title: Orthodontic management of dentition in patients with periodontally compromised dentition.
abstract: BACKGROUND
  An increasing number of adult patients are seeking orthodontic treatment to improve their dental appearance. However, special attention must be given to the periodontal status of the adults as periodontal disease and its sequel, such as pathologic migration of anterior teeth, result in esthetic and functional problems. In such adult patients, an interdisciplinary approach often offers the best option for achieving a predictable outcome to solve complex clinical problems.
  
  
  METHODS
  A prospective study was carried out on 20 adult patients [mean age = 33.3 ± 4.52 (SD), 11 females and nine males] with periodontally compromised and malaligned dentition. Loe and Silness Gingival Index (GI), Ramfjord's Periodontal Disease Index (PDI) and Dental Aesthetic Index (DAI) were recorded at the start and after completion of treatment.
  
  
  RESULTS
  Comparison of GI, PDI and DAI before and after completion of treatment showed statistically significant differences, indicating the relevance of combined orthodontic-periodontic treatment in periodontally compromised dentition (P < 0.01).
  
  
  CONCLUSIONS
  The outcome of the study showed that an interdisciplinary approach is a simple solution for complex clinical problems arising as a sequel to periodontitis, such as pathological tooth migration, restoring function, esthetics and periodontal health.
authors.affiliation: Adjutant General's Branch, IHQ, MOD (Army), New Delhi, India.
authors.forename: Mohinder
authors.initials: M
authors.lastname: Panwar
authors.affiliation: Department of Dentistry, AFMC, Pune, Maharashtra, India.
authors.forename: B
authors.initials: B
authors.lastname: Jayan
authors.affiliation: Adjutant General's Branch, IHQ, MOD (Army), New Delhi, India.
authors.forename: Vimal
authors.initials: V
authors.lastname: Arora
authors.affiliation: Armed Forces Dental Clinic, New Delhi, India.
authors.forename: Sukhdeep
authors.initials: S
authors.lastname: Singh
keywords: Dental esthetics; interdisciplinary dentistry; pathologic tooth migration; periodontal surgery; permanent splinting