Orthodontic treatment in adults with periodontally involved labial segments

During the last two decades notable advances have been made in the management of periodontal diseases. A better understanding of the basic biological principles of periodontal wound healing has provided a sound foundation for placing greater emphasis on conservative treatment regimes, including non-surgical treatments, less radical surgical techniques and the use of guided regenerative procedures to restore connective tissue attachment lost during disease progression. The consequence of these advances is that, even in cases of severely advanced periodontitis, careful planning and execution of treatment ensures that the disease does not continue to progress and the integrity of the dentition is maintained.