Orthodontic Treatment of Patient with Significant Periodontal Problem: A Case Report

Aim & Background: Demonstrate the efficacy of orthodontic treatment as an adjunctive therapy in managing adult patients with significant periodontal problems, specifically those with tooth mobility and loss of periodontal attachment that cannot be addressed by standard periodontal care alone. Case Description: A 47-year-old female patient was referred to our orthodontic clinic seeking an adjunctive limited orthodontic treatment to address the wide space between her lower anterior teeth that affecting her smile and oral function. A radiographic examination showed substantial horizontal bone loss. The patient underwent initial periodontal therapy, followed by carefully planned orthodontic treatment using light forces and long activation periods to align teeth and close spaces. A fixed retainer was placed post-treatment to maintain tooth stability.Conclusion: Treatment success depends mainly on the controlling of dental plaque, and the application of the optimal orthodontic mechanics. Permanent retention is necessary to compensate for the loss of periodontal support and follow-up maintenance appointments for cleaning and scaling should be set after the end of orthodontic treatment.