Occlusal and orthodontic considerations in the periodontally involved dentition

In the formulation of a treatment plan for patients with advanced periodontal disease, we must consider the benefits that orthodontics can supply. By improving the position of malposed teeth, we create a better environment for the health of the gingivae and attachment apparatus, as well as the possibility of improving osseous defects as the result of orthodontically stimulated osteogenic activity. The ultimate goal of treatment must be, in addition to control of inflammation, plaque and trauma, the creation of optimal morphologic and functional conditions which will allow these objectives to be obtained. This will provide the prosthodontist and periodontist a better chance to prolong the life of the dentition.