Orthodontics in Stage IV periodontitis patients: when and how perform our treatment.

Patients with stage 4 periodontitis are characterized by severely reduced periodontal support, tooth loss and pathologic tooth migration, causing poor occlusal stability, inadequate masticatory function, difficulties in finalizing the prosthetic restauration and aesthetic impairment.

Orthodontics is often necessary to finalize the treatment by aligning prosthetic abutment, creating ideal space for implant restorations, reducing overbite and overjet, improving aesthetic and occlusion, while trying to maintain the natural dentition of the patient after periodontal therapy.

Patients with severely reduced periodontium undergoing orthodontic treatment need clear definitions of treatment goals and timing of the different therapeutic steps, as well as careful planning of biomechanics, appliance design and retention phase.

A thorough interdisciplinary treatment plan should be performed with definition of all the aspects of treatment, including precise steps and timing of the different interventions performed by the practitioners involved.

Furthermore, orthodontics should be performed in a healthy periodontium following step 1-2-3 of periodontal treatment, combined with close maintenance and monitoring of periodontal health throughout the treatment.

According to scientific evidence and 20 years of clinical experience we will analyze indications, goals and limitations to allow a safe and successful orthodontic treatment of periodontal patient.

Curriculum vitae

Graduated from Medical School in 1992, Dentistry degree in 1995 and diploma in Periodontology in 1996 at the University of Turin, Italy. Specialization in Orthodontics in 2001 after a three year postgraduate programme at the Royal Dental College, Aarhus University, Denmark, in the department directed by Professor Birte Melsen.  In 2003 Master of Science in Orthodontics in the same department. Winner of the  2003 SIDO prize as best Oral Presentation in the section Osteodistraction. Best Poster in 2017 SIDO Congress. Diplomate at the Italian Board of Orthodontics in 2013 and European Board of Orthodontics in 2020. Faculty member at the EFP Master in Periodontology, Turin University, since 2007. Guest lecturer at the International Short-term Postgraduate Course in Orthodontics at Aarhus University (DK) since 2011. Lecturer at the Postgraduate Orthodontic Program at Turin University and Milan San Raffaele Vita e Salute University. President of SIBOS (Italian Society of Biomechanics and Segmented Arch) 2019-20. Treasurer of SIDO (Italian Society of Orthodontics) in 2020-21. SIDO President elected for 2026.

Active member of SIDO, Italian Academy of Orthodontics, AAO, WFO, EOS.

Private practice of orthodontics in Turin, Italy.