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If You Need Orthodontic Treatment and an Implant at the Same Time, Which Should Come First?

Seoul Bardi Dental Clinic · ✅ 강동구 상일동역 서울바르디치과 · March 7, 2025

Hello~ This is Lee Ju-ri, chief dentist at Seoul Bardi Dental Clinic! When meeting patients undergoing orthodontic treatment, the tooth may already be missing, or the condition of...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Seoul Bardi Dental Clinic

Original post date: March 7, 2025

Translated at: April 20, 2026 at 5:04 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello~

This is Lee Ju-ri, chief dentist at Seoul Bardi Dental Clinic!

When meeting patients undergoing orthodontic treatment,

the tooth may already be missing,

or the condition of the tooth may be so poor that extraction is needed.

In such cases, orthodontic treatment and implant treatment may need to be done at the same time.

Since these two treatments each have different characteristics,

planning is the most important part!!

If You Need Orthodontic Treatment and an Implant at the Same Time, Which Should Come First?

This post is meant to help patients who need both treatments at once~

Orthodontic treatment first, then implant, is the rule!!!

In most cases, it is standard to proceed with orthodontic treatment first

and then place the implant!!!

If You Need Orthodontic Treatment and an Implant at the Same Time, Which Should Come First? image 1 250304

The reason is as follows..

First, let’s think about the principle of orthodontic treatment~?

Orthodontic treatment is about moving teeth to correct their alignment...

Implants are placed into bone, so they do not move~

Naturally, there are limitations on orthodontic movement.

(The characteristics of the two treatments are completely opposite!)

Because of this, it is recommended to first move the teeth to create the needed space,

or to place the natural teeth in their optimal positions

and then place the implant once proper occlusion has been established!!

When the implant is placed first

However, in some cases, it may be necessary to place the implant first.

Exceptions always existㅠㅠ

This is the case when an implant in the front teeth is needed for aesthetic reasons~

If the patient needs to go to work...

missing front teeth often cause unclear pronunciation and a loss of confidence in appearance!

In such cases, the front-tooth implant may be placed first, followed by orthodontic treatment.

If You Need Orthodontic Treatment and an Implant at the Same Time, Which Should Come First? image 2 250201 A case where orthodontic treatment is performed with an implant already placed

Before deciding on orthodontic treatment, there may already be a placed implant~

This often happens when middle-aged patients want to improve crooked front teeth~

If You Need Orthodontic Treatment and an Implant at the Same Time, Which Should Come First? image 3 250201

In such cases, orthodontic treatment is carried out by moving the remaining teeth as much as possible,

excluding the implant.

https://blog.naver.com/implant_master/223768736765

To secure space,

interproximal reduction may also be performed~

If there are many implants already placed,

orthodontic treatment can become difficult...

So if you may need orthodontic treatment later,

a consultation is essential..!!

Important points when combining orthodontic and implant treatment

● Accurate diagnosis and planning are essential

: When combining orthodontic and implant treatment, it is important to make a thorough treatment plan.

There is no treatment where planning is not important~

but because the entire dentition needs to be moved,

it has to be planned carefully~~

If You Need Orthodontic Treatment and an Implant at the Same Time, Which Should Come First? image 4 250219 Even at an older age, orthodontic treatment is possible even if prosthetic work is done!!

● Cooperation with the attending medical team

Orthodontic treatment and implant treatment each require different areas of expertise,

so communication is extremely important.

Teeth may not move well in the middle of treatment,

or the treatment plan may change..

That is why cooperation is needed to achieve the best results~

If You Need Orthodontic Treatment and an Implant at the Same Time, Which Should Come First? image 5

Conclusion

When orthodontic treatment and implants are done together,

it is generally best to proceed with orthodontic treatment first and then place the implant.

However, the order may change depending on the patient’s condition,

so it is important to create a customized treatment plan after an accurate diagnosis!!!

| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Service Act Advertising Regulations. The information provided is for reference only, and we recommend visiting a medical institution and receiving guidance from medical professionals for symptom assessment and accurate management methods. All procedures/surgeries performed at the dental clinic may involve possible side effects depending on the individual (inflammation, bleeding, swelling, etc.). Please make your decision after sufficient consultation with medical professionals in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under identical conditions. |

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