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Cassinelli, Shanker & Associates Orthodontics logo
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      • Appliance Instructions
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      • Common Orthodontic Issues
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      • Kidz Club
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      • TMJ / TMD
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Does My Pre-Existing Dental Work Mean I Can’t Wear Traditional Braces?

Home » Does My Pre-Existing Dental Work Mean I Can’t Wear Traditional Braces?
Smiling woman in a green cardigan standing in a bright orthodontic office
  • Cassinelli, Shanker & Associates Orthodontics
  • February 17, 2021

When you get braces as a child, you usually present the orthodontist with a blank canvas—newly erupted, perfect permanent teeth, just waiting to be aligned. But if you are a bit older, your canvas might already be a bit busy, with fillings, crowns, perhaps even a missing tooth. Can Drs. Cassinelli and Shanker still work with that more complicated picture? Yes!

  • Fillings

Many of us have acquired a filling or two. Normally, an old filling shouldn’t interfere with new braces. Large fillings, however, might call for spacers. These small rubber bands are inserted between two teeth as needed to create enough room for bands and brackets, and are generally put in place a week or two before you get your braces. They frequently fall out on their own as the space between the teeth gets a bit wider.

  • Crowns

If you have had a root canal or any other dental treatment that left you with a crowned tooth, no need to be concerned. A special dental adhesive can be used to adhere brackets to crowns.

  • Implants

If you have or would like to get an implant, this is a time to coordinate with your orthodontist and dentist or oral surgeon. Sometimes an implant can anchor your appliance, and sometimes it’s best to keep the spot open until your orthodontic work is completed. Once in place, an implant will not have the mobility of a tooth, so it’s always best to make sure your doctors can create a schedule that will work for both the installation of the implant and the positioning of your braces.

  • Healthy Teeth and Gums

Before you begin orthodontic work, talk to your dentist. If you need a filling or crown, are considering a dental implant, have symptoms of gum disease, or are looking at any other dental concerns, you should work with your dentist first. Healthy teeth and gums are the very best foundation for orthodontic treatment at any age.

If you are wondering whether Drs. Cassinelli and Shanker can help you achieve the smile you’ve always wanted, talk to us when you visit our West Chester or Cincinnati, OH office! Your past dental work will be just one of the many variables we take into consideration when we’re planning your future of picture-perfect smiles.

Patient testimonials

Watch the Success Stories

We’re not just putting on braces or clear aligners. We’re adding value to people’s lives. Check out some of these life-changing stories below.

What Brought You
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patient REviews

Our 5-Star Patient Experience

We recognize that all our patients are unique and deserve to receive orthodontic care that reflects their individual needs. We are committed to working with you and your family to create a comfortable, stress-free, and rewarding orthodontic experience every time you visit.

Kelly R.
The staff are incredibly friendly and helpful! The orthodontists take their time with each patient & make sure all questions are answered! We’ve had the best experience!!
R H.
I’m on my third kid getting braces here. I’ve spent 6-7 years coming here and I’ve never experienced anything but great customer service. I will always recommend. Plus my kids teeth look fabulous
LibraLife 4.
This office is the absolute best. For the past year we have been treated so well. From the beginning process to now has been seemless Tayla was so personable and made my child feel so comfortable. If you need braces, this is the place you want your child to go.
ANN B.
Excellent practice. Appointment last are prompt and easy. We are always seen right on time
Emily L.
10/10 would recommend this place for anyone wanting a more confident smile. Very pleased with how everything turned out and all employees I came in contact with were so pleasant and nice to be around. Great place!
maracca B.
My first time visiting this place everyone was polite and I felt very welcomed. I’m excited to see the outcome of my clear aligners! Beautiful office and staff! I even referred my daughter and cousin.
Tiffany P.
We have been more than happy with ALL associates (doctors and staff) at the office! They are very efficient, quick and caring! Highly recommend their office for any orthodontic needs!
Cemiyah M.
It was a very quick process , everyone there was very friendly and helpful. I felt comfortable and safe. I definitely recommend!
Rana D.
Great place. Very professional staff and I appreciate all the doctor’s help. I highly recommend this place for anyone looking for orthodontics.
Nicole B.
My daughter had her braces here and I had aligners also! We both have a beautiful smile 😀
Jacie E.
Our daughter has has excellent care from all the doctors, assistants, and office staff. We are so appreciative! Thanks so much!
Jacie E.
Our daughter has had a great experience with all of the doctors, assistants, and office staff. We are so appreciative of the excellent care!
Nady Grace C.
Everyone in the office has been professional and Bev at the front desk is exceptional. I sat with my son during treatment thinking about how she is above and beyond wonderful. I am grateful for her attention to detail, consideration of my circumstances, communication across the team of personnel to make sure I had what I wanted and all of it infused with kindness.
Shanti H.
Just started the orthodontic procedure. The experience is excellent and the cost is reasonable
Sarah H.
This orthodontic team has been absolutely wonderful! Highly recommend for your orthodontic needs!
Four people smiling together on the rocks beside a creek
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Ready To Get Started?

Contact either our West Chester or our Cincinnati orthodontic office to schedule your complimentary new patient exam and learn about the wide variety of treatment options we offer. We look forward to meeting you and your family and helping you get the great smile you’ve always wanted.

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West Chester Township

Blue Ash

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