When front teeth wear, they can change position.

Your doctor may recommend having an orthodontist move the teeth into a better position before they are restored.

Pre-orthodontic bonding is a procedure that involves temporarily attaching composite resin or provisional crowns to teeth to improve their shape.

If your back teeth are worn significantly, your doctor may recommend tooth-colored composite be used to return the teeth to their original shape before orthodontic movement. This allows your bite to be idealized, and by adding back missing anatomy before alignment, it limits the amount of tooth removal required during preparation for final restorations.

Your doctor may also suggest that old crowns that are due to be remade be replaced with provisional crowns before the orthodontic process begins. This allows your dentist to verify that the tooth will be healthy enough to restore when the time comes.

By reshaping the teeth to their original condition using a temporary material, your doctor can help the orthodontist know how your smile should look, and how your teeth should fit together as they complete your case.

To begin the bonding process, your doctor will carefully prepare and etch the surface of the teeth that need adjustment.

To ensure proper bonding of the composite or dental crown.

With the aid of a matrix, the composite is then shaped into the desired form.

And hardened using a special curing light.

This results in well-shaped teeth that are ready for orthodontic treatment.

Since your teeth have moved, your bite may feel a little “off” for a while as you get used to having your original tooth structure back again. This is normal and will resolve as the orthodontist moves the teeth into their proper positions.

When your braces are removed.

Your doctor will replace the temporary composite or crown with a permanent one.

Pre-orthodontic bonding can play an important role in achieving the best outcome for your restorative treatment.