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".

Doctor Answers 21

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.

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 anchor to help the orthodontist with certain teeth movements. A close collaboration between the orthodontist, the restorative dentst, and the surgeon placing the implant can help design a precise treatment plan.

H. Ryan Kazemi, DMD
Bethesda Oral & Maxillofacial Surgeon
5.0 out of 5 stars 5 reviews

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 Dentist

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 around it.  You always treatment plan these cases with the end in mind prior to beginning them so everyone knows exactly what you are trying to end up with.

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 "uprighting" to allow got implant placement.

The exception is in situations where the implant may be a useful anchor to help move the other teeth and can be placed the final desired location. Communication between your orthodontist and implant team is important to establish the final locations of the teeth to allow for proper placement of the implant and restoration.

Jason K. Tam, DDS
Toronto Orthodontist

Braces and dental Implant sequence

Dear Nita, 
I would definitely recommend getting braces first. The implant positioning is determined by the position of the adjacent teeth for the ideal aesthetic result. Depending on the amount of orthodontic movement required, the final position might be different before and after the braces.

Valentina Lyssova, DDS
New York Dentist
5.0 out of 5 stars 3 reviews

Which came first the braces or the implant?

It depends.  Ideally you want to align the teeth, then depending on the spaces, place the implant.  Sometimes you realize that orthodontics can be used to decrease the space or increase the space or even eliminate the space.  The only time implants are placed first is when they are needed as anchors to more teeth.
Good luck.

Dan Hagi, DDS
Toronto Dentist
5.0 out of 5 stars 3 reviews

Dental implant or braces first?

Typically, braces must be done first I order to move teeth I to ideal position. Once this happens, an implant can be placed in the spot missing a tooth. Since implants cannot be moved with braces, if the implant was to be placed first, you whole not be able to move teeth around to their ideal spots. There are unique situations where implants are used as anchors to help with braces and tooth movement but this is outside the scope of your question. So the smile answer is: braces first, implant second 

Herbert Veisman, DDS
Toronto Periodontist
5.0 out of 5 stars 9 reviews

Should a dental implant be placed before or after braces?

Naturally, every situation should be considered individually and all factors need to be taken into account.
That having been said, the vast majority of the time the orthodontics (braces) will be done first. One of the goals of the braces will be to create ideal spacing for the future placement of the dental implant. 
Braces are not only beneficial in making the teeth look nicer, they are also very useful in making the bite more balanced which will help to make the whole mouth healthier and

Richard Champagne, DMD
Freehold Dentist
5.0 out of 5 stars 5 reviews

Braces Dental Implants

Orthodontics, or Braces, moves the position of the teeth through the jaw. Ideally the teeth should be in their final position prior to placing a Dental Implant. This will guarantee ideal function and better esthetics.

 The restorative Dentist placing the crown on the implant will have a better chance of creating a lifelike tooth if the Orthodontist, Implants Doctor, work with him/her to create the ideal site for a tooth. It is important that the braces remain on until all agree that the space required is adequate for the new tooth.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.