This article critically evaluates the relationship between orthodontic treatment and periodontal health, emphasizing the importance of ensuring periodontal stability before initiating orthodontic therapy. It reviews biomechanical considerations, the impact of different orthodontic appliances on periodontal parameters, and strategies for mitigating periodontal risks during and after treatment. This article also discusses interdisciplinary collaboration for managing aesthetic outcomes and preventing relapse. Clinical guidelines are proposed to optimize treatment in patients with a history of periodontal disease, focusing on long-term retention and supportive care. CPD/Clinical Relevance: It is crucial to ensure periodontal stability before initiating orthodontic treatment to prevent exacerbation of periodontal disease.
Elyssia D'Cruz (Mon,) studied this question.