Understanding the association between orthodontic tooth movement and the development of gingival recession is important given the large number of adolescents and adults undergoing orthodontic treatment every year.

Active orthodontic tooth movement can induce gingival recession when teeth are moved outside the alveolar envelope. However, the available scientific evidence does not give a definitive answer to the question whether orthodontic treatment is a major risk factor for the development of gingival recession in the long-term. The same is true regarding the role of individual patient-related or treatment-related contributing factors.

When treating gingival recession in orthodontic patients, special care has to be given in the analysis of the specific topographic characteristics of the individual case as this will dictate the need for orthodontic preparation prior to surgical intervention.

This presentation will: (a) discuss the role of active orthodontic treatment and fixed retention in the development of gingival recession, (b) illustrate the clinical situations that need orthodontic preparation prior to surgical coverage of gingival recession.

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