Implant for Orthodontic Anchorage and Restoration: How to Approach?

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?



6 thoughts on “Implant for Orthodontic Anchorage and Restoration: How to Approach?

  1. Alejandro Berg says:

    You can use regular implants (I would go with one with agressive threads like alpha bio or a pit easy )to get anchorage, just wait a few weeks, place a temporary acrilic crown on top of a titanium abutment ( make it a one piece, not cemented on top) and get the orthodontist to treat it like a regular 31, with a band. it works like a charm, you can estimate the size for a good crown and the gum heals nicely during the treatment so when its over you can get a great impression with a stable and predictable gum line.
    cheers

    (0)
  2. dr ACatic says:

    In my experience of using osseointegrated implants as anchorage best results were achieved by a two-phase surgical technique after 8-12 weeks of osseointegration. This way the thread design is less important and the implant provides sufficient anchorage without loosing much sleep over the intensity of orthodontic forces and the orthotechnique applied. There are differences regarding the bone quality, of course, and my suggestion for maxillary ortho would go in favor of one of the low force systems (for example Damon, or similar). Another benefit was already mentioned by Alejandro, and that is predictability and contouring of soft tissue by the acrylic crown placement. I have been using both osseointegrated implants and miniplant screws in orthodontics, and they both work when properly indicated.

    (0)
  3. Carlo says:

    My concern with placing a regular implant rather than a small screw implant for anchorage would be that the proposed tooth movement to the desired final position is not achieved and therefore l am stuck with a nicely integrated implant in the wrong position.

    (0)
  4. dr ACatic says:

    To Carlo:
    Implant positioning must be carefully planned in advance having in mind the final treatment goal. Therefore, orthodontist needs to be involved in planning so you don’t get stuck with nice osseointegrated implant in the wrong place. This can jeopardize the complete orthodontic and restorative therapy, and you definitely do not want to do that.

    (0)
  5. Dr/ Dody says:

    there are many screw used for orthodontic anchorage not need osseointegration I try it, and it is not very good it became loose under orthodontic force and not withstand orthodontic force I prefere osseointegrated implant you can use very smale one if you will remove it after treatment or regular one if you will use it in extacted site.

    (0)

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Clinical Questions, Dental Implant Orthodontic Anchorage, Orthodontic Anchorage.
Bookmark Implant for Orthodontic Anchorage and Restoration: How to Approach?

Videos to Watch:

Dealing with the Implant Gap

This short video discusses how to best deal with the gap after immediate implant insertion[...]

1 Comment

Watch Now!
Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

In this video, the lower right second molar was extracted and grafted with i-PRF and[...]

13 Comments

Watch Now!
Maxillary Implantation with Treatment of Chronic Sinusitis

This video shows two cases where implants were placed following treatment of Sinusitis. [...]

3 Comments

Watch Now!
Suturing in Guided Bone Regeneration

This video provides clinical tips for suturing techniques in Guided Bone Regeneration. In Guided Bone[...]

1 Comment

Watch Now!
Socket grafting with Collagen Dressing and Bond Apatite

This video demonstrates socket grafting with just bond apatite and a collagen wound dressing.[...]

Watch Now!
Dental Implant for Lower Right Second Molar

This video shows implant placement on the lower right second molar.[...]

Watch Now!
Saving a Bridge with Periodontal Therapy

This video shows a case involving a 48-year-old male who was referred for periodontal treatment[...]

Watch Now!
Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!