Emad Deen Orthodontics Specialist Orthodontist · Malta
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Transformation Cases · Case 04 · Orthodontics and implant

Creating the space for an implant

An interdisciplinary case — orthodontics first to open the space, then an implant to restore the missing molar.

Bite before treatment, with the arches to be aligned and space to be opened for the missing lower molar Aligned arches and a stable, balanced bite after orthodontic treatment and implant placement Before After

The record

Concern
Missing lower molar with insufficient space for restoration
Phase one
Orthodontic alignment and space creation, occlusion stabilised
Phase two
Precise implant placement into the prepared space
Outcome
Balanced bite, ideal occlusion, restored function and appearance

The clinical record for this case is complete; the photography is not yet published.

What the treatment involved

Creating a good result here required precision, planning and teamwork across two disciplines.

Orthodontic treatment was used first, to carefully align the teeth and create the ideal space for the missing lower molar. Neighbouring teeth drift into a gap over time, and an implant placed into a compromised space will never sit or function correctly, however well it is placed.

Once proper spacing and a stable occlusion had been achieved, the implant was placed precisely to restore the missing tooth with optimal function and aesthetics.

The final outcome is a healthy, balanced bite with ideal occlusion — built for long-term stability and oral health rather than short-term appearance.

B.D.S. 2010FDS Glasgow 2012M.Orth. R.C.S. EdinburghM.Orth. R.C.P.S. GlasgowM.Sc. OrthodonticsF.D.S. R.C.S. Edinburgh 2020Ph.D. 2022M.Sc. Lingual Orthodontics 2025M.Sc. Aligner Orthodontics 2025M.Sc. Orofacial Pain and TMD 2026Lecturer in Orthodontics University of Malta9 peer-reviewed papersFive stars on Google
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