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Updated: Aug 11, 2026

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Published on: April 15, 2021
Managing treatment for the orthodontic patient with periodontal problems
1Department of Orthodontics, School of Dentistry, University of Washington, Seattle 98195, USA.
Abstract:
Some adult patients have mild to moderate periodontal disease before orthodontic treatment. These patients may be at risk of developing further periodontal breakdown during orthodontic therapy. However, careful diagnosis and judicious management of these potentially volatile patients can alleviate the risk. In this article, the diagnosis and management of several periodontal problems is discussed. The need for and timing of preorthodontic periodontal surgery for these situations is elucidated. In addition, the types of tooth movement that will ameliorate these problematic situations is described. This information is valuable for the orthodontist who treats patients with underlying periodontal problems.
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