Periodontitis: orthodontic implications and management

Orthodontics is increasingly ingrained in the overall management of patients with periodontitis. Advanced periodontitis is often characterised by pathological tooth migration, loss of posterior support and incisal proclination. Orthodontics may therefore offer both aesthetic and therapeutic benefit. A tailored approach to treatment, however, is necessary given the myriad of presentations and associated risk. The nuances underpinning effective treatment planning, space creation, treatment mechanics, and retention in the periodontal patient are described.