Are you considering getting braces? But having second thoughts because you have had crowns or bridges recently? Then you are at the right place.
Usually, this is what happens. After drilling out some of the enamel, dentists fill a durable substance into a tooth with a root canal. This is to improve its structure. They then place a crown on top to protect the tooth. The orthodontist monitors the tooth’s stability as it moves into its correct position during treatment.
When you get braces, there are slight chances of them moving a tooth with a crown or filling in place. However, if the root remains intact, it won’t cause any harm. Bridges are another dental appliance that moves as one unit. It would also require experience applying braces with bridges to ensure proper tooth position after tooth loss.
This blog aims at clearing all the myths and truths about wearing braces with crowns. Scroll down to learn more about:
- Dental crowns and their implications for braces
- Can you get braces with a crown?
- Alternatives to braces with crowns
Let’s dive in.
- 2 Understanding Dental Crowns
- 3 Reasons For Getting A Dental Crown
- 4 Types Of Dental Crowns
- 5 Can You Get Braces With A Crown?
- 6 How Do Braces Work With Crowns?
- 7 Why Is Evaluating The Crown’s Condition Before Putting Braces Vital?
- 8 Common Issues Faced While Applying Braces Over Crowns
- 9 Will My Crown Get Damaged If I Get Braces With The Crown?
- 10 Alternative To Braces For Teeth With Crowns
- 11 Pros And Cons Of Using Clear Aligners
- 12 Conclusion: A Few More Things To Keep In Mind When Getting Braces With A Crown Or Bridge
Understanding Dental Crowns
Dental crowns are caps that restore the shape of cracked, chipped, or broken teeth. They are used when fillings alone aren’t sufficient. Crowns can be made of porcelain and ceramics and require no special care, only good oral hygiene.
Bridges use an artificial tooth or teeth merged with crowns to fill the gap left by missing teeth. The bridge moves as one unit, providing support on either side.
Reasons For Getting A Dental Crown
Tooth decay: If a tooth is severely decayed, it may require a crown to restore its shape and function.
Tooth damage: If a tooth
– undergoes root canal therapy
a dentist can place a crown can over it to protect and strengthen the remaining tooth structure.
Cosmetic reasons: Crowns improve the appearance of discolored or misshapen teeth. Bridges can fill gaps between missing teeth to enhance the smile’s overall appearance.
Bite alignment: Crowns or bridges help correct bite problems caused by missing or damaged teeth. It restores proper alignment and function.
Dental implants: When placed on top of dental implants, crowns or bridges replace missing teeth.
Types Of Dental Crowns
There are several types of dental crowns available, including:
- Porcelain Crowns: These are made of a ceramic material that can be color-matched to the surrounding teeth for a natural look. They are typically used for front teeth.
- Metal Crowns: These are made of gold, palladium, or other metal alloys. They are very durable and often used for back teeth that must withstand a lot of chewing force.
- Porcelain-Fused-to-Metal (PFM) Crowns are a combination of porcelain and metal. They have the strength of metal and the natural appearance of porcelain. They are commonly used for both front and back teeth.
- All-Ceramic or All-Porcelain Crowns: These are made entirely of porcelain or ceramic materials. They provide a very natural appearance and are typically used for front teeth.
- Zirconia Crowns: These use a strong, biocompatible material. They are tooth-colored and provide good durability. They are often used for back teeth.
Can You Get Braces With A Crown?
Many people believe they cannot have braces if they have dental crowns. This is a misconception, as you can easily fit braces on teeth with these restorations. There are three main options for getting braces with crowns:
Fixed braces on the front of the teeth: Also known as traditional metal braces, they are attached to the front surface of the teeth using brackets and wires.
Fixed braces on the back of the teeth: Also known as lingual braces, they are attached to the back surface of the teeth using brackets and wires. Lingual braces are less visible than traditional metal braces since they are hidden behind the teeth. However, they can be more difficult to clean and adjust and cause discomfort than traditional braces.
Removable braces: Clear aligners are a series of custom-made clear plastic trays that fit over the teeth and gradually move them into the desired position. Clear aligners are nearly invisible. You can also remove it when eating or brushing your teeth.
How Do Braces Work With Crowns?
You can put braces with crowns and bridges with the help of a unique adhesive that prevents damage to the restoration. When attaching braces to veneers, the dentist will place brackets on the back of the teeth. Attaching them directly may be less effective. In some cases, orthodontists can also use dental implants as anchors to support neighboring teeth. While in rare cases, an implant may help remove and replace the following treatment with braces.
Why Is Evaluating The Crown’s Condition Before Putting Braces Vital?
Evaluating the condition of the crown before putting in braces is vital that you cannot afford to miss. It is essential to ensure the safety and effectiveness of orthodontic treatment. If the crown is:
– Has an improper fit,
It may not be able to withstand the forces exerted by the braces, leading to further damage or failure of the crown.
Additionally, placing braces on a crown can increase the risk of infection or other dental problems in certain cases. Evaluating the crown beforehand will help avoid any complications at later stages and determine the best treatment approach.
Common Issues Faced While Applying Braces Over Crowns
Applying braces to a crown can pose certain risks to the patient’s dental health.
- Braces place pressure on the teeth, causing the crown to loosen, break or even fall off.
- The adhesive used to attach the brackets to the crown may damage the crown’s surface, leading to further dental problems.
- It can also cause damage to the surrounding gum tissue, causing:
- gum recession.
Will My Crown Get Damaged If I Get Braces With The Crown?
Orthodontic treatment normally doesn’t affect existing dental work as long as:
– The restoration is secure and healthy
– The orthodontist has the necessary expertise.
However, progress may be slower, and you may need to put extra care during bracket application and removal.
Alternative To Braces For Teeth With Crowns
Clear aligners like Invisalign can be a great alternative to braces for teeth with crowns. Invisalign uses a series of clear, custom-made plastic aligners to shift teeth into place gradually. Unlike braces, Invisalign aligners are removable and custom-made, making them smooth over your existing dental work. That, too, without causing damage or affecting their integrity.
However, it is essential to consult with an orthodontist to determine the best treatment option for your specific needs.
Pros And Cons Of Using Clear Aligners
Invisalign aligners are transparent, making them much less noticeable than traditional metal braces. You can remove them, making it easier to maintain good oral hygiene and eat the foods you love. Since they are made of smooth plastic, Invisalign reduces the likelihood of mouth irritation or discomfort.
However, clear aligners come with various disadvantages. They require self-discipline. You need to wear them for at least 20-22 hours every day to ensure successful treatment. Additionally, Invisalign can be more expensive than traditional metal braces and requires frequent changes. Besides, clear aligners may not be suitable for severe orthodontic cases that require more extensive treatment.
Conclusion: A Few More Things To Keep In Mind When Getting Braces With A Crown Or Bridge
Hope this blog helps you understand:
- What crowns and bridges are
- Can you get braces with a crown and its implications and risks
- And possible alternatives to braces if you have crowns.
Generally, crowns, bridges, or any other restorations don’t interfere with braces. Yet, you should always consult a certified orthodontist and let him evaluate the condition of your crown before diving headlong. In addition, remember to:
- Evaluate both metal braces and Invisalign thoroughly, then decide which suits you.
- Maintain good oral hygiene. Brush and floss daily to prevent the accumulation of plaque or further decay.
Can You Get Braces With Crowns Or Bridges?
Dr. Bill Redmond is a native of Southern California, the son of an orthodontist and the husband of a general dentist. That makes family gatherings pretty interesting…if you like teeth!