Can you get Invisalign with implants or crowns?

Yes, you can usually have Invisalign if you have an implant or crowns. An implant is fused to the bone, so aligners can’t move it; the other teeth move around it. If you need an implant and straightening, the usual order is straighten first, then implant. At Toothi in Edgware, we plan both together.

So the planning matters more than usual. Get the order wrong and an implant can end up in a spot that no longer suits the straightened smile. This is how the two treatments fit together.

No. A natural tooth sits in a ligament that lets it move slowly under gentle pressure. An implant has no ligament; it bonds directly to the jawbone, so it stays exactly where it was placed. Aligners can’t move it, and neither can any brace.

That doesn’t stop treatment. The implant just becomes a fixed point. The aligner is made to fit over it without pushing it, and the plan moves the natural teeth around it. Sometimes the implant can even be useful as a stable anchor. It does mean the final position of your other teeth has to work with where the implant already is.

If you’re missing a tooth and also want straighter teeth, the usual approach is to straighten first and place the implant afterwards. That way the gap can be opened or closed to the ideal width, the neighbouring teeth are upright, and the implant goes into a space designed for it.

If you already have an implant, the plan works around it. One thing to know: if teeth next to an older implant are moved, the implant crown may no longer match its neighbours perfectly at the end, and occasionally a new crown is the tidiest finish. We’ll tell you at the planning stage if we expect that. If you’re still weighing up how to fill the gap, see our guide to missing tooth replacement options.

Yes. Unlike an implant, a crowned natural tooth still has its root and ligament, so it moves like any other tooth. The main difference is attachments: composite bonds less well to porcelain or metal, so we may use a special bonding technique or plan around that tooth.

A fixed bridge is different. It joins two or more teeth together, so they can only move as one unit. Depending on the plan, a bridge may need to be worked around or replaced after straightening. We check all existing crowns and bridges at the consultation, along with your check-up and X-rays, because patients need to be dentally fit before Invisalign starts.

Both are fixed-price at Toothi. You choose the Invisalign package that suits your case, and the implant price includes the crown. The 3D CBCT scan needed to plan an implant is taken at a referral imaging centre and paid to them directly; it isn’t included in our price.

Prices are fixed and taken from our fees page. Invisalign packages include the iTero scan and ClinCheck, all reviews, refinement aligners if needed, removable and fixed retainers, an Airflow hygiene clean and Boutique whitening. The implant price includes an Osstem implant, abutment, porcelain crown, all reviews, and digital planning with a surgical guide when guided surgery is used. Complex orthodontic cases are referred on to an orthodontist.

Yes. At Toothi the straightening and the implant are planned together in-house, so the space, the timing and the final crown shape are lined up from the start, and you aren’t passed between practices. Find out more on our Invisalign in Edgware and dental implants in Edgware pages.

• → The dental implant procedure, step by step
• → How long does implant treatment take?
• → Invisalign packages compared
• → Is Invisalign worth it?