Author Topic: Are braces/surgery still possible if you have a root canal and crown?  (Read 4011 times)

Mark32

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Hi, with work and other commitments I've had to put things off for a bit after seriously considering going down this route last year. However, at a recent dental check up my dentist reckons I may need a root canal and crown on my upper left, first maxillary molar. When I had braces fitted in my teenage years this was one of the molars that my brace was 'anchored' on - if that makes sense.

Can the whole brace system work if one of your first molars is ?edontilated? and capped with a crown? Or can they skip a tooth and go to the next molar back?

yxcvb

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #1 on: January 20, 2015, 09:54:35 AM »
Yes. The only thing I know which might affect ortho treatment is permanent teeth replacement i.e. dental implants in the jawbone which cant move around like regular teeth.

PloskoPlus

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #2 on: January 20, 2015, 11:18:54 AM »
I had a root canal in one of my front teeth more than 20 years ago. It had a lot of composite on it which had to be removed before the bracket was put on it, as any such build up reduces the leverage available to the bracket.  Ironically the composite was put there to "level" my tooth line (which the braces should be able to do now).

Mark32

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #3 on: January 22, 2015, 09:03:23 AM »
One of the things that concerns me is - not sure I can explain this - can the crown structure take the pressure that would be applied to it if the bracket that the brace terminates on goes around that tooth? Could the 'force' generated by the brace split the crown from the underlying tooth/root? With this in mind, is there a crown material that would be preferable? You know one that would hold up better under pressure? ???

yxcvb

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #4 on: January 22, 2015, 09:33:06 AM »
One of the things that concerns me is - not sure I can explain this - can the crown structure take the pressure that would be applied to it if the bracket that the brace terminates on goes around that tooth? Could the 'force' generated by the brace split the crown from the underlying tooth/root? With this in mind, is there a crown material that would be preferable? You know one that would hold up better under pressure? ???

I'd consider you having a proper dental implant instead of a crown now if its possible for you. Crowns are really a bad solution for a problem and now we have much better ways.

Mark32

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #5 on: January 23, 2015, 08:54:27 AM »
The only thing about a dental implant, isn't it the case that they are completely fused to the bone and so can't be tipped/moved with braces? Or does this not matter if it's one of the posterior teeth? You know the way the inclination of the front teeth has to be de-compensated before surgery - are molars always left alone?

Could you explain a bit more why crowns are such a bad solution? I don't doubt what you're saying, it's just that I don't know that much about this area.

yxcvb

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #6 on: January 23, 2015, 10:02:36 AM »
The only thing about a dental implant, isn't it the case that they are completely fused to the bone and so can't be tipped/moved with braces? Or does this not matter if it's one of the posterior teeth? You know the way the inclination of the front teeth has to be de-compensated before surgery - are molars always left alone?

Could you explain a bit more why crowns are such a bad solution? I don't doubt what you're saying, it's just that I don't know that much about this area.

I think if you need braces (which probably you need considering your original post) first get the braces, then when the teeth are all positioned, you should get implants.

Crowns are bad because they dont stimulate the bone under them. Which might lead to bone degradation. Since the jawbone's role is to support the teeth, and every bone needs constant stimulation (in this case, chewing) not to degrade, especially true for the jawbone. If frontal teeth are affected the whole thing is more obvious since the chin collapses inwards which causes that kinda weird look some old people have who couldnt afford or couldnt have implants.



If you have one teeth its not that obvious ofc but if you can afford it I might consider it as implants are also way stronger than crowns.

Mark32

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #7 on: January 24, 2015, 07:49:37 AM »
The only thing is I can't wait as there is some pain and that will only get worse. I can't put off having the damage repaired for a year or two. :-\

But why does a crowned tooth fail to stimulate the jaw bone? The root of the tooth is still sitting in and attached to the jaw bone. So when you chew isn't the force still directed through the root to the bone? When a tooth is 'crowned' doesn't most of the total tooth structure remain in place - minus the pulp and some of the natural crown?

But I'm still wondering if an immobile implant would have any detrimental effects on orthodontic treatment if the tooth in question is one of the molars. If the anterior teeth are being de-compensated to be correctly inclined prior to surgery - and no gaps open up - do the molars ever have to move or change in inclination?

LoveofScotch

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #8 on: January 24, 2015, 11:06:40 AM »
I'd consider you having a proper dental implant instead of a crown now if its possible for you. Crowns are really a bad solution for a problem and now we have much better ways.

You still need a crown with a dental implant.

Mark32

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #9 on: January 26, 2015, 09:48:03 AM »
Is there any way in which the bonding of the crown to the implant is different from a crown to a root? I suppose what I'm trying to ask is the crown/bond stronger with an implant?

Also, does anyone know what the rough cost would be for a molar implant?

LoveofScotch

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #10 on: January 26, 2015, 11:54:14 AM »
If you do end up with an implant/crown vs a root canal/crown please make sure to run it by both your surgeon and your orthodontist (assuming you ultimately need surgery). Implants are essentially screwed into the bone so those puppies aren't moving.

If you go with an implant I would also look into ceramic instead of titanium. Just a thought.

Mark32

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #11 on: January 29, 2015, 12:02:47 PM »
Is it the case though that if there were no gaps to close - say from extractions - that a first molar would only ever need to act as an anchor for the brace, without having to move itself? That the decompensation would involve just the anterior teeth?

Ginger

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #12 on: January 30, 2015, 09:35:35 AM »
Hi Mark, I have a crowned molar and also have braces. I have a regular braces bracket on it and it seems to be going fine.

Mark32

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #13 on: January 30, 2015, 01:37:33 PM »
Hi Ginger,

Oh, that's very reassuring. Did the ortho even make any comment on it? I'm wondering because they might so often have patients with crowns that they see it almost as routine, if you know what I mean?

buzzhead

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Re: Are braces/surgery still possible if you have a root canal and crown?
« Reply #14 on: January 30, 2015, 01:48:40 PM »
Just thought that I would chime in.  I also have two molar crowns that are banded and had a couple of small spaces to close.  Those suckers are bonded to the roots pretty good.