Need Braces: Can a Dental Implant Wait till After Orthodontic Treatment?

I had one of the first molars extracted 5 months ago and bone grafting was done at the same time. Now I need braces to correct an issue I have. The orthodontist wants to complete the treatment before the implants can be placed. The entire treatment would last about 21 months. Can leave the molar missing during ortho treatment? What are my options replacing the tooth after 2 years? Will i need bone grafting again?

3 Comments on Need Braces: Can a Dental Implant Wait till After Orthodontic Treatment?

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Dr. H. Ryan Kazemi
11/12/2015
It is best to complete the orthodontic treatment before implants are placed. It is best to graft the extraction site to preserve the bone, so that it will be available for implant placement later.In some situations, depending on the nature of orthodontics, it may be possible to place the implants earlier. This should be checked with the orthodontist and communicated between him/her and the restorative dentist and the surgeon.Dr. Kazemi Dr. H. Ryan Kazemi
Dr. Carlos Boudet
11/12/2015
Ideally you want to do all the orthodontic treatment before the implant is placed so that the implant can be placed in the best position. If you have the implant placed first and the orthodontics move the teeth adjacent to the implant, the result might be an implant that now is not in the best position. You are right to be concerned about the possibility of needing a bone graft after two years. Without an implant helping to keep the bone that you have, you will loose some bone during the orthodontics and depending on the amount you loose, you may or may not need a graft when it is time to put the implant. I would ask the orthodontist if the implant can be placed midway through treatment, when he does not expect the position of the adjacent teeth to change. Still the most prudent treatment is to wait for orthodontist to give the ok for the implant. Good luck! Carlos A. Boudet, DDS, DICOI
chas
5/1/2020
I have to get a bone graft in but they said I will also need braces afterwards. How long do I have to wait until I get braces.

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