Objective To explore the efficacy difference between implant anchorage and conventional strong anchorage in orthodontics. Methods A total of 60 patients with orthodontics admitted to our hospital from October 2021 to October 2022 were selected as the research subjects, and they were divided into conventional group and experimental group by the random number table method, with 30 patients in each group. The conventional group was given traditional strong anchorage, and the experimental group was given implant anchorage. The clinical efficacy, orthodontics related indexes, satisfaction and complications were compared between the two groups. Results The total effective rate in the experimental group was 96.67%, which was higher than 76.67% in the conventional group (P <0.05). The molar displacement in the experimental group was lower than that in the conventional group, and the upper central incisor inclination difference and the upper central incisor convex distance difference were higher than those in the conventional group (P <0.05). After treatment, the scores of aesthetic satisfaction and comfort satisfaction in the experimental group were higher than those in the conventional group (P <0.05). The incidence of complications in the experimental group was 6.67%, which was lower than 26.67% in the conventional group (P <0.05). Conclusion Compared with traditional strong anchorage orthodontics, the overall treatment effect of implant anchorage in orthodontics is better, and it has ideal anchorage effect and higher patients' satisfaction and treatment safety, which is worthy of clinical application.