West China Journal of Stomatology ›› 2026, Vol. 44 ›› Issue (1): 34-40.doi: 10.7518/hxkq.2025.2025339

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Orthodontic treatment strategies and considerations in adult patients with periodontal disease

Feng Ge(), Zhong Wenjie, Song Jinlin()   

  1. The Affiliated Stomatological Hospital of Chongqing Medical University & Chongqing Key Laboratory of Oral Diseases & Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education & Chongqing Municipal Health Commission Key Laboratory of Oral Biomedical Engineering, Chongqing 401147, China
  • Received:2025-08-19 Online:2026-02-01 Published:2026-02-02
  • Contact: Song Jinlin E-mail:500242@hospital.cqmu.edu.cn;songjinlin@hospital.cqmu.edu.cn
  • Supported by:
    National Key R&D of Program of China(2022YFC2504200);National Natural Science Foundation of China(U22A20314)

Abstract:

The primary objectives of orthodontic treatment in adult patients with periodontal disease are to improve dental alignment and occlusal relationships, optimize oral hygiene conditions, restore masticatory function, and enhance aesthetic outcomes. During treatment, orthodontists should comprehensively and continuously evaluate the patient’s periodontal health status, adopt personalized biomechanical control strategies, enhance multidisciplinary collaboration, and implement targeted prevention and management measures for potential orthodontic risks. This article provides an overview of common clinical issues encountered in the orthodontic treatment of adult periodontal patients. Key areas addressed include the relationship between periodontal disease and the development of malocclusion, the formulation of treatment objectives, indications and contraindications, key aspects of treatment process control, the role of radiographic examination in treatment planning and monitoring, and post-orthodontic retention protocols.

Key words: adult periodontal disease, orthodontic treatment, treatment strategies

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