Dr. W. asks:
I have been asked by an orthodontist to place an implant for anchorage. This patient is missing teeth #30 and 31, and the restorative dentist would like the anchorage implant to eventually be restored to replace tooth #31. The training I have had in CE courses for implant anchorage is to place very small screws into the attached gingival. After the teeth have been moved, the implant screws are removed. Has anyone ever done this? I have some limited experience with bone plates used for anchorage, and I am familiar with temporary implants which are used for anchorage, but I am concerned about how the orthodontic changes will affect the final restorative result. Is any one system best suited for such treatment? What should I expect?