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

For patients undergoing orthodontics who have dental implants it is essential to recognize that implants behave fundamentally differently from natural teeth. Unlike natural teeth, which can migrate through bone via the periodontal ligament, implants are fused permanently to the bone. This critical distinction means, orthodontic forces must never be applied directly to the implant, as this can cause implant fracture, loosening, or complete failure.

The sequence of treatment plays a pivotal role. In most clinical scenarios, orthodontic alignment should precede implant placement, creating the ideal environment for implant integration. Once placed prior to braces, an implant restricts natural tooth mobility, preventing necessary tooth shifting for ideal occlusion. In carefully selected situations, implants are sometimes inserted mid-treatment, provided the treatment plan is meticulously designed, with the use of mini-screws to control force vectors.

The location and quantity of implants significantly influence treatment strategy. 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, preserving the integrity of osseointegration. In cases involving multiple implants, a multidisciplinary treatment plan is non-negotiable, to ensure natural teeth align harmoniously with fixed prostheses.

Pre-treatment CBCT scanning and digital planning are mandatory to assess bone volume and density, confirm safe distances from adjacent tooth roots, detect hidden bone defects or nerve proximity. Reducing the chance of iatrogenic damage is a primary goal. Regular follow-up imaging and clinical assessments are required, to verify no movement or loosening has occurred, to track tooth movement accuracy.

Patients must be fully educated about implant limitations. Implants will not shift, even with prolonged orthodontic force, 墨田区 前歯矯正 the objective is to create harmony between mobile teeth and static implants. Setting realistic expectations prevents frustration and noncompliance.

Ultimately, orthodontic care for implant patients demands a meticulously coordinated, individualized strategy. Clinical success is driven by scientifically informed mechanics, seamless collaboration between orthodontist and implant specialist, deep understanding of implant biomechanics. When properly executed, a lasting, natural-looking result is not only possible—but predictable.