In someone with a missing tooth, the neighbouring teeth often tilt into the gap, the opposing tooth over-erupts and the bite is disturbed. In this case simply replacing the missing tooth may not be enough; the position of the teeth may also need correcting. This is why planning clear aligner and implant treatment together is important.
The role of clear aligners in this process
- Uprighting tilted neighbouring teeth
- Opening a space of suitable width for the implant
- Creating enough distance between the roots for the implant
- Adjusting the bite to balance the load on the implant crown
- Keeping a natural look during treatment with a tooth-coloured piece added to the aligner over the gap
What an implant provides
- Replacing the missing tooth without cutting down the neighbouring teeth
- Supporting chewing function
- Helping to maintain load on the jawbone in that area
Order: which comes first?
Once an implant has fused with the bone, it cannot be moved like a natural tooth. So if orthodontic treatment is needed, orthodontics usually comes first, followed by the implant. If there is already an implant in the mouth, the orthodontic plan is built around its fixed position; in some cases the implant can even serve as an anchor for moving other teeth.
Missing teeth in young people
In young people with congenitally missing teeth, the implant is usually planned after jaw growth is complete. Until then, the space that has been opened can be kept with temporary solutions such as a clear aligner, a plate or a bonded bridge.
What is assessed in planning
- Bone volume and any need for bone grafting
- Gum health
- The bite relationship
- Aesthetic expectations
- Treatment length and the order of stages
What does the cost depend on?
Because the scope of both orthodontic and implant treatment varies from person to person, the fee becomes clear after the examination and planning. For details, see our factors that determine orthodontic fees page.
For more information, see our dental implants and orthodontics page.
