After receiving crowns, fillings, or implants, before starting orthodontics it’s essential to take a strategic approach to protect the longevity of your restorations while securing lasting results. Dental restorations such as crowns, bridges, fillings, or implants are intended to revive both form and function, but they can influence how teeth respond to braces or aligners. In the pre-treatment evaluation phase, your restorative dentist and orthodontic specialist will collaborate to assess the integrity of your dental work. This includes assessing adhesion, marginal integrity, and material fatigue that could be compromised during alignment.
If your restorations are in good condition, they can typically be left intact throughout the process. Innovative orthodontic cements are designed to bond securely to restorative materials like porcelain and composite, allowing attachments to be affixed while preserving restoration integrity. Some dental work may require revision prior to alignment. For example, amalgam fillings or worn provisional prosthetics might not withstand the forces applied by braces and may need switching to high-strength zirconia or lithium disilicate. Fixed implants that do not shift must be factored into the biomechanical design because they serve as rigid reference points.
Your provider might request updated dental models or CBCT scans to visualize the dynamic interaction between teeth and restorations. This allows them to design a treatment plan that avoids putting excessive pressure on restorations and prevents uneven force distribution. For patients with full-arch prostheses, alternative appliances such as removable thermoplastic trays may be preferred because they exert gentler, more controlled forces.
Maintaining hygiene is non-negotiable while wearing appliances. Restorations can trap food and plaque more easily, especially around brackets or aligner edges. Brushing twice daily, flossing with threaders or water flossers, and attending regular cleanings will help avoid secondary caries and marginal breakdown and keep your gums healthy.
Close coordination between your dental teams is essential. They will coordinate timing and techniques to ensure that dental work remains intact throughout the process and that any new restorations needed after orthodontics are placed with the final tooth positions in mind. This collaborative approach reduces the risk of rework and ensures lasting results. When all factors are carefully managed, you can attain a harmonious bite that enhances both aesthetics and performance, 表参道 歯列矯正 supported by strong, durable dental work.
