Orthodontic treatment in stage IV periodontitis patients: Timing, management and long-term prognosis

Patients affected by severe periodontitis can develop a secondary malocclusion due to pathologic tooth migration that, if untreated, can hinder the maintenance of the entire dentition. In these cases, the combination of the appropriate stepwise periodontal therapy together with orthodontic treatment may become essential to re-establish health, aesthetics and function, leading to patient satisfaction and long-term stability. However, to successfully perform orthodontic tooth movement in stage IV periodontitis patients is paramount to carefully plan the treatment with a interdisciplinary approach, respecting the correct timing of the different phases of treatment, adapting biomechanics and appliance design individually, considering loss of periodontal support suffered from each patient.

Source: Seminars in Orthodontics - December 1, 2023 Category: Dentistry Authors: Daniela Garbo, Giacomo Baima, Giulia Maria Mariani, Federica Romano, Mario Aimetti Source Type: research