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I need both a jaw implant and braces, which medically needs to come first?

EPMH59Sep 22, 2022
I need an implant on one side of my mandible to correct asymmetry, the right side is smaller and shaped differently than the left. I also need braces, I don’t have severe dental issues, just a gap in the front teeth so overall want to straighten everything out. Personally I would rather have the jaw implant done first as I am a lot more self conscious about the crookedness, but medically would this be safe before braces? Or do braces need to be done first?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Alejo Villarreal, DDS
Oral & Maxillofacial Surgeon
Answered on Jan 12, 2023
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Alejo Villarreal, DDS

Unfortunately, your situation is more common than we'd like to see. The chin area is prone to sensitivity consequences, and minimizing them depends on the type of incision and your body's ability to heal. Designing an implant like yours is an art, and it requires a lot of time and discovery to...

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Alejo Villarreal, DDS

Infections are rare, and when you take the necessary precautions, you should expect to minimize them even more. Proper buccal hygiene and mindful consideration after your surgery will help prevent infections. Best wishes,

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Gerald Wittenberg, MSc, DMD (retired)

The use of 'standard' preformed implants can work for many patients. However, it is more suitable and appropriate to 'carve/customize' an implant at the time of surgery. Gortex is ideal in that regard and can be modified to suit each goal including varying the 'right to left' sides. The ability...

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