Orthodontic treatment can only begin when the teeth and gums are in a state of health. Any teeth that have decay must be restored before your orthodontic treatment begins. If you have a tooth that is in need of having a crown placed on it, a temporary crown should be made for the time you will be in braces. After your final bite is established a permanent crown can be made that fits your bite best. Remember that regular dental checkups should be continued during your orthodontic care. Your dentist will put you on the proper recall interval for checkups while you are in braces.