Preorthodontic enhancement of fragile phenotype periodontium

Abstract

Periodontology and orthodontics are two closely related odonatological disciplines, both of which affect the periodontium of our patients. If in most cases orthodontics have no adverse effect on the periodontium, in case of fragile (weak?) phenotype periodontium (low height or lake of keratinized tissue, thin bone tables, fenestrations or bone dehiscence) orthodontic treatment can, depending on the movements performed, cause or aggravate periodontal recessions that are unsightly and painful for the patient and compromise the results. Through a clinical case we will see how to prevent and treat these cases to make orthodontic treatment possible and maintain its results over time.