Protecting Gum Health Before Orthodontic Treatment
A pre orthodontic periodontal assessment is crucial for patients preparing for braces or Invisalign. Periodontal disease is a form of inflammation, and orthodontic treatment also relies on controlled inflammation to move teeth. When these two processes overlap, the combined inflammation can lead to accelerated bone loss, reduced tooth support, increased mobility and, in severe cases, tooth loss. To prevent these complications, it is essential to ensure your periodontal health is stable before orthodontic treatment begins.
This assessment allows us to identify and treat any signs of gum disease early, reducing the risk of complications and supporting predictable orthodontic outcomes. Ensuring healthy gums at the start of treatment is one of the most important steps in protecting the long-term stability of your teeth.
Periodontal Maintenance During Orthodontic Care
Maintaining gum health throughout orthodontic treatment is equally important. We recommend periodontal maintenance every three to four months to monitor the gums closely, detect changes early and intervene when necessary. Regular maintenance appointments help prevent inflammation flare-ups, protect bone levels and support safe, effective tooth movement.
This coordinated approach between your orthodontist and periodontist ensures your periodontal health remains stable during the entire course of treatment.
Crown Lengthening
Crown lengthening is a dental procedure that reshapes the gum tissue, and sometimes the underlying bone, to expose more of a tooth’s surface. It is a procedure that increases the amount of visible tooth structure.
Purpose:
This procedure can be performed for restorative purposes, to prepare a tooth for a crown, or for cosmetic reasons, to improve the appearance of a ‘gummy smile’.
Restorative purposes:
When a tooth is fractured or decayed below the gum line, crown lengthening creates enough space for a proper restoration, such as a crown. It ensures there is sufficient tooth structure for a secure and stable restoration.
Cosmetic Concerns:
‘Gummy smile’ correction: If excessive gum tissue covers the teeth, crown lengthening can create a more balanced and aesthetically pleasing smile. It can also correct asymmetries in the gum line, resulting in a more harmonious appearance.
Before and After
Upper Canine Exposure
FAQs
What is a pre orthodontic periodontal assessment?
It is a specialised evaluation of the gums and supporting bone performed before starting orthodontic treatment. The aim is to detect and treat any periodontal disease or inflammation before tooth movement begins.
Why is it important to treat gum disease before getting braces?
Untreated periodontal disease during orthodontic treatment can lead to accelerated bone loss, increased tooth mobility and even tooth loss. Managing gum health first protects the supporting structures and ensures safer orthodontic outcomes.
Can I still get braces if I’ve had gum disease?
Yes. Many patients with a history of gum disease can undergo orthodontic treatment, but a comprehensive periodontal assessment is required first. Treatment or specialised maintenance may be recommended before starting braces or aligners.
What happens if periodontal disease isn’t managed before orthodontics?
Combining active gum disease with the inflammatory process of orthodontic tooth movement can lead to rapid periodontal deterioration. This increases the risk of complications and can compromise the success of the orthodontic treatment.
How often must I see a periodontist during orthodontic treatment?
Most patients benefit from periodontal maintenance every 3 to 4 months. These visits help maintain gum health, monitor for changes and ensure any issues are managed promptly.