Can I put braces on crowns, dentures, implants and seals?

The answer to a question that interests many orthodontists, whether it is possible to put braces on crowns, implants, seals and other dental structures, can only be obtained by understanding what is a bracket system and what is the mechanism of its action.

Braces are orthodontic appliances-staples that serve to return teeth in the jaws to the places assigned to them by nature in cases when they have shifted from them or have never been on them. For example, when the permanent tooth is erupted "bypassed" not fallen dairy, or in case of bite disorders that arise for other reasons.

How it works

To create the right bite and dentition from chaotically, in different directions of the directed teeth( both growing and already grown), braces are used that use the property of metal( or other material) to preserve the memory of its originalform.

Twisted wire from such an alloy keeps its shape in the cold, but when it returns to heat it slowly unwinds, again taking the form of a straight segment.

Uniform pressure on the teeth, exerted by twisted, but trying to restore the shape of the wire metal, leads to correction of the bite with the formation of the right dentition with the occupation of each tooth position.

Activation of the "memory" of the metal occurs at normal body temperature, the degree of pressure of the design for each individual tooth, and for the entire series can be changed at once in accordance with the task facing the orthodontist.

The pressure is not applied directly to the tooth, but to a special area adhered to it by a special area - metal, ceramic or made of a different material.

Anxiety that the tooth will return to the "illegal" place is groundless - the impact on the crowns is transmitted to the roots of the teeth. Before moving "squeezing" the roots of bone alveolar tissue, resorbing, "diverges", behind the roots it forms and grows again, and the bone of the jaw hole is remodeled.

But we are talking about the pressure exerted by the system on intact - undamaged and not repaired teeth.

Will the braces support the teeth repaired: sealed, or with a crown on them, and artificial teeth - implants or other dentures?

Braces installation for sealed teeth

Sealing is a measure of protection against the penetration inside the tooth of chemically active substances, as well as infection, leading to its destruction from the inside.

Do brackets rest on teeth with seals? Will not the pressure of the system re-open the teeth? How secure is the internal environment of the tooth separated from the aggressive external?

What is the material from which the seals made in the teeth were made many years ago and are not microcracks formed from the pressure of the braces? And perhaps, the cracks in the fillings already exist due to the deterioration of filling materials due to the long period of their operation?

A lot of questions and all while unanswered. .. Why are we talking about long gone times?

Because the application of the newest filling materials and sealing methods with absolute sterility at the time of manipulation makes the tooth monolithic strong, indistinguishable in strength from real teeth.

To refurbish the teeth by asking them new properties, at present it is not a problem, and it is possible to put braces on the modern seals-braces.

But finally this question is solved by an orthodontist.

About the need for extra-fillings

Since in addition to the uniformity of pressure on the teeth when wearing braces, it is necessary to prevent their displacement and protect the teeth from damage, it becomes necessary to prevent tight closing of the teeth.

This purpose is the use of over-fillings or plates consisting of:

• over-the-counter platform;
• of a labial arc;
• metal clasps.

Fixing seals

The design is based on the front teeth, palate and has a flat area with a slope at a given angle, if necessary, it can be removed( there are also non-removable models).

In the Katz model, hinges and clamps are used for fixing, in the modification of Khurgina of this purpose, rubber rods are used, Gulyaeva developed an apparatus in the form of an anvil plate and an arc, which is fixed to the rings on the first molars.

The device is made of non-irritating mucous membranes of the material - acrylic, according to a previously made impression that captures the individual characteristics and parameters of the client.

In contrast to the plate, the over-filling fillings formed when molars of special material are applied to the chewing surfaces serve as an elastic pad between the teeth, preventing them from closing so tightly that the braces are damaged.

Surplus material during the modeling of seals is removed by the drill, the same procedure is applied when removing the fillings after the treatment is completed.

What about crowns?

Everything said about the seals refers to the crowns, which are installed on the teeth for the same purpose - to isolate the internal environment of the teeth from the external. Crowns that do not ensure proper tightness must be replaced with their reliable modern modifications.

It is also important that the pressure of the bracket can reduce the degree of adhesion of the crown material to its base - the tissues of the underlying tooth.

If there is a lack of confidence in the solidity of the tooth crown system, measures should be taken to restore it. How to do it, tell the doctor-specialist.

If it is necessary to move the teeth that support the prosthetic bridge, the latter:

• or sawed into separate fragments to avoid its deformation;
• is either temporarily replaced with a plastic one with the return of the permanent prosthesis to its original place after the braces are removed.

When installing on crowns, preference is given to metal braces - the degree of their adhesion to the underlying surface is much higher.

On the nuances that may arise during the treatment:

• the pressure of braces mounted on the crowns of the teeth with not removed roots, can cause their turn around the axis;
• crowns removed and replaced by temporary ones may no longer be suitable due to changes in the position of the teeth due to their movement;
• composition used to fix braces can cause a darkening of the surface of the material from which the crown is made, which will require additional measures to restore its aesthetic appearance.

Do braces have dentures and implants?

Given the importance of pressure on the roots of the teeth, braces for implants are not put.

But how then to correct the bite, and restoring the function of chewing, and satisfying the aesthetic sense?

In this case, the treatment is carried out in stages: first the bite is corrected, then the implants are implanted.

When installing braces on implants, the latter most unpredictably change their orientation in the jaw, with continued pressure tearing off, previously causing inflammation of the gum.

In the absence of a tooth or several, braces are placed on temporary removable dentures with repeated replacement of the latter as the position of the teeth and bite changes. And only after the removal of the orthodontic design, implants are implanted.

About the prospects of

The use of bracket structures has great prospects compatible with the use of most orthodontic technologies. Although the choice of a method of treatment remains with the dentist-orthodontist, the patient has the right to know about the disadvantages and advantages of this or that method of restoring the position of the teeth and correcting unnatural bite.

When treating orthodontic structures, it must be remembered that the application of this technology has a number of characteristics.

So, if the installation of brackets on already installed and implanted implants is certainly unacceptable, since it will certainly lead to complications, then the installation of these structures on the crowns, removable dentures and sealed teeth is possible, but the artist needs high skill and responsibility.