If you’re considering straightening your teeth but already have a dental implant, you may be wondering whether orthodontic treatment is still possible. The good news is that, in many cases, you can undergo orthodontics with a dental implant—but there are important factors to understand. Because implants behave differently from natural teeth, your treatment plan may need special adjustments to ensure the best results.
Dental Implants Don’t Move Like Natural Teeth
Orthodontic treatment works by applying gentle pressure to shift teeth through the bone. Natural teeth can move because they’re connected to the jawbone through the periodontal ligament, a flexible tissue that allows controlled movement.
Dental implants, however, are different. Once placed, they fuse directly to the bone in a process called osseointegration. This makes them extremely stable—great for chewing, but it also means implants cannot move with braces or clear aligners.
Because of this, the success of orthodontic treatment depends on where the implant is located and what tooth movement is required.
Orthodontics is Possible with Proper Planning
The key is working with a dentist or orthodontist who can create a customized plan. Here are a few common scenarios:
The Implant is in a Good Position
If the implant is already aligned properly with your other teeth, treatment can proceed normally. Your natural teeth will shift around the implant, which remains fixed in place.
The Implant is Out of Alignment
If the implant is not in the ideal position, your dentist may recommend:
- Replacing the implant after orthodontics.
- Using orthodontics to reposition surrounding teeth instead.
Sometimes the crown (the visible part) can be modified to improve aesthetics after treatment, even if the implant itself cannot move.
Planning Orthodontics Before an Implant
If you know you’ll need an implant in the future, many dentists recommend completing orthodontic treatment first. This ensures the implant can be placed in the ideal position once teeth are aligned.
Clear Aligners vs. Braces with Implants
Both clear aligners and braces can work with implants, but aligners offer more control over individual tooth movements. In many cases, aligners are the preferred choice because they allow orthodontists to program movement around the implant more precisely.
Yes, you can often undergo orthodontic treatment if you have a dental implant—but your implant cannot move, so your plan must accommodate it. With the right dental team and a personalized approach, you can still achieve a healthier, more aligned smile even with an implant in place.
About the Author
Dr. David W. Cordes has been straightening smiles for more than 20 years. He is a graduate of the University of Connecticut School of Dental Medicine and afterwards completed a 3-year specialty program in orthodontics. Dr. Cordes regularly attends continuing education seminars and teaches courses about orthodontics. With this kind of expertise and experience, you can count on Dr. Cordes and our team to provide you with excellent orthodontic treatment. Schedule an appointment online or call one of our conveniently located offices in your area.