Is it Safe to Undergo Orthodontic Therapy in Periodontitis Patient? A Review and a Case-Report

Abstract

The interdisciplinary relationship between periodontics and orthodontics is a highly demanding, complex clinical need of the time which requires meticulous diagnosis, treatment planning for successful long-term prognosis. The periodontal status of even young patients has been altered so it is of utmost importance that orthodontic patients has to be ruled out suffering from plaque induced gingivitis and compromised periodontal status. It is the role of the orthodontist to screen the disease, make provisional diagnosis and refer to a periodontist for immediate treatment as without periodontal therapy the severity and extent of the disease may progress. So, the orthodontist has a great role in bringing up awareness not only before starting the appliance therapy, but also during and after the active mechanotherapy. This paper has emphasized the potential of orthodontic therapy in improving or degrading periodontal health and so the relevance of periodontal planning prior and during orthodontic treatment.

Key Words: Interdisciplinary, Periodontics, Orthodontics, Plaque related gingivitis