Understanding Crowns and Bridges
Before diving into how braces work with these restorations, let’s clarify what crowns and bridges are:
Dental Crowns are tooth-shaped caps placed over a tooth to restore its strength, shape, and function after damage or decay.
Dental Bridges are fixed prosthetics used to replace one or more missing teeth by anchoring to adjacent teeth or implants.
Both restorations are common and long-lasting, but they do not have the same natural root structure and flexibility as natural teeth, which plays a role in orthodontic treatment planning.
Can You Move Teeth With Crowns?
Yes, teeth with crowns can still be moved using braces or clear aligners like Invisalign®. Since the tooth underneath the crown is still alive and anchored in the bone, it can respond to orthodontic forces similarly to a natural tooth. However, your orthodontist will proceed carefully to avoid damaging the crown.
Special Considerations:
Brackets may require a different adhesive to properly bond to porcelain crowns.
Gentle, controlled forces are often applied to avoid stressing the crown or dislodging it.
If the crown is old or compromised, it may need to be replaced after orthodontic treatment.
What About Bridges?
Bridges pose a slightly different challenge. Since bridges span across one or more missing teeth and are fused to adjacent teeth, they don't allow for the same individual tooth movement as crowns.
What Can Be Done?
The anchor teeth supporting the bridge may still be moved slightly with care.
In some cases, your dentist or orthodontist may recommend removing and replacing the bridge after orthodontic treatment.
Clear aligners may offer more flexibility in navigating around bridgework.
Are Clear Aligners a Better Option?
Clear aligners like Invisalign® are often a preferred option for patients with crowns or bridges. They:
Don’t require brackets or adhesives
Apply more customized, gentle forces
Can be designed to avoid placing pressure on fused bridge areas
Your orthodontist will evaluate your specific case and determine whether aligners or traditional braces are the best approach.
A Customized Treatment Plan Is Key
Every mouth is different, and so is every orthodontic case. That’s why it's important to consult with an experienced dentist or orthodontist who can:
Examine your restorations
Assess your bite and alignment needs
Collaborate with your general dentist if needed
At Aesthetic Dentistry, we specialize in creating personalized treatment plans that take into account your current dental work and your long-term oral health.
Schedule Your Consultation Today
If you’re considering orthodontic treatment and have crowns or bridges, don’t let that stop you from exploring your options! Our team at Aesthetic Dentistry in Miami is here to help you achieve the smile you’ve always wanted—with a plan that works for your unique dental history.
📞 Call us today to schedule your consultation.