Can You Get Invisalign with a Crown?

Are regular braces or Invisalign better when you have a crown? Or are orthodontics even an option at all? I’m 34 and have one crown on a molar—it’s a CEREC crown if that matters. I was looking through the site and found information on what happens when you need to have a crown done during Invisalign treatment, but this is different because I haven’t even started anything yet. And for what it’s worth, my teeth aren’t super crooked or anything. I just have some crowding going on with my lower teeth.

Thanks,

Jake

Dear Jake,

The information is roughly the same, but let’s break it down.

Yes, You Can Get Invisalign with a Crown

Orthodontic work usually gets a green light even if you have restorative work. It’s a little more debatable if you have root canals or other things going on. Those teeth might not respond well to moving. However, if the teeth are monitored, even that should be ok. Your dentist may take additional precautionary measures in those situations, but that doesn’t apply to your situation anyway. You’re in the clear.

It Doesn’t Matter if it’s a CEREC Crown or Any Other Type

The biggest concern is that the tooth is healthy and the CEREC crown still has a good seal on it. As look as the restoration and tooth are in good condition, it’s fine. This applies to all types of crowns, whether we’re talking CEREC, porcelain, metal, or any other variety.

Invisalign Tops Braces When You Have a Crown

The problem with traditional braces and crowns is that it can be harder to get the brackets to bond to the crown. Since Invisalign doesn’t usually require any bonding unless you need attachments/ buttons, it’s often the more ideal solution for people with restorations.

You Might Need Adjustments When Treatment is Finished

Sometimes shifting teeth can result in the need for adjustments to the crown after. When we’re talking about a back tooth like yours, it’s probably just minor bite adjustments. However, sometimes, the crown ultimately needs to be replaced at the end of orthodontic treatment and occasionally, other techniques may be necessary, such as recontouring the gumline to create a more uniform smile. That wouldn’t be the case with yours, as it’s not in a highly visible spot, but it’s worth mentioning.

Start with a Consultation

Hopefully, this set your mind at ease a bit, but you’ll still need to have a consult with a local dentist to find out the specifics of your treatment. Clear braces are great in the sense that your whole mouth is literally mapped out ahead of time, so your dentist will know exactly what your alignment and bite will be like when you finish and can let you know if you’ll need to take additional steps after you finish ortho.

This blog is sponsored by Elgin Invisalign dentist, Dr. Steve Sirin.