Interrelationship between Periodontics and Orthodontics: literature review

Abstract

To relate orthodontics to periodontics, analyzing whether it is possible to perform orthodontic treatment in patients with periodontal disease, highlighting which care and devices can be used during treatment. The chosen design was a narrative literature review. The search for articles was performed digitally, in the Virtual Health Library, Scientific Electronic Library Online and Google Scholar databases, using the following descriptors: orthodontics, periodontics, periodontal disease, tooth movement in patients with periodontitis. Publications related to the objectives listed in this research were included, articles in Portuguese or English, published in the last 10 years, available in full text. Duplicate articles were excluded. According to the analysis of the reviewed literature, most authors advocated performing orthodontic treatment in patients with periodontal alterations, as long as the disease is controlled and/or inactive. To this end, mechanics that do not require much force in the movement are used, together with the implementation of an appropriate treatment plan for the case. As long as the periodontal patient is treated and follows all hygiene guidelines, orthodontic treatment can be performed safely. Good case planning and the assistance of a multidisciplinary team are ways to achieve success in the treatment, in addition to controlling the forces during the mechanics, in addition to the use of mini-implants and aligners.