Invisalign and similar systems can be appropriate for patients with periodontal concerns, but they require meticulous pre-treatment assessment and continuous surveillance. Periodontitis compromises the gums and bone that support the teeth, and without proper management, orthodontic movement can accelerate tissue destruction. Before starting any aligner treatment, it is essential that the patient has non-active, well-maintained gum tissue. This means infectious periodontal lesions require definitive therapy, often through scaling and root planing, and sometimes periodontal surgery. Patients should be under the regular care of a periodontist or hygienist throughout the orthodontic process.

Once periodontal health is achieved, aligners offer distinct clinical advantages. Unlike traditional braces, aligners are detachable, which allows patients to achieve superior plaque control. Daily cleaning is significantly simplified without brackets and wires, reducing plaque buildup that can provoke gum inflammation. The low-intensity, sequential pressure provided by aligners can also be less traumatic to already compromised periodontal tissues when compared to the unrelenting force from brackets and wires.

However, some patients are poor candidates for aligners. Patients with severe bone loss, loose teeth, or insufficient bone support may not be good candidates. In these cases, orthodontic movement could lead to progressive displacement and potential exfoliation. A thorough evaluation including x-rays, pocket depth measurements, ارتودنسی_شفاف and clinical assessment is necessary to determine eligibility.

Treatment planning must be individualized. The orthodontist and periodontist should work together to set prudent objectives. Movement should be gradual and deliberate, with periodic evaluations of pocket depth and bleeding on probing. Patients must be consistently following recommended wear times and maintaining meticulous oral hygiene. Any sign of gingival inflammation, redness, or probing depth progression during treatment should trigger an immediate review.

In summary, aligners can be effectively employed for patients with periodontal concerns if the disease is well managed and the treatment is carefully supervised. The key to success lies in periodontist-orthodontist partnership, dedication to meticulous home care, and a minimal-force orthodontic philosophy. For the ideal clinical case, aligners can improve both smile aesthetics and long-term oral health.

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Pub: 08 Oct 2025 13:01 UTC

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