Can You Get Braces with Crowns or Bridges? Everything You Need to Know

Orthodontic treatment can be a game-changer for achieving a straighter smile, but what if you already have dental restorations like crowns or bridges? The good news is that braces and other orthodontic solutions are often compatible with crowns and bridges, though the treatment approach may need some special considerations. Here’s what you need to know.

How Braces Work with Dental Crowns and Bridges

Dental crowns and bridges are commonly used to restore damaged or missing teeth, but they can introduce complexities when it comes to orthodontics. Let’s explore how braces and dental restorations interact:

• Natural Teeth vs. Restorations: Braces work by gently moving teeth into better alignment. When a tooth is covered by a crown or part of a bridge, orthodontists need to be careful because these restorations may not move as easily as natural teeth.
• Fixed Bridges: Bridges that replace missing teeth by anchoring to adjacent teeth pose unique challenges. The teeth involved in the bridge may resist movement, requiring a strategic approach by the orthodontist.
• Crowns: Individual crowns are often bonded to teeth and usually pose less of an obstacle. However, special techniques are needed to ensure that braces do not damage the restoration.

The material of your crown or bridge—be it metal, porcelain, or a combination—also affects how braces are applied. Stability, bonding techniques, and alignment strategies all play a role in ensuring successful treatment.

Can You Get Braces with a Bridge or a Crown?

Yes, you can! Patients with crowns or bridges can undergo orthodontic treatment, but here are some important considerations:

1. Fixed Bridges: Since fixed bridges anchor multiple teeth together, they can be tricky to work around. While these teeth are less likely to move, orthodontists can still adjust the surrounding teeth. Clear aligners, such as Invisalign, may be considered in some cases to minimize the impact on the bridge.
2. Crowns: Braces can often be placed on teeth with crowns, though care is needed to ensure that the brackets or aligners do not damage the crown. Different bonding techniques and adhesives may be used based on the crown’s material.

Types of Crowns and Their Impact on Orthodontics

1. Porcelain Crowns:
Favored for their natural appearance, porcelain crowns are often used on visible front teeth but are more fragile than metal crowns. Special adhesives may be required for brackets or aligners to avoid chipping the surface.

2. Metal Crowns:
Usually placed on molars, these are durable and can withstand orthodontic forces better. Braces can be bonded to metal crowns more easily.

3. Porcelain-Fused-to-Metal (PFM) Crowns:
These combine aesthetics with strength. The porcelain exterior may be delicate, requiring careful handling, but the metal interior provides stability.

Orthodontic Treatment Options for Patients with Crowns or Bridges

1. Traditional Metal Braces
Traditional braces can be used on patients with crowns and bridges. However, orthodontists may opt to attach brackets to natural teeth to protect the restoration.

2. Clear Aligners (e.g., Invisalign)
Clear aligners don’t require brackets or wires and are an excellent option for patients worried about damaging crowns or bridges. The aligners gradually move the teeth without directly affecting dental restorations.

3. Lingual Braces
Placed on the back of the teeth, these braces offer a discreet option for patients with crowns or bridges on visible teeth.

Fixed Bridge with Braces: What You Need to Know

For patients with fixed bridges, orthodontic treatment may require adjustments to accommodate the restoration:

• Stability: Bridges are meant to be stable, which can limit tooth movement.
• Clear Aligners: These may be considered for less invasive movement around the bridge area.

Will Braces Damage My Crown or Bridge?

While significant damage to crowns or bridges is rare, minor cosmetic issues can occur:

• Special Techniques: Orthodontists use specialized adhesives and techniques to minimize any risk.
• Repair Options: If a crown or bridge becomes slightly damaged, it can usually be repaired after the orthodontic treatment is complete.

Possible Issues When Installing Braces Over Crowns and Bridges

1. Limited Tooth Movement: Movement may be slower to protect dental restorations, especially with fixed bridges.
2. Potential Damage: Cosmetic chips or wear may occur but can be repaired.
3. Delays in Cosmetic Work: Final restorations are best done after braces are removed.

Summary: Is Getting Braces with Crowns or Bridges Safe?

In most cases, yes—orthodontic treatment is possible and safe for patients with crowns or bridges. The key is careful planning and an experienced orthodontist to tailor the treatment to your specific needs. With options like traditional braces, clear aligners, and lingual braces, you can achieve your smile goals without compromising your dental restorations.