Previously, teeth could be straightened only in adolescence, but now bite correction is also carried out for mature people. However, most often at the age of thirty and forty, bridges or crowns are already in the oral cavity. Therefore, the question arises whether it is possible to put braces on crowns.
What are braces?
Brackets are special plates that are considered the most effective method of correcting an overbite in adults. They consist of brackets and locks, an arc is used for connection. Locks are fixed to the teeth with a special dental adhesive. The person will have to wear braces until they fully recover.
Indications
Installation of braces on crowns is performed only if there are proper indications. Basically, such systems are used if the patient is diagnosed with a deep bite. They are also designed to align crooked teeth, correct gaps for various malocclusion that distort the shape of the face and spoil diction. It's inin turn, negatively affects the condition of the gums and teeth.
Bracket system will help correct the crooked front, as well as incorrectly deployed or crowded teeth. If there is a need to hide such treatment from others, the structure 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 bite 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 work. He will do it qualitatively, taking into account the individual characteristics and condition of the teeth. In the case of braces on crowns, one of the obstacles can be fixation, because it is much more difficult to install them in this situation. Therefore, sometimes it is more reasonable to use removable structures.
If crowns are supported by bridges, or they are installed on implants, and tooth mobility becomes limited, is it possible to put braces on crowns in such a situation? Treatment is possible, but should be done by a doctor with experience and qualifications.
In this case, metal braces are used. The fact is that the metal adheres as reliably as possible to the materials that are used to make dental crowns. When installing braces on crowns, many circumstances must be taken into account. Even in the presence of fillings and crowns, it will be possible to successfully correct the bite and align the teeththoughtful treatment plan, scrupulous preparation, skill and experience of the doctor. Therefore, the answer to the question of whether it is possible to put braces on ceramic crowns is positive.
Compatibility of braces and fillings
Since a person will have to wear such systems for quite a long time, before installing them, they must sanitize 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;
- full connection with the walls of the tooth.
The doctor must definitely check that there are no defects on it, since replacing it when wearing a bracket system will be a whole problem.
Seals that were delivered a long time ago will have to be replaced with modern ones, since most often low-quality materials were used for their manufacture. And over time, they wear out. In the presence of fillings on the outer surface of the teeth, the quality of fastening of the locks of the system decreases, because two fake surfaces stick worse than natural enamel and braces. In such a situation, only metal systems are placed on the teeth, which, unlike sapphire and ceramic ones, are more reliable and stronger, which means they adhere better to filling materials.
Effect of orthodontic construction on crowns
When correcting the dentition withprostheses may undergo some changes. In the event that the crown is placed on a tooth with a living root, it may turn during treatment with braces. Due to the load in the form of braces, there is a possibility of mechanical damage to the crown. And this negatively affects its functionality and aesthetics. Besides, it may collapse.
Old crowns, which were removed for the period of treatment due to the movement of the teeth, may not stand in their original place, then they must be replaced with new ones. It must be borne in mind that there is a possibility that the unremoved 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 the mark will still remain, therefore, if you do not plan 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 point in such treatment. When chewing, the upper teeth will gradually return the lower ones to their original position, and the effect of wearing should not be expected.
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 work to the doctor. Braces use the pressure force of the arc to straighten the position of the teeth, while crowns and fillings maintain their shape and integrity. Reliability of artificial elementsand their influence on the direction of movement of the teeth, the strength of the fastening of the structure depends on:
- clinical circumstances;
- material;
- numbers in the dentition of artificial elements and their location.
If there are many crowns and fillings in the front part, then it is not advisable to install braces here. When asked by clients whether it is possible to put braces on crowns mounted on dental implants, experienced dentists answer categorically no. This will necessarily lead to a change in the position and a violation of the quality of fastening 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. Braces on crowns are installed only on a living tooth that has 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 etchs a part of the crown with a special composition, and then attaches the rings and cheek clamps. Then fixes the brackets on the surface of the dentition, performing this procedure in an indirect or direct way. Then he installs an orthodontic arch using a non-ligature or ligature method. Non-ligature braces are a system in which the arc is attached by inserting it 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 happen likethrough the fault of the patient and the doctor. It is important to know that when installing a bracket system on crowns, it becomes more difficult to maintain hygiene. The patient must not allow the development of caries. He needs to follow a special diet. Do not eat foods that stick to the teeth or very hard foods.
The doctor may make a mistake when planning or performing the procedure. The negative consequence is the deterioration of the appearance. This is due to the complication of periodontal teeth, for example, when the roots begin to become exposed. The dentist may not fit the braces correctly, which will slow down the treatment. In peeling off, the fault of both the patient and the specialist is possible.
Hygiene with braces
Besides a certain discomfort when wearing braces, brushing your teeth also becomes uncomfortable. Now the oral cavity needs care after each meal. This procedure must be followed very carefully. After installation, you need to learn how to clean braces.
If the design has elastic bands and traction, they must be carefully removed. You should rinse your mouth and start brushing your teeth, first using a regular brush. Then take the orthodontic and clean it:
- arc;
- braces;
- brackets.
Clean gaps thoroughly with a brush. They also eliminate pollution in the gingival sulcus and root zone. If we consider how to clean braces, then each tooth should be given 10 seconds. Finally, use superfloss. Foreach gap using a fresh piece of thread. After that, the mouth is rinsed with a special liquid, and then with clean water. Everything should be done easily and without pressure.
Cost
Prices for correcting occlusion with braces in adults depend on the material that goes into their manufacture. The most commonly used structures are made of metal, which stands out for its high strength. Sometimes gilding or silver is applied to it, thereby improving the appearance. The cost of installation reaches an average of 150,000 rubles. Ceramic braces are more expensive. They are very comfortable, it is possible to match the color of the teeth, so they are not so noticeable. Sapphire braces are also expensive, they are:
- aesthetic;
- do not break;
- does not stain.
They are put on light teeth, as they have no color. Customers leave positive feedback about braces for crowns only in cases where the work is performed by experienced professionals. Therefore, the issue of choosing a medical institution must be approached carefully, and in the course of treatment, all recommendations of highly qualified doctors should be followed. Braces are still more suitable for strong and he althy teeth, and in other cases, in order to have a dazzling smile, it is advisable to resort to other methods, for example, to put veneers.
