Aligner Therapy in Periodontitis – Function, Evidence, and Clinical Reality

The aging process of the jaw is a physiological process that can begin as early as the age of 30. ThereAdult patients with reduced periodontal attachment represent an increasing proportion of cases in orthodontic practice. At the same time, aligner therapy is often regarded as a particularly suitable treatment modality.

This lecture provides a concise overview of the current evidence on orthodontic treatment with aligners in periodontally treated patients. The focus is on periodontal monitoring, clinical stability, oral hygiene capability, and interdisciplinary treatment strategies.

Indications, timing after periodontal therapy, risk assessment, and the limitations of treatment will be discussed. The objective is to provide a realistic, evidence-based appraisal of aligner therapy in the periodontally compromised dentition and to derive practical decision-making principles for everyday clinical practice. are defined leading symptoms that can be found in almost all cases of this ageing process: In addition to esthetic aspects, functional disorders in the sense of CMD should also be mentioned here. A continuous progression can often be observed.

While in the early days of aligner therapy it was essentially only possible to resolve slight crowding and minor malocclusions, today - 25 years later - we have extremely sophisticated aligner systems at our disposal that can also be used to solve very complex treatment problems. 25 years later, the combination of approach-supported individual treatment planning with digital recordings of temporomandibular joint movements opens up completely new perspectives for the treatment of patients with functional complaints. The lecture will present an innovative therapy concept for patients with functional disorders.