Introduction
Getting braces as an adult is becoming increasingly common. Advances in orthodontic treatments mean that more adults are choosing to straighten their teeth later in life. This can lead to questions around how braces interact with other dental work like root canals and crowns. Understanding the relationship between braces and other dental procedures can help you make the best orthodontic decisions.
Can You Get Braces With Root Canals?
Yes, you can get braces even if you have had root canal treatments. However, having a root canal may require extra precautions when getting braces.
A root canal is a procedure done to fix and save a badly damaged or infected tooth. During a root canal, the dentist drills into the tooth and removes the soft pulp tissue inside. They then clean, disinfect and seal the hollowed-out root canal. A crown is usually placed on top of the tooth afterwards to protect it.
Here are some key things to know about getting braces with root canal treated teeth:
Additional Support May Be Needed
Teeth that have had root canals are more brittle. The removal of the pulp tissue makes them weaker and more prone to cracking or breaking under pressure. Orthodontic brackets and wires may place extra strain on root filled teeth as they shift them. This could increase the risk of damage.
To prevent this, your orthodontist may recommend placing reinforcing pins or a metal post in the root canal tooth before applying braces. This helps stabilize the tooth during treatment.
Crowns May Need Replacing
Crowns on root canal treated teeth may need to be replaced with orthodontic crowns before braces go on. Normal dental crowns are often destroyed by the pressure that braces exert. An orthodontic crown is specially designed to withstand that force.
Your dentist will examine any crowned teeth to see if the existing crown can handle orthodontic treatment or needs replacement.
Root Canals May Be Recommended
In some cases, putting braces on a compromised tooth may increase damage or cause new issues to the tooth’s pulp. This is especially true if the tooth already has some decay or inflammation present.
To prevent further problems, your dentist may recommend doing a root canal on the tooth before braces are put on. This can help ensure the tooth stays healthy throughout orthodontic treatment.
Ongoing Monitoring Is Important
Teeth that have had root canals will need to be closely checked during orthodontic treatment. Your dentist will want to make sure no new cracks are developing under the strain of the braces. Alert them right away if you notice any new sensitivity or pain in a tooth that has had a root canal procedure. Ongoing assessment allows steps to be taken quickly if any issues arise.
Can You Get Braces With Dental Crowns?
Similar to root canals, getting braces with dental crowns is possible but requires some special considerations. Here’s what to keep in mind:
Crowns May Need Replacing First
As with root canal treated teeth, braces can sometimes break or damage dental crowns. For this reason, your dentist may recommend placing new orthodontic crowns before applying braces. This can help protect the tooth and the crown from excessive force during treatment.
Crowns Can Be Damaged During Braces Removal
The process of debanding, or removing braces after treatment is complete, needs to be done carefully around crowned teeth. Instruments used to take off brackets and adhesive can potentially scratch or chip crowns if proper precautions are not taken. Inform your orthodontist about any crowned teeth so they can take extra care.
Bruxism Can Add Risk
Some people with braces unconsciously grind or clench their teeth, known as bruxism. This habit can transfer a lot of pressure from the braces onto dental crowns. Let your orthodontist know if you grind your teeth, as you may need to take steps to protect crowns during treatment. Wearing a night guard can help.
Ongoing Dental Visits Are Essential
It’s critical to keep up with regular dental checkups and teeth cleanings while undergoing orthodontic treatment with crowns. This allows any issues like loose crowns or damage to be noticed early and taken care of promptly. Don’t skip your usual dental visits.
Options for Orthodontic Treatment With Root Canals and Crowns
Today’s orthodontic options provide ways to move teeth safely even when dental work like root canals and crowns are involved:
Clear Aligners
Clear aligners like Invisalign consist of a series of custom plastic trays that incrementally shift teeth. They apply light, even forces across all teeth. This makes them a popular choice for use with root canal treated and crowned teeth, as they are unlikely to cause damage. However, aligners may still have limitations with complex cases.
| Pros | Cons |
|---|---|
| Less risk of damage to compromised teeth | May not work as well for complex orthodontic issues |
| Removable for eating, brushing | Must be worn 22+ hours per day for best results |
| Smooth surfaces unlikely to irritate tongue/cheeks | Can be lost or forgotten |
Lingual Braces
Lingual braces attach to the back surfaces of teeth, making them invisible. They can apply more precise pressure for involved cases. But their placement still needs to be adapted around dental work to avoid problems.
| Pros | Cons |
|---|---|
| Fully invisible | More difficult to keep clean |
| Can achieve complex movements | Higher cost |
| Customized to tooth anatomy | Speech impairment common initially |
Clear Braces
Clear brackets and wires blend in more than metal but offer the same capabilities. They must still be carefully fitted around compromised teeth. Clear rubber ligatures and ties further reduce visibility.
| Pros | Cons |
|---|---|
| More subtle appearance | Stains can discolor plastic over time |
| Can work well for many issues | Still visible from some angles |
| No speech interference | Can break more easily than metal |
Key Takeaways on Braces With Root Canals and Crowns
While orthodontic treatment is possible with compromised teeth, there are some important considerations:
– Root canals and crowns may need reinforcement before braces to prevent damage.
– Ongoing dental monitoring during treatment is critical to avoid issues.
– Selecting light, even force options like clear aligners can help at-risk teeth stay protected.
– Keep up regular dental hygiene and visits for the best results with braces.
Don’t let previous dental work deter you from straighter teeth. Work closely with your orthodontist and dentist to choose the safest approach. With proper planning and care, you can achieve the smile you want.
References
American Association of Orthodontists. “Adult Orthodontics.” Accessed August 23, 2023. https://www.aaoinfo.org/orthodontic-treatment/adult-orthodontics
American Association of Endodontists. “Orthodontic Movement of Endodontically Treated Teeth.” Accessed August 23, 2023. https://www.aae.org/specialty/clinical-resources/orthodontic-movement-endodontically-treated-teeth/
Burstone, Charles J., and Marcos B. Legan. “Treatment planning and progress assessment.” Seminars in Orthodontics. Vol. 4. No. 3. WB Saunders, 1998.
Jiang, Rong-Ping, et al. “Root resorption after orthodontic treatment with clear aligners: A systematic review and meta-analysis.” The Angle Orthodontist 91.3 (2021): 10.
Rossini, Giulia, et al. “Root resorption in endodontically treated teeth following orthodontic treatment: A systematic review and meta-analysis.” International Endodontic Journal 51.12 (2018): 1237-1248.
Sfondrini, Maria Frassinetti, et al. “Factors affecting the movement of endodontically treated teeth: a retrospective study.” The European Journal of Orthodontics 38.4 (2016): 427-431.
