Implant placed 3 months ago, need Invisalign now. IPR vs. widen dental arch? (Photos)

Question

Had dental implant placed on tooth #10 in oct (no healing cap/crown yet). Considering Invisalign due to teeth shifting. went to 2 orthodontists, one told me he would have to widen both upper/lower dental arch to create space and recommend crown placement after Invisalign. second orthodontist told me the only option for me is IPR to create space due to implant placement (0.3 mm from 2-3 teeth on bottom). I was wondering who should I go with?

Ira Shapira, DDS · Answer

Your undersized maxilla needs a growth appliance.  I suggest looking into Epigenetic Orthodontics with the DNA Appliance.  It is also possible to do SARPE procedure but that will entail some surgical risks.Correction of narrow  maxilla will give best long term results.

Chia-Hung Lin, DDS · Answer

It seems like your primary goal is to make room for the restoration of the implant. From a patient's perspective, I can understand that it becomes frustrating when you have to go through extensive orthodontic treatment just to get an implant done. With that in mind, an ideal treatment for you is a limited adjunctive treatment focusing on creating room for the implant crown rather than trying to achieve ideal occlusion entirely. This can be effectively achieved by bonding braces on lower teeth only and creating space by performing interproximal reshaping of your teeth. In addition, minor reshaping of the incisal edges may be needed to ensure adequate vertical space for he implant crown. The adjunctive orthodontic treatment should be limited to no more than 4-6 months to avoid delay in your implant crown placement. Hope everything works out for you.

Implant placed 3 months ago, need Invisalign now. IPR vs. widen dental arch? (Photos)

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Implant placed 3 months ago, need Invisalign now. IPR vs. widen dental arch? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Invisalign

Our mission is to create a world where every investment in modern beauty is Worth It.