Dentistry and Dental Medicine

Introduction: Dental implants have become predictable and reliable adjuncts for oral rehabilitation. Th ey could be part of the

orthodontic therapeutic plan or inserted before starting orthodontic treatment.

Objectives & Methods: Th is presentation aims to discuss the interface between orthodontics and dental implants: When, why

and how modern orthodontics can make use of, deal with, or avoid using dental implants. A variety of interesting clinical cases

will be presented in the following categories:

1. Orthodontic interactions preparatory to implant placement versus orthodontic space closure in subject with missing teeth.

2. Orthodontic interactions aft er implant placement and how we can use the implant as an anchorage tool, but overcome

the obstacle of presence of dental implant opposing the orthodontic movement by showing possible orthodontic tricks and tips.

Results: Variable desirable results can be obtained from orthodontic interactions with dental implants: Uprighting mechanics,

Extrusion/Intrusion, Delayed space opening, Retraction, Realignment, Closing spaces to eliminate the need for implants,

Midline correction, Repositioning & stabilizing teeth, Improving occlusal relation-ships, Providing anchorage for orthopedic

& orthodontic movement, Tissue augmentation (both hard & soft ) site development.

Conclusions: Th e management of the Orthodontic mechanics can be simplifi ed, accelerated, facilitated by the placement of an

implant & utilization as integral part of mechanotherapy. If we don’t have a precise target with the implant we don’t include it

in our mechanical system. Interactions between dental implant and modern orthodontics is a complex procedure requiring a

multidisciplinary approach.