• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

For patients undergoing orthodontics who have dental implants it is essential to recognize that implants do not respond to orthodontic forces like natural teeth. Natural teeth, unlike implants, are capable of controlled movement due to their periodontal ligament, implants lack any periodontal attachment. Because of this biological reality, any force exerted on the implant must be avoided, it risks compromising the bone-implant interface.

Timing is one of the most crucial factors. The ideal approach is to align teeth before placing implants, creating the ideal environment for implant integration. Once placed prior to braces, an implant restricts natural tooth mobility, hindering the ability to close gaps or correct alignment. There are exceptions, implants may be placed concurrently with orthodontic therapy, provided the treatment plan is meticulously designed, and temporary anchorage devices (TADs) are utilized to isolate tooth movement.

Implant positioning and multiplicity require tailored orthodontic planning. Implants in regions prone to substantial tooth movement, like the front teeth demand modified orthodontic protocols. Movement must be directed away from the fixed implant, avoiding torque or lateral pressure on the fixture. When several implants are present, close coordination between specialists is essential, so that tooth positions complement the implants' immobility.

Accurate imaging and virtual simulation are critical before initiating orthodontics to determine the stability of the osseointegrated fixture, verify implant positioning relative to root apices, avoid unforeseen surgical or orthodontic complications. These tools help prevent root resorption, implant surface damage, or perforation. Regular follow-up imaging and clinical assessments are required, to detect early signs of peri-implant bone loss, to track tooth movement accuracy.

Managing patient expectations is critical to treatment success. It is vital to explain that implants cannot be moved with braces, and that the goal is to align natural teeth around them. Setting realistic expectations prevents frustration and noncompliance.

To summarize, a highly collaborative, 墨田区 部分矯正 customized treatment plan is essential. Optimal outcomes hinge on precise biomechanical planning, coordinated care between dental disciplines, recognition that implants are non-movable anchors. With expert management, patients can attain a functional, stable, and beautiful smile.