As we age, it is not uncommon to have the gum tissues recede away from the normal gum level that covers the roots providing insulation and a barrier against bacteria that could cause decay or gum disease; this is called recession.
Periodontal Disease with Recession
Before treatment was started, the patient was referred to a periodontist for evaluation for grafting procedures to cover the roots. The decision was made to wait until after the orthodontics.
As a result of orthodontic improved angulation, the teeth moved more onto bone, the recession improved, and no surgery was necessary. It should be stated that the patient’s tooth brushing system was changed from “scrubbing” to an oscillating toothbrush.