Call Us

Whatsapp/SMS : +6 012 3012 002 or +6 03 7726 7917

Opening Hours

Mon -Fri: 9:00 AM – 6:00 PM Sat: 9:00 AM – 1:00 PM Sunday & Public Holidays: Closed

Book Appointment

Your perfect smile is a click away!

The Role of Implant Dentistry in Orthodontics

Patient  was presented with a congenitally missing one upper right canine,  labial profile with concavities and lack of bone thickness, labially and palatally. Implants: NobelActive NP 3.5x13mm.

p2
An incredibly effective implant that provides excellent stability even in compromised sites; because of its unique features to preserve the biology of marginal hard and soft tissues, NobelActive has become my choice of implant in the aesthetic area.

An immediate implant after her orthodontic therapy was almost completed. Space was created between #12 and #14 over a period of 12 months. I would usually wait for 6 months before issuing her final prosthesis together with debonding of her brackets and provide her with a stable retainer. A total treatment time of 18 months is to be expected.

Using the standard protocol of NobelActive implant , a load-free healing period is one of the most emphasized requirements for implant integration.

At present  the result shows promising data for immediately loaded single-tooth implants in the anterior maxilla. It is evident that successful immediate loading protocols require a careful and strict patient selection aimed at achieving the best primary stability and avoiding any excessive functional or non-functional loading.

The stepped-screw type implant was inserted with an increasing torque up to 70 Ncm, thus measuring the primary stability of the implants. The implant was immediately restored with unsplinted acrylic resin provisional crown.  Her final crown would be a full-contour, full strength FCZ Implant Crown.  This is a CAD/CAM manufactured from translucent high-strength zirconia. 100% cement-free. My preferred implant restoration in most cases.

There are a few  difficulties in multidisciplinary cases  that need to be noted. One is communication between the implant surgeon, implant restorative dentist, and the person doing orthodontic work.

The other will be to get the  three dental professionals to come together and coordinate their respective roles in the treatment process. Based on my experience on this kind of work, the best approach will be for the patient to seek treatment from  a specialist who is trained in multidisciplinary dentistry.

This will avoid confusion to the patient as to who he or she should go for follow-up.  There have been many cases where patients did not pursue follow-up treatments after both orthodontics and dental implant were completed.

For the above reason, I would seriously advise dental surgeons to pursue a double-major in both implant dentistry and orthodontics. This will enable them to give to their patients comprehensive treatment.p2a

The practice of orthodontics and  implant dentistry requires an interdisciplinary approach that integrates the knowledge, skills and experience of all the disciplines of dentistry into a comprehensive treatment plan.

If you have a good set-up and multidisciplinary dental surgeons, such as in a hospital and University,  it would be ideal to have 3 dental specialists working on one case.

This article outlines a comprehensive interdisciplinary treatment philosophy designed for developing the foundations of optimal aesthetics in an orthodontics case with implant dentistry. The case  presented  illustrates the value and utility of interdisciplinary treatment by a single specialist with multidisciplinary experience. In this way the  patient is not denied her overall dental functions, and aesthetics.

Dr Kamsiah G Haider Prosthodontist, DSD Master & Instructor, BDS, MDSc

A dentist , a continuous education junkie and inspiring other dentists to be a real dentist ! Who do you want to help you improve your smile if you are looking for a dentist? Dr. Kamsiah also known as Dr. Kam is cosmetic dentist with over 30 years experience . As a Master and Instructor of the Digital Smile Design , together with dental implantology , prosthodontics and orthodontics I have the experience and knowledge to handle the most complex cases in cosmetic dentistry. Oral reconstruction, rehabilitation with or without dental implants and conscious sedation dentistry all in one place. She earns her membership of the International Association for Orthodontist (iAOi) in 2014. She has been a Diplomate of the American Board of Prosthodontics and Implantology (ICOI) since 1997. She's into guided surgery and full mouth rehabilitation on failed dentition also known as teeth in a day with the help with digital dentistry. Something she's passionate about since embarking into private practice 23 years ago. Dr. Kamsiah was a full time lecturer at the University of Malaya and an Associate Professor at the International Islamic University and lectures on prosthetics , the All-on-Four concept and recently on the Digital Smile Design. Specialties: Prosthetic Dentistry, Dental Implants, Cosmetic Dentistry, Orthodontics, Invisalign, Bone-Screw Orthodontics, AO4, Teeth in one day.

Leave a Reply

Your email address will not be published. Required fields are marked *