Can I Get Braces After Root Canal Treatment? A Dental Guide - Dentistry

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Orthodontic issues


Hello, I had an injury to my front teeth when I was younger, which resulted in an abscess due to improper cleaning of the gums.
I am currently about to undergo root canal treatment.
I would like to know if, after completing the root canal treatment and getting a crown, I can then proceed with orthodontic treatment and crown lengthening surgery.
Due to financial constraints, I cannot complete all procedures at once, so I would like to know if the dental clinic recommends doing orthodontics after the root canal treatment, followed by crown lengthening, and finally getting the crown.

Q, 20~29 year old female. Ask Date: 2016/08/31

Dr. Zeng Guanghui reply Dentistry


Due to dental trauma leading to pulpitis and necrosis, resulting in the formation of abscesses, after completing root canal treatment, if the alignment of the teeth is irregular, orthodontic treatment can be performed first.
Afterward, crown lengthening can be done, followed by the placement of a dental crown.
It is advisable to consult with a dentist for further guidance.

Reply Date: 2016/08/31

More Info


After undergoing root canal treatment, it is indeed possible to get braces, but there are several factors to consider before proceeding with orthodontic treatment. Root canal therapy is designed to save a tooth that has become infected or damaged, and while it can restore function, the tooth may still be more fragile than a healthy tooth. Therefore, careful planning is essential.


Timing and Sequence of Treatments
1. Root Canal Treatment: The first step is to ensure that your root canal treatment is completed successfully. This involves cleaning out the infected pulp, disinfecting the root canals, and filling them with a material that seals the space. After this procedure, your dentist will likely place a temporary crown or filling to protect the tooth.

2. Orthodontic Treatment: Once the root canal is healed and the tooth is stable, you can begin orthodontic treatment. It is generally advisable to wait a few months after the root canal to allow the tooth to stabilize. Your orthodontist will evaluate the tooth's condition and determine if it is suitable for braces.
3. Crown Lengthening: If you require crown lengthening, this procedure can be performed before or after orthodontic treatment, depending on your specific case. Crown lengthening involves removing gum tissue to expose more of the tooth structure, which can be necessary if the tooth is too short for a crown or if there is decay below the gum line.
4. Final Restoration: After the orthodontic treatment is completed, you will need to have a permanent crown placed on the tooth that underwent root canal treatment. This is crucial for protecting the tooth and restoring its function.


Considerations
- Tooth Stability: The tooth that has undergone root canal treatment may be more susceptible to fracture, especially if it has not been restored with a crown. Therefore, it is essential to follow your dentist's recommendations regarding the timing of braces and the placement of a crown.

- Orthodontic Movement: The movement of teeth during orthodontic treatment can exert pressure on the roots of the teeth. If a tooth has had a root canal, it may respond differently to this pressure. Your orthodontist will monitor the tooth closely to ensure that it is moving correctly and not experiencing any complications.

- Cost and Treatment Planning: Since you mentioned financial constraints, it is wise to discuss a phased treatment plan with your dental care providers. They can help you prioritize treatments based on urgency and necessity, allowing you to manage costs effectively.


Conclusion
In summary, you can get braces after root canal treatment, but it is essential to ensure that the tooth is stable and adequately restored before proceeding with orthodontics. Discuss your treatment plan with both your endodontist (who performs the root canal) and your orthodontist to create a timeline that works for you. This collaborative approach will help ensure the best outcomes for your dental health while considering your financial situation. Always remember to maintain good oral hygiene and follow up with your dental care providers regularly to monitor the health of your teeth throughout the process.

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