Ewa Czochrowska Dr Czochrowska graduated as a dentist from the Dental Faculty in Warsaw, Poland. She was a research fellow in the Department of Periodontology and Conservative Dentistry from 1991 until 1994. She completed her postgraduate training in orthodontics at the University of Oslo, Norway in 1997 and then worked as a research fellow in the Orthodontic Department, Dental Faculty, Oslo until 2002. In 2003 she was awarded a PhD from the University in Oslo for a thesis on autotransplantation of teeth. She received the American Journal of Orthodontics and Dentofacial Orthopedics Dewel Orthodontic Award in 2002 for the publications from this research. In 2014 she was awarded a habilitation in medical science from the Medical University,Warsaw on her work related to orthodontic treatment of patients with periodontitis. Dr Czochrowska was the President of the European Orthodontic Society in 2014 in Warsaw. She is President of the Polish Orthodontic Society and a member of the European Board of Orthodontists. At present she is in private practice in Warsaw and also works at the Orthodontic Department in Warsaw. Her current research is based on the outcome of tooth transplantation and different aspects of interdisciplinary treatment. Abstract Is orthodontic treatment successful in patients with periodontitis? Patients with periodontitis are in a high risk group in relation to orthodontic treatment. Further destruction of their hard and soft tissues may continue during and after application of orthodontic forces. At the same time, orthodontic treatment can be used to correct pathologic tooth migration (PTM), aiming to preserve natural teeth and re-establish normal occlusion. In patients with severe PTM, orthodontics is an attractive option to avoid tooth extraction and prosthodontic replacement. Elimination of active periodontal inflammation before and during orthodontic tooth movement is absolutely essential. Excellent patient cooperation and close collaboration between the orthodontist and periodontist is mandatory for successful treatment but, even then, long-term results are unpredictable. The basic principles of aetiology and specificity of periodontal disease will be presented to aid understanding of its important characteristics. Clinical guidelines will be given for orthodontic treatment in patients with periodontitis: focusing on evaluation of periodontal tissues before treatment, clinical management during the active phase and retention after treatment. The results of combined periodontal/orthodontic treatment will be presented, illustrated by many clinical examples, including patients with severe alveolar bone loss. Stability after orthodontic treatment is the key factor for successful multidisciplinary management of periodontitis and this issue will be discussed in detail.
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