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Introduction
Poorly executed orthodontic treatment in
periodontal patients can certainly contribute to further periodon- tal tissue breakdown. however, with properly performed treatment, extensive orthodontic tooth movement can be made in adults with a reduced but healthy periodontium without further periodontal deterioration.
appliances and mechanics simple: Avoid hooks, elastomeric rings and excess bonding resin outside the bracket bases. The use of steel ligatures is recommended Bonds are preferable to bands
Facilitative Orthodontics
y The position of the teeth in their spatial relation to the alveolar process can affect the shape and location of the periodontium y Mesial tipping is the first link in a pathologic causal chain and is a risk factor for periodontal disease. y Mesial periodontal defects may be reduced by uprighting mesially inclined molars