Previously, teeth could be aligned only in adolescence, but now mature people also perform occlusal correction. However, most often at thirty and forty years of age in the oral cavity there are already bridge-like structures or crowns. Therefore, the question arises whether it is possible to put braces on crowns.
What are braces?
Braces are special plates that are considered the most effective method for correcting malocclusion in adults. They consist of brackets and locks, an arc is used to connect. The locks are fixed to the teeth with a special dental glue. A person will have to wear braces until they recover completely.
Indications
The installation of brackets on crowns is only possible with proper indications. Basically, such systems are used if the patient is diagnosed with a deep bite. They are also designed to even out crooked teeth, correct gaps in case of various malocclusions that distort the oval of the face and spoil diction. This in turn adversely affects the condition of the gums and teeth.
The bracket system will help correct the front curve, as well as improperly developed or crowded teeth. If there is a need to hide such treatment from others, the design is installed from the inside. However, it must be borne in mind that this method has certain contraindications, which the patient must be familiar with.
Features of occlusion correction in patients with crowns
When the question arises whether it is possible to put braces on crowns, experts answer that this is possible if a good specialist takes up the job. He will do this qualitatively, taking into account individual characteristics and condition of the teeth. In the case of installing braces on crowns, one of the obstacles may be fixation, because installing them in this situation is much more difficult. Therefore, it is sometimes wiser to use removable structures.
If bridges are supported on crowns, or they are mounted on implants, and tooth mobility becomes limited, can braces be placed on crowns in this situation? Treatment is possible, but it must be carried out by a doctor with experience and relevant qualifications.
In this case, metal braces are used. The fact is that the metal is bonded to the materials that go to the manufacture of dental crowns as reliably as possible. When installing braces on crowns, many circumstances must be considered. Even with fillings and crowns, a well-thought-out treatment plan, scrupulous preparation, skill and experience of a doctor will help to correct the bite and align the teeth. Therefore, the answer to the question of whether it is possible to put braces on ceramic crowns is positive.
Braces and fillings compatibility
Since a person will have to wear such systems for a rather long time, before they are installed, they must carry out the sanitation of the oral cavity, treat all carious teeth, thereby preparing them for additional stress. Therefore, the presence of fillings is not a contraindication for braces. Moreover, the current filling materials have:
- good quality;
- high strength;
- complete connection with the walls of the tooth.
The doctor must make sure that there are no defects on it, since replacing it when wearing the bracket system will become a whole problem.
Seals that were delivered long ago will have to be replaced with modern ones, since most often low-quality materials were used for their manufacture. And over time, they also wore out. If there are fillings on the external surface of the teeth, the quality of fastening the system locks is reduced, because two fake surfaces adhere worse than natural enamel and braces. In such a situation, only metal systems are placed on the teeth, which, unlike sapphire and ceramic, are more reliable and stronger, which means that they are better held on filling materials.
Effect of orthodontic design on crowns
When correcting the dentition with dentures, some changes may occur. In the event that the crown is placed on a tooth with a live root, during treatment with braces it can turn. Due to the load in the form of braces, there is a chance of the crown getting mechanical damage. And this negatively affects its functionality and aesthetics. Moreover, it may collapse.
Old crowns that were removed during the treatment period due to the movement of the teeth may not fall into place, then they must be replaced with new ones. It must be borne in mind that there is a possibility that the unreleased crown will darken and become rough due to the fixing agent. Then after the braces are removed, it is subject to restoration or replacement.
However, it must be borne in mind that anyway the trace will remain, therefore, if it is not planned to replace the crowns, it is better not to install this orthodontic system on the front row. Also, it is not necessary to put braces only on the bottom row, since it is not possible to set the correct direct bite, therefore there is no sense in such treatment. When chewing, the upper teeth will gradually return the lower teeth to their original position, and you should not expect the effect of wearing.
Implant braces: is it possible or not?
The process of correcting an abnormal bite requires patience, time and money. The presence of crowns in the oral cavity adds to the work of the doctor. Braces using the pressure force of the arc straighten the position of the teeth, and crowns and fillings maintain their shape and integrity. Reliability of artificial elements and their influence on the direction of movement of the teeth, the strength of the fastening of the structure depends on:
- clinical circumstances;
- material;
- the number in the dentition of artificial elements and their location.
If in the frontal part there are many crowns and fillings, then it is impractical to install braces here. When asked by clients whether it is possible to put braces on crowns installed on dental implants, experienced dentists categorically answer no. This will necessarily lead to a change in position and a violation of the quality of attachment of the implanted pin, which replaces the root of the tooth.
Installation
When planning the installation of locks on crowns, the main feature is the strength of fixation. It is necessary to create the best pressure on the jaw in order to carry out the correction. Brackets for crowns are installed only on a living tooth with a root. This orthodontic system does not hold as well as we would like, so the load must be dosed.
Before the final fixation, the doctor etches part of the crown with a special composition, and then fastens the rings and buccal retainers. Then it fixes the staples to the surface of the dentition, performing this procedure indirectly or directly. Then it establishes the orthodontic arch using the ligatureless or ligature method. Ligature-free braces are a system in which the arc is fastened by insertion into a special groove, and so that it does not fall out, the groove is closed with a special latch - a lock.
Complications
Mistakes can occur due to the fault of the patient or the doctor. It is important to know that when installing the bracket system on crowns, it becomes more difficult to maintain hygiene. The patient should not allow the development of caries. He needs to follow a special diet. It is forbidden to eat foods that stick to your teeth, as well as very solid foods.
The doctor may make a mistake when planning or performing the procedure. A negative consequence is the deterioration of appearance. This is due to the complication of periodontal teeth, for example, when the roots begin to become bare. The dentist may not properly stick braces, which will slow down the treatment. In peeling off, the fault of both the patient and the specialist is possible.
Braces Hygiene
In addition to certain discomfort when wearing braces, brushing your teeth also becomes uncomfortable. Now the oral cavity needs care after each meal. Perform this procedure very carefully. After installation, you need to learn how to clean braces.
If there are rubber bands and traction in the structure, they must be carefully removed. Rinse your mouth and start brushing your teeth, first using a regular brush. Then take the orthodontic and clean it:
Thoroughly clean the gaps with a brush. He also eliminate pollution on the gingival sulcus and root zone. If you consider how to clean the braces, then each tooth should be given 10 seconds. At the end, use superfloss. A fresh piece of thread is used for each gap. After this, the mouth is rinsed with a special liquid, and then with clean water. Everything needs to be done easily and without pressure.
Cost
Prices for correcting a bite with braces in adults depend on the material that is used to make them. The most commonly used structures are metal, which stands out for its high strength. Sometimes gilding or silver is applied to it, thereby improving the appearance. The cost of installation on average reaches 150,000 rubles. More expensive are ceramic braces. They are very convenient, it is possible to select the color of the teeth, so they are not so noticeable. Sapphire bracket systems are also expensive, they are:
- aesthetic;
- do not break;
- do not stain.
They are placed on fair teeth, as they lack color. Clients leave positive feedback about braces for crowns only if experienced specialists perform the work. Therefore, the issue of choosing a medical institution should be approached carefully, and during the course of treatment, all recommendations of highly qualified doctors should be followed. Braces are still more suitable for strong and healthy teeth, and in other cases, in order to have a dazzling smile, it is advisable to resort to other methods, for example, put veneers.