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When considering orthodontic treatment after dental restorations it's essential to take a strategic approach to protect the longevity of your restorations while maximizing the success of your orthodontic care. Restorative work including porcelain crowns, composite fillings, fixed bridges, or dental implants are intended to revive both form and function, but they can impact the movement dynamics during treatment. In the pre-treatment evaluation phase, your restorative dentist and orthodontic specialist will collaborate to assess the integrity of your dental work. This includes examining for loosening, cracking, or recurrent decay that could be worsened by orthodontic forces.

Should your dental work be structurally sound, they can typically be left intact throughout the process. Modern orthodontic adhesives are engineered to adhere strongly to ceramics and resin-based surfaces, 表参道 歯科矯正 allowing attachments to be affixed while preserving restoration integrity. In certain cases, prior upgrades to restorations are necessary. For example, amalgam fillings or worn provisional prosthetics might not resist the pressure from orthodontic appliances and may need replacing with more durable alternatives. Implants, since they cannot move must be carefully considered in treatment planning because they function as non-movable pillars.

Your provider might request updated dental models or CBCT scans to predict the precise path of tooth movement. This allows them to develop an alignment protocol that protects fragile restorations and promotes symmetrical alignment. For patients with full-arch prostheses, alternative appliances such as clear aligners may be recommended due to their low-profile, gradual pressure.

Proper oral care is critical during orthodontic therapy. Restorations can accumulate debris around margins, especially along the borders of crowns and bridges. Brushing twice daily, flossing with threaders or water flossers, and attending regular cleanings will help avoid secondary caries and marginal breakdown and reduce inflammation and recession.

Finally, communication between your restorative dentist and orthodontist is key. They will synchronize treatment phases and protocols to ensure that dental work remains intact throughout the process and that final crowns or veneers are designed around the idealized outcome. This collaborative approach reduces the risk of rework and ensures lasting results. By preparing properly, you can attain a harmonious bite that enhances both aesthetics and performance, supported by strong, durable dental work.