After the growth stops, which is after the ages of 15 for female patients and 18 for male patients, the implant should ideally be positioned.[28] The implant may need to be removed and replaced if it was positioned during active growth because it may become misaligned or displaced by further growth (extrusion of the implant may ensue from remodeling of the alveolar ridge)[13]. The patient began treatment at age 12 and completed it around age 14, which is not a good age for dental implants because of ongoing growth. As a temporary fix while he completes the active growing period, the patient was given a retainer with a prosthetic tooth (riding pontic) and was recommended to have a resin-bonded bridge fixed.

Conclusion

In addition to their traditional uses, functional appliances can be adapted and changed to create space. This patient benefited greatly from the Twin Block appliance's capacity to extend the maxilla while resolving the sagittal connection.

Summary

Dental Implant Placement and Treatment

• Implant placement should occur after the end of growth, typically after 15 or 18 years.
• Active growth can cause implant displacement or malposition, necessitating removal and replacement.
• Patient's treatment started at 12 and ended around 14, a unfavorable age for dental implants.
• Patient was provided with a retainer and a resin-bonded bridge as temporary solutions.
• Twin Block appliance's ability to expand the maxilla and correct sagittal relationship was beneficial.