Getting a DNA appliance can be done with dental implants as long as the dental implants do not connect teeth across the mid-line. For example, if you have an implant bridge connecting your upper front teeth, the DNA appliance cannot be done unless the teeth are disconnected at the mid-line. The same is true for Homeoblock appliances since the mechanism of growth is the same for both appliances.
Can DNA Appliances be done with Dental Implants?
Dental implants connect directly to the bone whereas natural teeth connect to the jaw by way of fibers called the periodontal ligaments. Natural teeth can be moved around the dental arch by using heavy pressure with an orthodontic wire or Invisalign clear aligners. Dental implants cannot be moved around the dental arch. This does not mean orthodontics cannot be done if you have implants. It means you can move all the natural teeth, but not implants. Planning needs to be careful with dental implants and orthodontics.
Adult Expansion can be done with Implants & DNA & Homeoblock appliances
Palatal expansion can be done with dental implants as long as the midline is not connected. During expansion the jaw gets wider and changes shape. The teeth and implants in the jaw will go along with the changes during expansion. Expanders change the size and shape of the bone and they do not move the teeth (if things go as planned).
How Palatal Expansion Works with Dental Implants and the DNA Appliance
Adult expanders take more time. One of the concerns is moving teeth when doing a DNA and Homeoblock appliance. The teeth will not move as long as the pressure is kept light and the expansion is done slowly. Since implants cannot be moved through the bone, implants actually perform better during expansion than natural teeth, since the side effect of moving teeth is nearly impossible.
Can Dental Implants be added During DNA Appliance Treatment
Yes if you need a dental implant during DNA appliance therapy, it can be done with careful planning. Especially if it is a back tooth. Basically, the implant can be added as long as care is given to not put pressure on the healing implant for 3-4 months after it is placed. The process is usually easy since the implant can heal under the gum. Usually we will place the implant and not expand the DNA for 4-6 weeks after installing the implant.
After a 3-4 month healing period, a temporary crown can be placed on the implant. And the DNA appliance can be adapted to the new tooth by adjusted the acrylic and/or adding new acrylic to fit the new implant crown. Usually after the DNA appliance therapy is complete, a permanent crown can be placed.
Managing implants during DNA Appliance treatment takes a little more time and planning, but it can easily be done in many cases.