Can a Crown Replacement Be Done While Having Braces?

Question

I am at the end of braces treatment. I have a crown on one before last back tooth that has to be replaced because of decay under it. There is no braces bracket on that tooth. Can a crown replacement be done while I have braces or I have to wait until I get them off?

Scott Young, DDS · Answer

If you have a crown with recurrent caries, then it should be replaced as soon as possible.  With no bracket on this tooth it should be a very easy procedure.  If this tooth had a bracket on it, then it would be placed in a temporary until your braces were finished.  In your case, the final crown can be delivered very quickly.

Elizabeth Jahanian, DDS · Answer

Since there is decay underneath the crown, the decay should be cleaned out as soon as possible.  Luckily, there's no bracket on that tooth, so it shouldn't interfere with the work of your braces.  But it's best to leave a temporary crown on the tooth after the decay has been cleaned out and finalize the crown after your teeth stop shifting.  Your orthodontist and your dentist should consult each other regarding the time to finalize the crown.  All the best, Dr. Elizabeth Jahanian

Wendy S. Spektor, DDS · Answer

I am in agreement with my colleagues that you need to take care of your cavity under the crown.  Depending on what type of orthodontic(braces) treatment you are having, it may be to your advantage to have the tooth redone while in treatment.  You need to speak to your orthodontist and dentist and have them help you co-ordinate care.  If you are doing Invisalign then you must have new impressions when you work on a tooth so timing is important.  Great question!

Daniel Beninato, DDS · Answer

If you have active decay under a crown you should have it replaced immediately, especially if the affected tooth is not directly part of the orthodontic treatment.  This can often be done with a CAD-CAM system to help avoid the need for an impression or temporary.

Leonard Tau, DMD · Answer

If there is decay under a crown you should not wait, the crown should be removed immediately and a new crown or temporary crown placed until the ortho is completed.  Waiting will only cause more problems.

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Can a Crown Replacement Be Done While Having Braces?

Answers (10)

Answer: Treatment during braces

Answer: Treatment during braces

Answer: Crown during orthodontic therapy

Answer: Crown during orthodontic therapy

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Recommended reading

Everything you need to know about Dental Crown

Our mission is to create a world where every investment in modern beauty is Worth It.