• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Dental crowns do not preclude effective orthodontic care in today’s clinical practice

Patients who underwent restorative work for cavities, fractures, or endodontic treatment often experience tooth movement

leading to misalignment or bite issues

Treatment with braces or aligners is still possible and highly beneficial

but it requires careful planning and coordination between the orthodontist and the restorative dentist

A critical factor is that crowns differ fundamentally from natural tooth structure

Constructed from durable substances such as zirconia, porcelain-fused-to-metal, or all-ceramic composites

they transmit force differently compared to unaltered enamel surfaces

Despite the crown material, the biological tissues beneath still adapt to controlled force

Orthodontic movement of crowned teeth is both possible and predictable

but the integrity of the crown must be preserved throughout the process

Before beginning treatment, the orthodontist will evaluate the condition of each crown

If a crown is old, poorly fitted, or has significant damage, it may need to be replaced before orthodontics begin

A weakened crown may fail under the pressure of tooth movement

resulting in treatment interruptions and increased costs

When crowns are intact, treatment can begin using standard or modified techniques

employing either fixed appliances or removable aligners engineered for porcelain or ceramic surfaces

Attaching orthodontic brackets to crowns demands specialized bonding protocols

specialized cements are selected for durability and safe cleanup

Occasionally, minimal surface etching is required to enhance adhesion

using micro-abrasion tools under magnification to preserve integrity

Many clinicians recommend aligners for crowned patients

since they exert pressure without attaching to the crown surface

Instead, the aligners fit snugly over the entire tooth, including the crown

distributing movement forces across the full arch

It’s ideal for those with several restorations

or those who are concerned about aesthetics during treatment

The bite relationship must be tracked at every adjustment visit

Repositioning crowns can change interarch relationships

Post-treatment occlusion must be both esthetic and biomechanically sound

Minor polishing or contouring of crowns might be required to optimize occlusion

Teamwork among the orthodontist and restorative provider is critical to success

They will collaborate on treatment planning, timing, and any necessary modifications to the crowns before, during, or 鐘ヶ淵 歯科矯正 after braces or aligners

Regular check ins and X-rays help ensure that the roots of the teeth are moving properly

and prevents excessive force from compromising restorations

Orthodontic care involving restorations may add weeks or months to the process

and there may be additional costs for crown replacements or adjustments

However, the benefits of a straighter, healthier smile often outweigh these considerations

Crowns are not a barrier to achieving an aligned smile

When managed by experienced specialists using current protocols

patients with crowns can successfully achieve a well aligned smile that is both beautiful and functional

Begin with a full diagnostic workup and sustain ongoing dialogue between providers