The perio-ortho consortium: A review

Orthodontic tooth movement in periodontally involved dentition gives rise to a scenario quite different from routine orthodontics. Healthy and sound periodontium is a pre-requisite for successful orthodontic treatment. Proper reinforcement of good oral hygiene practises prior to and during the entire period of orthodontic treatment, may reduce the inflammatory lesion found during therapy. The intricate relationship between periodontics and orthodontics has been extensively researched over the years. Orthodontic therapy may serve as a treatment modality to correct occlusal relationship and alter bone deformities, when there is significant destruction of tooth supporting structures due to periodontal disease and secondary occlusal trauma is also involved. Higher chances of plaque accumulation in patients undergoing orthodontic treatment and also undesirable periodontal changes during or after orthodontic treatment requires the involvement of periodontist for immediate attention and management. The perio-ortho treatment outcome can be determined by a number of different factors such as esthetics, function, biomechanical considerations and periodontal prognosis. A stable and esthetically acceptable result following orthodontic treatment can be achieved by adjunctive periodontal procedures. A detailed and well articulated interaction between the periodontist and orthodontist can ensure excellent results with long term stability. The present review focuses on the outcomes of periodontal and orthodontic symbiotic approach on the overall treatment results and also the novel techniques for periodontally facilitated orthodontic treatment.