Periodontal patients with aligners
Treating patients with periodontal disease is not a limitation for aligner therapy, but it requires a different mindset, precise biomechanics, and respect for biology.
In periodontally compromised patients, the center of resistance shifts apically, which means that even small forces can produce significant and sometimes unwanted movements. When planned correctly, aligners can become a very safe and effective tool, offering controlled, light, and continuous forces.
The goal is not aggressive movement, but controlled, biologically respectful tooth positioning, with aesthetics and periodontal health working together, not against each other.
This protocol is designed for clinicians who want to treat complex patients safely, predictably, and responsibly using aligners.
I offer remote orthodontic treatment planning consultations for colleagues who want structured guidance in aligner biomechanics.
Feel free to message me if you’d like a second opinion or help with your cases.
Bellow you find the LinkedIn contact.
https://www.linkedin.com/in/andreea-dr%C4%83gostin-b7093a3a1/
Thank you so much for your interest and for supporting my work. It truly means a lot to me. I’m happy to share this with you and hope you’ll find it genuinely useful in your clinical practice.
This document focuses on: -How periodontal status changes tooth biomechanics -Why low-force, low-velocity movements are essential -Which movements to avoid and which are more predictable -Attachment design and trimline considerations -The role of staging, wear time, and retention strategies -How to reduce black triangles and preserve papillae -Practical clinical tips to minimize risks and improve long-term stability