Periodontitis is a chronic multifactorial disease induced by a microbial biofilm leading to progressive destruction of the tooth-supporting tissue. Severe periodontitis often contributes to pathologic tooth migration (PTM) or tooth loss. In consequence, patients with advanced periodontitis can require, apart from periodontal therapy, orthodontic and/or prosthetic treatment.

Case Report:
A multidisciplinary approach is presented to the treatment of stage IV periodontitis in a 46-year-old woman. Non-surgical periodontal therapy followed by orthodontic treatment were performed. A 3-year follow-up demonstrated complete resolution of periodontal inflammation, improved aesthetics and stable occlusion.

Comprehensive treatment of patients with advanced periodontitis requires adequate timing and a multidisciplinary approach to eventually restore occlusal harmony with stable periodontium and satisfying aesthetics.

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