EC Dental Science

Case Series Volume 25 Issue 4 - 2026

Perio-Ortho Treatment as a Interdisciplinary Approach for Management of Periodontally Compromised Patients. A Case Series

Soulafa Mohamed Belal*

BDS, MSc in Periodontology, Oral Medicine, Oral Diagnosis and Oral Radiology, Faculty of Dentistry, Tanta University, Egypt and Master De- gree in Periodontology, Bologna University, Italy

*Corresponding Author: Soulafa Mohamed Belal, BDS, MSc in Periodontology, Oral Medicine, Oral Diagnosis and Oral Radiology, Faculty of Dentistry, Tanta University, Egypt and Master Degree in Periodontology, Bologna University, Italy.
Received: March 27, 2026; Published: April 03, 2026



This case series presents the co-relation between the periodontal disease treatment in cooperation with orthodontic treatment, working together for complete management of the patient problems, seeking for restoring both function and esthetics. In order to achieve perfect results, we should put a sound treatment plan after reaching the accurate case diagnosis and determine its prognosis and with the coordination with other specialties as orthodontist or prosthodontist, we can reach optimum results for our patients.

Keywords: Periodontology; Orthodontics; Clinical Attachment Loss (CAL); Radiographic Alveolar Bone Loss (RBL); Probing Pocket Depth (PPD)

  1. Tae H Kwona., et al. “Periodontal considerations in orthodontic treatment: A review of the literature and recommended protocols”. Seminars in Orthodontics2 (2024): 80-88.
  2. N J Kassebaum., et al. “Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression”. Journal of Dental Research 11 (2014): 1045-1053.
  3. Panos N Papapanou., et al. “Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions”. Journal of Periodontology S1 (2018): 173-182.
  4. Li Beng Wong., et al. “Periodontal disease and quality of life: Umbrella review of systematic reviews”. Journal of Periodontal Research 1 (2021): 1-17.
  5. Robert J Genco and Mariano Sanz. “Clinical and public health implications of periodontal and systemic diseases: An overview”. Periodontology 20001 (2020): 7-13.
  6. David Herrera., et al. “Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe)”. Journal of Clinical Periodontology 6 (2023): 819-841.
  7. Levin L., et al. “The association of orthodontic treatment and fixed retainers with gingival health”. Journal of Periodontology 11 (2008): 2087-2092.
  8. Michael A Brunsvold. “Pathologic tooth migration”. Journal of Periodontology 6 (2005): 859-866.
  9. Vivien Kwok and Jack G Caton. “Commentary: prognosis revisited: a system for assigning periodontal prognosis”. Journal of Periodontology11 (2007): 2063-2071.
  10. Eglė Zasčiurinskienė., et al. “Malocclusions, pathologic tooth migration, and the need for orthodontic treatment in subjects with stage III-IV periodontitis. A cross-sectional study”. European Journal of Orthodontics 4 (2023): 418-429.
  11. Josefine Hirschfeld., et al. “Interest in orthodontic tooth alignment in adult patients affected by periodontitis: A questionnaire-based cross-sectional pilot study”. Journal of Periodontology 9 (2019): 957-965.
  12. S Chaushu., et al. “Immune changes induced by orthodontic forces: a critical review”. Journal of Dental Research 1 (2022): 11-20.
  13. I Ericsson., et al. “The effect of orthodontic tilting movements on the periodontal tissues of infected and non-infected dentitions in dogs”. Journal of Clinical Periodontology 4 (1977): 278-293.
  14. B Melsen., et al. “Intrusion of incisors in adult patients with marginal bone loss”. American Journal of Orthodontics and Dentofacial Orthopedics 3 (1989): 232-241.
  15. Spyridon N Papageorgiou., et al. “Orthodontic treatment of patients with severe (stage IV) periodontitis”. Seminars in Orthodontics2 (2024): 123-134.
  16. David Herrera., et al. “Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline”. Journal of Clinical Periodontology 24 (2022): 4-71.
  17. Giovan Paolo Pini Prato and Leandro Chambrone. “Orthodontic treatment in periodontal patients: The use of periodontal gold standards to overcome the "grey zone"”. Journal of Periodontology 4 (2020): 437-441.
  18. J Lindhe., et al. “Healing following surgical/non-surgical treatment of periodontal disease. A clinical study”. Journal of Clinical Periodontology 2 (1982): 115-128.
  19. Pierpaolo Cortellini and Maurizio S Tonetti. “Clinical concepts for regenerative therapy in intrabony defects”. Periodontology 20001 (2015): 282-307.
  20. Cortellini P and Bissada NF. “Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations”. Journal of Periodontology 1 (2018): 204-213.
  21. Wang C., et al. “Is periodontal phenotype modification therapy beneficial for patients receiving orthodontic treatment? An American Academy of Periodontology best evidence review”. Journal of Periodontology 3 (2020): 299-310.
  22. Laursen MG., et al. “The role of orthodontics in the repair of gingival recessions”. American Journal of Orthodontics and Dentofacial Orthopedics 1 (2020): 29-34.
  23. Merijohn GK. “Management and prevention of gingival recession”. Periodontology 20001 (2016): 228-242.

Soulafa Mohamed Belal. “Perio-Ortho Treatment as a Interdisciplinary Approach for Management of Periodontally Compro- mised Patients. A Case Series”. EC Dental Science 25.4 (2026): 01-13.

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