Orthodontic space closure after loss of maxillary incisors and periodontal breakdown of the edentulous area and on adjacent teeth

The closure of an edentulous space with the orthodontic movement of adjacent teeth even if affected by severe loss of periodontal support is a treatment option nowadays supplanted by the implant-born crown substitution and periodontal regenerative/reconstructive therapy. Nevertheless it is important not to forget some fundamentals of dental research that still justify, even more when combined with the most recent innovations in the field of mucogingival surgery and guided tissue regeneration, the alternative of orthodontic space closure. The latter indeed represents a valuable alternative in many malocclusions complicated by lost maxillary incisors, first of all in the growing patients and when the gingival margins are visible during speech and smile.

This article will outline crucial details about the orthodontic management of the reduced periodontal tissues in the pressure area.