can orthodontists give braces to someone 42 with history of gum disorder without periodontic approval?

Answer 1

Can you clarify 'gum disorder?'

I would make sure that the patient truly has GUM disease (gingivitis), not BONE disease (periodontitis). If a patient has gingivitis, it's okay to start ortho; perio intervention is not required.

If a patient has moderate to severe periodontitis with mutliple areas of moderate to advanced bone loss and multiple areas of pocketing >6mm, I would advise a perio consult PRIOR to ortho tx. Rational is to make sure:

1) Your teeth are not excessively mobile that may warrant extractions.

2) You have sufficient attached gingiva tissue covering your roots.

3) Ortho depends on your teeth having sufficient and proper bone support. Without adequate bone due to periodontitis, ortho may further worsen the teeth's existing bone conditions.

If you have doubts, consult a general dentist or periodontist PRIOR to having brackets placed.

Answer 2

I don't really think braces would work at 42.