How Do Orthodontics and Implantology Coexist?

The space for receiving a dental implant varies according to the diameter of the implant chosen (between 6 and 8 mm). In fact, in addition to the diameter of the implant, Broomfield Orthodontics must add a biological space varying from 1 to 2 mm on each side of the implant allowing its survival (for an implant diameter 4 mm: 2 + 2 + 4 = 8mm the space required for the placement of this implant). Understanding how implantology can better orthodontics, and vice versa, could be the difference between getting a fantastic smile and having to return to the dentist for additional treatment options.

Dental spacing

Dental spacing is done in two stages: crown spacing and root spacing. The mesiodistal cervical diameter required for the placement of an implant depends on the missing tooth. The recommended implant diameters are maxillary/mandible.

First, the Braces provider in Broomfield must check the Nance index (the difference between the available space on the arch and the space required. Permanent molars must be sufficient to carry out tooth movement. The opening of the gap between the crowns is essentially affected by means of a compression spring, preferably on a rigid steel support arc.

Root spacing

This concerns the correction of the root’s proximity to allow for implant placement without risk of pathologies nor failure. In fact, during crown displacement, the teeth will be in slight version rather than perfect egression (parallel to each other), which will create or accentuate the convergence of the roots. In order to avoid the convergence of the roots of the teeth bordering the denture, it is recommended to place artistic curvature type activations on the steel arch.

These movements will be accentuated progressively because the force delivered is massive and increases the friction forces when the fasteners slide along the wire. Root spacing can also be achieved by bonding fasteners with a compensatory tilt at the beginning of orthodontic treatment to achieve root separation. This will oppose the side effect of root approximation caused by compressed springs.

Space maintenance phase and orthodontic finishing phase

Maintaining proper crown spacing is achieved either by a temporary tooth placed at the diastema or by a passive spring with tight turns placed on the arc between the fasteners of the teeth already straightened. The maintenance of the coronary spaces will be maintained even after placing implants awaiting their osseointegration. The orthodontic finishing phase start after a radiological check of the entire set of teeth, with the aim of parallelizing the roots and improving the stability of the result obtained.