Can I get braces if I have a dental bridge or crown?

28 June 2024

Lady with dental bridge holding Zenyum case

Navigating the world of orthodontics can be overwhelming, especially if you have existing dental work like bridges or crowns. Many wonder if it’s possible to straighten their teeth or correct their bite when they already have these dental restorations. 

The good news is that having a dental bridge or crown doesn’t automatically disqualify you from getting braces. In fact, orthodontists frequently treat patients with various dental restorations. 

In this article, we’ll address if braces can work with bridges and crowns, what considerations need to be taken into account, and the steps you can take to achieve a healthy, beautiful smile. Whether you’re contemplating braces for cosmetic reasons or to improve your oral health, understanding how they interact with existing dental work is essential. Let’s dive in and find out more!

This article is for informational purposes only and is not intended to be taken as medical advice. Please consult with your treating dentist for medical advice specific to your condition. Zenyum does not provide medical advice and our systems are doctor-directed treatments.

What are dental bridges

Digital illustration of how dental bridge is attached

A dental bridge is made up of one or more false teeth with one crown on either end of the bridge. It’s mainly used to fill in the missing space caused by lost teeth, “bridging the gap” in your smile. As dental bridges are custom-made to match the colour and shape of each patient’s teeth, they offer a natural-looking solution for tooth loss. 

Moreover, it can also restore chewing and speech function without the need for surgery. Thus, dental bridges provide an aesthetically pleasing and functional solution for restoring a complete smile. 

However, patients with dental bridges have a slightly higher risk of getting gum disease due to the fact that oral hygiene can be more difficult depending on the design of your restoration. One’s natural teeth may also fracture if they aren’t strong enough to support the bridge.

What are dental crowns

Digital illustration of how a dental crown is attached

A dental crown is essentially a false tooth which is usually made out of porcelain or ceramic. Designed to be a hollow shell that fits snugly over your tooth, it mimics a tooth shaped cap that restores a decayed or broken tooth. 

Like dental bridges, this can also be custom-made to the specific requirements of the patient, adapting to the shape, colour and texture to match the rest of their teeth. This restoration is perfect for patients with a chipped, broken or fractured tooth. 

It improves chewing function, enhances your appearance and protects teeth from erosion. However, it may require some removal of the natural tooth enamel, possibly causing tooth sensitivity. The margins of dental crowns can also begin to show at the gum line due to inevitable gum recession over time. 

Factors to consider before getting braces with dental bridges and crowns

It is beneficial to consult a dentist specialising in bridges and crowns to receive comprehensive dental care. A dentist understands your individual dental needs making it easier for them to tailor your orthodontic treatments accordingly. 

By consulting trusted experts, you’ll obtain a broader understanding of your oral health needs; assessing the alignment of your teeth along with the condition of your gums, jaw, and overall oral hygiene. By treating the whole mouth, you can achieve optimal results and minimise complication risks.

1. Condition of existing dental work

  • Integrity: Ensure that existing bridges and crowns are in good condition before starting orthodontic treatment. Weak or damaged dental work may need to be repaired or replaced to withstand the forces applied by braces.
  • Age of dental work: Older dental bridges and crowns may need evaluation to determine if they can endure the stress of braces.

2. Type of braces

  • Traditional braces: Metal or ceramic braces can be effective but may need special adjustments to accommodate bridges and crowns. choice and might be more comfortable with existing dental work.
  • Clear aligners: Options like Zenyum Invisible Braces are custom-made to fit around existing dental work, providing a discreet and comfortable teeth straightening option. Consult with your orthodontist to ensure the best treatment plan for your specific needs.

3. Dentist experience

  • Specialisation: Choose an orthodontist experienced in handling cases with dental bridges and crowns. Their expertise will ensure that your treatment plan considers all aspects of your dental health.

4. Treatment plan customisation

  • Personalised approach: Your orthodontist should create a customised treatment plan that takes into account the position and condition of your bridges and crowns.
  • Duration and cost: Understand that treatment duration may be longer and costs might be higher due to the complexity involved.

5. Movement limitations

  • Fixed bridges: Bridges are fixed and may restrict tooth movement. Your orthodontist will need to plan around these limitations.
  • Root structure: Teeth with crowns may have compromised root structure, affecting how they move during treatment.

6. Oral hygiene

  • Maintenance: Maintaining excellent oral hygiene is crucial to prevent complications. Braces can make cleaning around bridges and crowns more challenging, so special care is required.
  • Professional cleaning: Regular dental check-ups and professional cleanings are essential to monitor the health of your teeth and gums.

7. Potential adjustments or replacements

  • Post-treatment adjustments: Some crowns or bridges might need adjustment or replacement after orthodontic treatment to ensure proper bite alignment.
  • Temporary removal: In some cases, it may be necessary to temporarily remove a bridge or crown to facilitate tooth movement.

Discussing these factors with your dentist will help you make an informed decision and ensure a smooth treatment process.

Alternatives to traditional braces for individuals with dental bridges and crowns

Other than traditional braces, there are possible orthodontic and aesthetic dentistry options that can help your teeth appear straighter if you have dental bridges or crowns.

Invisible braces

Zenyum Invisible Braces and aligner case

Invisible braces are custom-made, removable aligners that are discreet and comfortable. They can work around existing dental work without attaching to teeth, making them a great option for those with bridges and crowns.

Zenyum Invisible Braces offer a discreet solution for straightening your teeth. Designed with comfort and convenience in mind, these clear aligners are customised to fit your unique smile, allowing you to achieve your dental goals without the hassle of traditional metal braces.

Experience the confidence of a beautifully aligned smile with Zenyum Invisible Braces, backed by professional support from licensed dentists every step of the way.

Lingual braces

Person's mouth with lingual braces

Lingual braces are attached to the back of the teeth, making them invisible from the front. This option avoids interference with crowns and bridges on the visible side of the teeth. They allow for precise adjustments around existing dental work.

Cosmetic dentistry

For minor misalignments, veneers can be a viable alternative. They are thin porcelain shells placed over the front of the teeth to improve appearance. Read more on the differences between veneers and invisible braces.

FAQs

Will my treatment take longer if I have a dental bridge or crown?​

Treatment duration may be longer in cases involving dental bridges or crowns due to the complexity of moving teeth around fixed dental work. Your orthodontist will provide a more accurate estimate after evaluating your specific needs.

Yes, you can get braces even if you have multiple crowns. The orthodontist will assess each crown and plan your treatment to ensure that all movements are safe and effective.

In some cases, you may need to replace or adjust your dental bridge or crown after orthodontic treatment to ensure proper bite alignment. Your orthodontist will discuss this possibility with you before starting treatment.

Maintaining excellent oral hygiene is crucial. Use a soft-bristled toothbrush and fluoride toothpaste, and consider additional cleaning tools such as interdental brushes or water flossers to keep your teeth and dental work clean. Shop our Smile Cosmetics to complete your oral care routine.

Achieve Your Dream Smile

Having dental bridges or crowns should not stop you – complete a free Smile Check and see how Zenyum can help.

Young girl holding Zenyum aligners

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This device or software is not intended to be used for any medical purpose (such as the detection, diagnosis, monitoring, management or treatment of any medical condition or disease). Any health-related information provided by this device or software should not be treated as medical advice. Please consult a physician for any medical advice required.

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