Can Aligners Be Used with Implants?

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Can You Use Clear Aligners If You Have a Dental Implant?

Dental implants are a permanent solution for missing teeth, offering strength, stability, and a natural appearance. But what if your teeth shift after the implant, or you want to straighten your smile? Yes, you can use clear aligners like Invisalign even if you have dental implants. However, there are important limitations and considerations your orthodontist must take into account during treatment planning.

Understanding How Implants Work

Unlike natural teeth, dental implants are fused to the jawbone through a process called osseointegration. This means:

  • They are fixed in place and cannot move with orthodontic force

  • They do not have a periodontal ligament like natural teeth

  • They act as an anchor within your bite and must be treated differently

As a result, aligners can move your natural teeth—but not your implant.

How Aligners Work Around Dental Implants

Aligners apply gentle, controlled pressure to guide natural teeth into their ideal positions. When you have a dental implant, the aligner treatment will:

  • Work around the implant, adjusting the surrounding teeth

  • Improve the overall alignment and spacing

  • Preserve the implant’s position without attempting to move it

In some cases, the implant may be ideally positioned, and aligners can correct misalignment elsewhere. In other cases, aligners may be used prior to implant placement to create the ideal space and alignment before restoring the missing tooth.

Common Scenarios for Aligner Use with Implants

Clear aligners are frequently used in cases where:

  • Teeth have shifted after implant placement

  • The implant was placed earlier and the bite has since changed

  • The patient had crowding, spacing, or a rotated bite near the implant

  • Teeth opposite or adjacent to the implant need movement to improve function or aesthetics

Your treatment plan will be custom-designed to account for the static nature of the implant, ensuring safe and predictable results.

Things to Consider Before Treatment

Before starting clear aligner therapy with an implant, your dentist will:

  • Evaluate the position and health of your implant

  • Assess whether any movement is needed near or around it

  • Decide if additional treatments (such as interproximal reduction or minor reshaping) are necessary

  • Determine if orthodontic work should be done before a future implant is placed

If you’re planning to get an implant but haven’t yet, aligner therapy may be completed first to optimize spacing.

Dr. Bak’s Experience with Implants and Aligners

With over 25 years of orthodontic experience, Dr. Bak Nguyen has treated many patients with existing implants. He uses advanced 3D imaging to design personalized treatment plans that respect the fixed position of implants while realigning the natural teeth to improve both bite and aesthetics.

Book a free virtual consultation to learn more about your case, its treatment time and cost with Dr Bak Nguyen (the real one).

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