Can You Correct Overbite with Existing Dental Implants?

Correcting protruding teeth?

Hello Dr.
Huang: I have several fixed dental prostheses (one single crown and a three-unit bridge).
Can I still undergo orthodontic treatment for protruding teeth? Thank you!

Zhu Zhu, 50~59 year old female. Ask Date: 2015/10/18

Dr. Huang Zhicheng reply Dentistry

Hello, since I am not familiar with your current oral condition, I recommend having an orthodontist evaluate it, as you may receive a more appropriate answer.
Generally speaking, a single fixed dental prosthesis is unlikely to affect orthodontic treatment; however, the bridge (a fixed dental prosthesis supported by two or more abutment teeth) may need to be removed before proceeding with comprehensive orthodontic treatment.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/10/18

More Info

Correcting an overbite with existing dental implants can be a complex issue, but it is certainly possible depending on various factors, including the specifics of your dental situation and the condition of your surrounding teeth and gums.
An overbite occurs when the upper front teeth significantly overlap the lower front teeth. This can lead to various issues, including jaw pain, difficulty chewing, and aesthetic concerns. When dental implants are involved, the treatment options may vary based on the type and positioning of the implants, as well as the overall dental health of the patient.

Treatment Options for Overbite with Dental Implants
1. Orthodontic Treatment: If the implants are stable and the surrounding teeth are healthy, orthodontic treatment may still be an option. Traditional braces or clear aligners can be used to adjust the position of the natural teeth. However, the presence of implants can complicate the movement of adjacent teeth, as implants are fixed and do not move like natural teeth. Your orthodontist will need to carefully plan the treatment to avoid putting undue stress on the implants.

2. Surgical Options: In some cases, surgical intervention may be necessary to correct an overbite, especially if it is severe. Orthognathic surgery can reposition the jaw and improve the bite relationship. This is a more invasive option and would require careful planning and collaboration between your orthodontist and oral surgeon. The presence of dental implants may influence the surgical approach, so a thorough evaluation is essential.

3. Adjusting the Implants: If the implants are affecting your bite, adjustments may be made to the crowns or the positioning of the implants themselves. This could involve reshaping the crowns to improve the occlusion or, in some cases, repositioning the implants if they are not optimally placed. However, this is a significant procedure and should be discussed thoroughly with your dental specialist.

4. Restorative Solutions: If orthodontic treatment is not feasible due to the implants, restorative dentistry options may be explored. This could include the use of veneers or crowns on the natural teeth to improve the aesthetic appearance and function of your bite without moving the teeth significantly.

5. Consultation with Specialists: Given the complexity of your situation, it is crucial to consult with both an orthodontist and a prosthodontist (a specialist in dental implants and restorations). They can work together to create a comprehensive treatment plan tailored to your needs. They will assess the condition of your implants, the surrounding teeth, and your overall dental health to determine the best course of action.

Conclusion
In summary, correcting an overbite with existing dental implants is possible, but it requires a thorough evaluation and a tailored approach. The treatment options may include orthodontic adjustments, surgical interventions, or restorative solutions, depending on your specific situation. It is essential to communicate openly with your dental care team about your concerns and goals for treatment. They will be able to guide you through the process and help you achieve a functional and aesthetically pleasing result. Always remember that each case is unique, and what works for one patient may not be suitable for another, so personalized care is key.

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