Periodontal breakdown alters the biomechanical environment of tooth movement, increasing the risk of further attachment loss, root resorption, and compromised treatment outcomes if not properly managed.
As adult orthodontic demand continues to rise worldwide, clinicians are increasingly required to integrate orthodontic biomechanics with periodontal biology to ensure safe, predictable, and biologically sound treatment.
The review article “Biomechanical and Biological Multidisciplinary Strategies in the Orthodontic Treatment of Patients with Periodontal Diseases” provides a comprehensive overview of how orthodontic forces interact with compromised periodontal tissues and highlights the importance of a multidisciplinary approach involving orthodontists and periodontists.
► DENTAL BOOK: Orthodontics - Diagnosis and Management of Malocclusion and Dentofacial Deformities - Om Prakash Kharbanda
The authors explore key biological principles, including changes in the periodontal ligament, alveolar bone remodeling, and inflammatory responses, emphasizing how these factors must guide force magnitude, direction, and timing.
Furthermore, the article discusses biomechanical strategies specifically adapted for periodontally compromised patients, such as the use of light and controlled forces, segmented mechanics, temporary anchorage devices, and careful treatment sequencing following periodontal stabilization.
By combining biological insights with biomechanical precision, the review underscores how orthodontic treatment can be not only feasible but also beneficial in improving periodontal conditions when appropriately planned and executed.
👉 This review is an essential resource for orthodontists and periodontists seeking evidence-based strategies to treat patients with periodontal disease safely and effectively.
