Orthodontic treatment of adults maintains several specific requirements and one of them is multidisciplinary management. Ageing and very often coexisting diseases can lead to periodontal tissue defects. Orthodontic treatment changes both soft and hard periodontal tissue morphology. Depending on both the planned and performed movement this change can have a positive or harmful influence on the periodontium. Moreover, the fine line between this is sometimes very subtle. The orthodontic movement of teeth beyond the limits of the labial or lingual alveolar bone, inadequate treatment planning or insufficient tooth control can lead to many failures. On the other hand multidisciplinary planning and management and correct orthodontic biomechanics can improve the hard and soft tissue status providing the patient with not only better function but also esthetics.
Recognize the capabilities but also the limits of soft tissue remodelling induced by orthodontic treatment.
Identify the risk factors for recession development.
Identify the best timing for recession coverage – before, during or after orthodontic treatment.