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Orthodontic treatment can be performed on patients who have dental implants, but there are specific considerations as well as limitations to consider. Here are some key points:

1. Type of Implants: If the dental implant is fully integrated and stable, orthodontic treatment may be possible. However, the type and location of the implant may affect how and if braces or other orthodontic appliances can be used. In most cases if there are implants, the orthodontist may suggest going with Invisalign instead of traditional braces.

2. Treatment Goals: The goals of the orthodontic treatment will determine the approach of tooth correction and alignment. If possible, the orthodontist will use braces or invisalign to detail and align the teeth. The doctor will also create a treatment plan around the implants-since implants cannot be moved.

3. Consultation with Specialists: It's important to have a consultation with both an orthodontist and the dentist who placed or is placing the implants. These doctors will assess the overall dental structure and determine the best course of action.

4. Timing: Orthodontic treatment may be done before or after implant placement, depending on the individual situation. It may be advantageous to wait until after orthodontic treatment so the implant fits perfectly.

5. Possible Limitations: There may be limitations on the movement of teeth adjacent to implants, as the implants are in place and do not move like natural teeth.

Dental specialists are practitioners who have completed additional training and education beyond dental school to focus on specific areas of dentistry. Here is a list of common dental specialties along with their meanings:

1. Orthodontist: A specialist who focuses on diagnosing, preventing, and treating dental and facial problems, primarily through the use of braces, invisalign and other appliances to straighten teeth and correct jaw alignment.

2. Periodontist: A specialist in the preventing, diagnosing, and treating periodontal disease (gum disease) and placing dental implants. 

3. Endodontist: A specialist who deals with the diagnosing and treating diseases and injuries of the dental pulp (the innermost part of the tooth) and performing a root canal.

4. Oral and Maxillofacial Surgeon: A specialist who performs surgical procedures on the mouth, jaws, and face. This includes extractions (Ex: Wisdom teeth), corrective jaw surgery, and treatment of facial injuries.

5. Prosthodontist: A specialist in restoring and replacing teeth with the use of crowns, bridges, dentures, and implants.

6. Pediatric Dentist: A specialist who focuses on the dental care of infants, children, and adolescents.

7. Oral Pathologist: A specialist who diagnoses diseases of the oral and maxillofacial regions through laboratory analysis of biopsies.

8. Forensic Odontologist: A specialist who applies dental knowledge to legal investigations, including the identification of human remains and the analysis of bite marks.

These are only some of the specialists that play vital roles in providing dental care!

Having braces can be fun and exciting as you see the changes during orthodontic treatment. Braces can also come with some struggles, such as making sure your oral hygiene is on point so you don't end up with bad breath. While having braces, food particles may be trapped under the wire and around the brackets. This can cause issues if you do not maintain good oral hygiene. Tips on keeping fresh breath while braces are:

1.Maintain a consistent brushing routine: Brushing your teeth with braces is very important. You need to make sure to brush after every meal, even snacks. This removes the food particles that get stuck under the wire and around the brackets. Flossing will also keep the plaque off your teeth which can cause bad breath if not removed. Always keep a travel toothbrush kit on hand, whether in your backpack, car, locker, etc.

2.Dont forget to floss: Many times people forget to floss when they have braces or they just don't try because it is time consuming. It's very important to use the floss threaders to floss after every meal and at wake up/bedtime. Flossing helps remove food particles that may be caught in between teeth that cannot be removed with just brushing.

3.Use mouthwash: Make sure to add mouthwash into your brushing routine, this will kill any germs in your mouth and give you nice fresh breath. A mouthwash that contains fluoride is best to help strengthen the teeth and prevent cavities!

4. Hydration: Drinking a lot of water is key to prevent dry mouth which can cause bad breath. Keeping hydrated throughout the day also helps wash away any particles stuck in your braces. It is a good idea to carry a water bottle with you as a reminder to stay hydrated.

5.Brush orthodontic appliances: If you have an orthodontic appliance in addition to the braces, make sure it is brushed as well! If you have an appliance is glued into your mouth, give it a good brush in case any food is trapped there. If you have a removable appliance, make sure to brush it with your toothbrush and toothpaste to remove any bacteria and prevent any odors.

The lifespan of orthodontic retainers can vary depending on several factors: the type of retainer, how well the retainer is cared for, and patient dental work.

1. Permanent Retainers: These are bonded to the back of teeth and can last for several years, as long as the patient maintains good oral hygiene and stays away from food that could break the retainer. A permanent retainer follows the same guidelines as having braces.

2. Hawley Retainers: These can last 5 to 10+ years with proper care. Hawley retainers are made from acrylic and metal. Their durability depends on how well they are taken care of. Hawley retainers are a type of retainer which should be removed when eating and drinking anything other than water. To keep the retainer clean- brush with a toothbrush and toothpaste.

3. Clear Retainers: These can last 3+ years if taken care of. They are more appealing since they are clear and can't be seen while wearing. Clear retainers need to be removed when eating and drinking anything other than water. If you drink anything with a tint the retainers will discolor.

Reasons retainer will last or need to be replaced:

Care and Maintenance: Proper cleaning and storage will extend the life of removable retainers. Always put the retainers in the case when not wearing and always keep clean so it will not discolor. This will help keep the retainers looking new.

Compliance: Consistent use as instructed by the orthodontist is important. If retainers are not worn as directed, teeth may shift and the retainers will not fit. If that happens- you would need to have another consultation with the orthodontist to see if retreatment is necessary. If not interested in retreatment but don't want any further changes you would need to get a new retainer.

Changes in Dental work: If you get a crown, implant, bridge, etc. there is a chance the retainer will not fit and you will need to see your orthodontist to get fitted for a new retainer.

Losing/breaking retainer: It is important if you lose or break the retainer to reach out to your orthodontist to be seen and fitted for a new one as to not relapse and need treatment again.