Orthodontic Care Following Dental Restorations
After receiving crowns, fillings, or implants, before starting orthodontics it's essential to plan carefully 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. Prior to installing brackets or aligners, your clinical team will work together to evaluate the condition of your existing restorations. This includes checking for stability, proper fit, and any signs of wear or 表参道 歯並び矯正 damage that could be exacerbated by tooth movement.
If your restorations are in good condition, they can typically be left intact throughout the process. Modern orthodontic adhesives 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 For example, large fillings or outdated crowns might not withstand the forces applied by braces and may need switching to high-strength zirconia or lithium disilicate. Dental implants, which are osseointegrated and immobile must be integrated into the orthodontic strategy because they serve as rigid reference points.
Your orthodontist may recommend taking new impressions or 3D scans to visualize the dynamic interaction between teeth and restorations. This allows them to create a customized strategy that minimizes stress on dental work and promotes symmetrical alignment. When several restorations are present, particularly in the anterior region, alternative appliances such as invisible orthodontics may be chosen for their ability to reduce localized stress.

Maintaining hygiene is non-negotiable while wearing appliances. Restorations can accumulate debris around margins, especially along the borders of crowns and bridges. Practicing meticulous home care with antimicrobial rinses and scheduled hygiene visits will help avoid secondary caries and marginal breakdown and reduce inflammation and recession.
Finally, communication between your restorative dentist and orthodontist is key. They will align their clinical strategies to ensure that dental work remains intact throughout the process and that post-treatment restorations are fabricated based on the settled occlusion. This collaborative approach reduces the risk of rework and delivers durable, aesthetic outcomes. By preparing properly, you can attain a harmonious bite that enhances both aesthetics and performance, supported by strong, durable dental work.
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