Discussion.
Many Adult patients suffer from mild to severe forms of periodontal disease, which can worsen during the orthodontic treatment phase. It is important for the orthodontist to identify the periodontal problems early and make a proper treatment plan arranging the orthodontic and periodontal therapy in a proper sequence, to enhance the patient’s periodontal health. Therefore the orthodontist should be able to identify any pathology from normal periodontal status during the orthodontic therapy. As a basic rule orthodontic treatment should not be started until inflammation of gingiva has decreased to minimum to adequate scaling, root planning and correction of other irritant factors and it is of utmost importance to do periodic checkups during orthodontic treatment every 8 to 12 weeks [10,22].