Brace yourself! Decision-making for orthodontic treatment and periodontal care in patients with periodontal diseases and malocclusion

This course will elucidate the decision-making process and sequencing for periodontal and orthodontic treatment in patients with both malocclusion and periodontal diseases/conditions.

The American Association of Orthodontists (AAO) estimates that 27% of patients receiving orthodontic treatment in the US and Canada are adults, and therefore may be more likely to present with periodontal diseases and conditions. In fact, it is estimated that the prevalence of periodontitis is 42% in adults >30 years of age, and approximately 50% of adults have at least one site with >1 mm of gingival recession. It is therefore critical to understand the rationale and proper sequencing for periodontal and orthodontic care for common clinical presentations, including periodontitis, thin periodontal phenotype/gingival recession, and esthetically compromised hopeless teeth. After active disease and inflammation are well controlled, integration of periodontal and orthodontic treatment can be used to allow for optimal outcomes based upon the directionality of orthodontic forces, the bony and soft tissue morphology, and the need for esthetic improvements at the sites of hopeless teeth. In these complex cases, a staged, interdisciplinary approach can most adequately treat patients to achieve optimal esthetics, function, and oral health. This course will elucidate the decision-making process and sequencing for periodontal and orthodontic treatment in patients with both malocclusion and periodontal diseases/conditions.

Educational objectives

Upon completion of this course, the dental professional should be able to:

  • Critically assess the effects of periodontal inflammation on orthodontic tooth movement and the implications for orthodontic treatment in individuals with periodontitis.
  • Discuss the optimal sequencing for nonsurgical and surgical periodontal care in individuals undergoing orthodontic tooth movement.
  • Evaluate the impact of periodontal phenotype alteration and/or gingival recession treatment for individuals undergoing orthodontic tooth movement.
  • Understand the advantages and disadvantages of orthodontic tooth extrusion for implant site preparation at hopeless teeth with esthetic compromise.

About the Author

Mia L. Geisinger, DDS, MS, is a professor and director of advanced education in periodontology at the University of Alabama at Birmingham (UAB). Dr. Geisinger received her BS in biology from Duke University, her DDS from Columbia University School of Dental Medicine, and her MS and certificate in periodontology and implantology from the University of Texas Health Science Center at San Antonio. Dr. Geisinger is a diplomate in the American Board of Periodontology. She has served as the president of the American Academy of Periodontology Foundation (AAPF), as the chair of the American Dental Association’s Council on Scientific Affairs, and on multiple national and regional organized dentistry committees. She currently serves as the vice president of the AAP and on the Board of Directors for the ADA Science & Research Institute. She has authored over 60 peer-reviewed publications, and she lectures nationally and internationally on topics in periodontology and oral health care.

Quick Access Code: 22127
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Not Enrolled

Course Includes

  • 1 Lesson
  • 1 Test
  • Course Certificate
  • CE credit(s): 3

    Course Type: Written

    Published Date: June 2023

    This continuing education (CE) activity was developed by Endeavor Business Media with no commercial support.

    This course was written for dentists, dental hygienists, and dental assistants, from novice to skilled.

    Educational methods: This course is a self-instructional journal and web activity.

    Provider disclosure: Endeavor Business Media neither has a leadership position nor a commercial interest in any products or services discussed or shared in this educational activity. No manufacturer or third party had any input in the development of the course content.

    Requirements for successful completion: To obtain 3 CE credits for this educational activity, you must pay the required fee, review the material, complete the course evaluation, and obtain an exam score of 70% or higher.

    CE planner disclosure: Laura Winfield, Endeavor Business Media dental group CE coordinator, neither has a leadership nor commercial interest with the products or services discussed in this educational activity. Ms. Winfield can be reached at

    Educational disclaimer: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise.

    Image authenticity statement: The images in this educational activity have not been altered.

    Scientific integrity statement: Information shared in this CE course is developed from clinical research and represents the most current information available from evidence-based dentistry.

    Known benefits and limitations of the data: The information presented in this educational activity is derived from the data and information contained in the reference section.

    Registration: The cost of this CE course is $39.00 for 3 CE credits.

    Cancellation and refund policy: Any participant who is not 100% satisfied with this course can request a full refund by contacting Endeavor Business Media in writing.

    Provider information:

    Dental Board of California: Provider RP5933. Course registration number CA code: 03-5933-22127. Expires July 2026. “This course meets the Dental Board of California’s requirements for 3 units of continuing education.”


    Endeavor Business Media is a nationally approved PACE program provider for FAGD/MAGD credit.
    Approval does not imply acceptance by any regulatory authority or AGD endorsement.
    11/1/2022 to 10/31/2024.
    Provider ID# 320452
    AGD code: 490


    Endeavor Business Media is designated as an approved Provider by the American Academy of Dental Hygiene, Inc. #AADHPNW (January 1, 2022–December 31, 2024). Approval does not imply acceptance by a state or provincial Board of Dentistry. Licensee should maintain this document in the event of an audit. AADH code:


    Endeavor Business Media is an ADA CERP–recognized provider.

    ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of dental continuing education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

    Concerns or complaints about a CE provider may be directed to the provider or to CERP at



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