The Effects of Combined Periodontal and Orthodontic Treatment in Periodontally Compromised Adult Patients: A Longitudinal Clinical Study
Keywords:
Periodontal therapy, Orthodontics treatment, Bone loss, Gingival recession, Pocket depth.Abstract
Background: Management of periodontally compromised adult patients often requires a multidisciplinary approach combining periodontal therapy with orthodontic treatment. However, evidence regarding the clinical outcomes of such combined therapy remains limited. Objective: To evaluate the clinical outcomes of combined periodontal and orthodontic treatment, including controlled orthodontic intrusion, in periodontally compromised adult patients. Subjects and Methods: This longitudinal clinical study included 30 systemically healthy adult patients presenting with periodontal compromise and pathological tooth migration. All patients received initial periodontal therapy followed by orthodontic treatment using light forces, including selective orthodontic intrusion where indicated. Clinical parameters including probing pocket depth, clinical attachment level, gingival recession, and tooth mobility were recorded at baseline, post-treatment, and during follow-up. Patients were monitored for 18 months to assess treatment stability. Results: Combined periodontal–orthodontic therapy resulted in significant improvement in periodontal parameters. Reductions in probing pocket depth and tooth mobility were observed, with stabilization of clinical attachment levels during follow-up. Orthodontic intrusion contributed to improved tooth alignment and periodontal stability in selected cases. Most patients demonstrated functional and aesthetic improvement, and outcomes remained stable at the 18-month follow-up period. Conclusion: Within the limitations of this small longitudinal cohort, combined periodontal and orthodontic treatment, including controlled orthodontic intrusion, showed favorable clinical outcomes in systemically healthy periodontally compromised adult patients. This approach ultimately contributes to the restoration of the patient's functional and aesthetic aspects.
Update Dent. Coll. j: 2026; 16(1): 5-13
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Copyright (c) 2026 Muna S Elburki, Abdalmawla A Ali, Malek A Abdulmatlob
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