Can Switching Dental Clinics for Porcelain Crowns Affect Retainers? - Dentistry

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After undergoing root canal treatment on the front tooth and completing orthodontic treatment, I am considering getting a porcelain crown at a different clinic.
I am unsure if having the crown done at a different clinic will affect the retainers and cause the teeth to shift.

Xiao Yu, 20~29 year old female. Ask Date: 2019/04/19

Dr. Huang Tingfang reply Dentistry


Dear Miss Xiaoyu: Hello! It should be fine! Please communicate more with your physician! Thank you! Wishing you safety! Sincerely, Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/04/19

More Info


Switching dental clinics for porcelain crowns after orthodontic treatment can raise valid concerns regarding the stability of your retainers and the overall alignment of your teeth. Here’s a detailed explanation of how this transition might affect your dental health and what you should consider.

When you undergo orthodontic treatment, your teeth are moved into a new position, and retainers are used to maintain that position after the braces are removed. The primary purpose of retainers is to prevent teeth from shifting back to their original positions. If you switch clinics for the placement of porcelain crowns, several factors could influence the effectiveness of your retainers and the stability of your teeth.

1. Communication Between Dentists: One of the most critical aspects of switching clinics is ensuring that your new dentist is fully aware of your orthodontic history and the specific details of your treatment. This includes understanding the positions of your teeth post-orthodontics and how the crowns will fit into that alignment. If the new dentist does not have access to your previous records or does not communicate effectively with your orthodontist, there could be discrepancies in how the crowns are placed, potentially affecting the alignment of your teeth.

2. Crown Design and Fit: The design and fit of the porcelain crowns are crucial. If the crowns are not designed to accommodate the new positions of your teeth, they could exert undue pressure on adjacent teeth or the retainers themselves. This misalignment can lead to shifting, which may compromise the results of your orthodontic treatment. It’s essential to discuss with your new dentist how they plan to ensure that the crowns will fit correctly without affecting the surrounding teeth.

3. Retainer Compatibility: After getting porcelain crowns, you may need to have your retainers adjusted or remade to ensure they fit correctly over the new crowns. If the crowns change the contours of your teeth significantly, your existing retainers may no longer provide the necessary support to keep your teeth in place. It’s advisable to have your retainers checked by your orthodontist after the crowns are placed to ensure they still function as intended.

4. Potential for Tooth Movement: If the crowns are not placed correctly or if the retainers do not fit well after the crowns are installed, there is a risk of tooth movement. This is particularly concerning if you have had previous orthodontic work. Teeth can shift over time, especially if they are not adequately supported by retainers. Regular follow-ups with your orthodontist after the crown placement can help monitor any changes in tooth position.

5. Consultation with Both Dentists: Before making the switch, it’s beneficial to have a consultation with both your orthodontist and the new dentist. Discuss your concerns about the crowns and how they may affect your retainers. This collaborative approach can help ensure that both parties are on the same page regarding your dental care and that your retainers will continue to be effective.

In summary, switching dental clinics for porcelain crowns can potentially affect your retainers and the alignment of your teeth. It is crucial to maintain open communication between your new dentist and your orthodontist, ensure proper crown design and fit, and have your retainers evaluated after the crowns are placed. By taking these steps, you can help safeguard the results of your orthodontic treatment and maintain the alignment of your teeth effectively.

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