computer simulation may not actually show exactly what really happens in your mouth because there are many factors that the Invisalign software cannot model.
Helpful 1 person found this helpful
May 1, 2018
Answer: Implants and Invisalign orthodontics
Dear Buttercookie:
You can safely place the implant right away before or while you are in Invisalign/orthodontic treatment.
The premise of Invisalign therapy is that one can use a computer model to predict the position of the teeth prior to movement. This is how the aligners are manufactured. It is possible to predict the final position of the tooth and place the implant accordingly.
We use implants in conventional orthodontics (regular braces) all the time. If the implants are placed in the predicted, desired position, after proper, careful planning, the orthodontist can actually rely on them for the movement and the process happens much faster. I do recommend fabricating the final restoration after the Invisalign treatment is finalized, yet prior to delivery of the retainers.
Consider contacting a surgically trained Prosthodontist (the specialist in restorative/cosmetic/implant dentistry) for this work, since it is the most qualified person in this field. Since the Prosthodontist is the restorative expert, he/she will be able to place the implant in the most optimal position, so that the final crown is properly fabricated. You can easily locate a Prosthodontist near you on the internet.
Best of luck with your treatment,
Helpful 1 person found this helpful
May 1, 2018
Answer: Implants and Invisalign orthodontics
Dear Buttercookie:
You can safely place the implant right away before or while you are in Invisalign/orthodontic treatment.
The premise of Invisalign therapy is that one can use a computer model to predict the position of the teeth prior to movement. This is how the aligners are manufactured. It is possible to predict the final position of the tooth and place the implant accordingly.
We use implants in conventional orthodontics (regular braces) all the time. If the implants are placed in the predicted, desired position, after proper, careful planning, the orthodontist can actually rely on them for the movement and the process happens much faster. I do recommend fabricating the final restoration after the Invisalign treatment is finalized, yet prior to delivery of the retainers.
Consider contacting a surgically trained Prosthodontist (the specialist in restorative/cosmetic/implant dentistry) for this work, since it is the most qualified person in this field. Since the Prosthodontist is the restorative expert, he/she will be able to place the implant in the most optimal position, so that the final crown is properly fabricated. You can easily locate a Prosthodontist near you on the internet.
Best of luck with your treatment,
Helpful 1 person found this helpful