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Can I get braces if I have cavities?

Mar 16, 2022 Source: Cainiu Health
Dr. Qiu Hongliang
Introduction
Can I get braces if I have cavities? Yes, you can get braces even if you have cavities. Clinically, orthodontic treatment—i.e., wearing braces—is indicated for various malocclusions, such as open bite, overjet (protruding upper teeth), crossbite (underbite), or dental crowding. Importantly, having cavities does not preclude orthodontic treatment; braces can still be placed even if some teeth are decayed.

Braces are a commonly chosen treatment option for many individuals undergoing dental care. They effectively address a variety of dental issues. Specifically, braces not only help maintain dental and overall oral health but also correct malocclusion—improper alignment or bite relationships between the upper and lower teeth. So, can individuals with dental caries (cavities) wear braces? Let’s explore this further.

Can individuals with dental caries wear braces?

Yes, individuals with dental caries can wear braces. Clinically, orthodontic treatment—including braces—is indicated for various types of malocclusion, such as open bite, overjet (protruding upper teeth), underbite (reverse occlusion), or dental crowding. Importantly, the presence of dental caries does not preclude orthodontic treatment; patients with cavities may still be candidates for braces.

However, the clinical approach depends on the severity of the caries. For mild (incipient), moderate, or deep caries, direct restorative filling is typically performed first; braces may then be placed immediately afterward. If caries have progressed to pulpitis or apical periodontitis, root canal treatment is required prior to orthodontic intervention—but braces can still be applied following successful endodontic therapy. In cases where caries have resulted in severely compromised teeth (e.g., residual roots or crowns), extraction is generally recommended. Following extraction, braces may be used—not only to align remaining teeth but also to facilitate space management and eventual replacement of the missing tooth via orthodontic means.

What functions do dental crowns serve?

Dental crowns protect teeth from fracture or chipping and enhance aesthetics—particularly for anterior teeth. They also restore chewing function and withstand occlusal forces. Common crown types include metal-ceramic crowns, full-metal crowns, and all-ceramic crowns. For anterior teeth, all-ceramic crowns are preferred due to their superior esthetics. For posterior teeth—which bear greater masticatory loads—metal-ceramic crowns are often selected. However, if future MRI or CT imaging is anticipated, all-ceramic crowns are strongly recommended, as metal-ceramic restorations may cause artifacts that interfere with image quality.

Therefore, maintaining optimal oral hygiene is essential: brush teeth regularly, rinse thoroughly after meals, and use dental floss to remove interdental food debris—thereby preventing the onset and progression of dental caries.

We hope the above information is helpful to you.

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