Can orthodontic treatment still be performed after gum recession?

In general, whether orthodontic treatment can be performed after gum recession depends on the severity of the gum recession and the specific condition of the teeth. The detailed analysis is as follows:

If the gum recession is mild, with only slight gingival retreat and minimal exposure of tooth roots, and there is no obvious tooth mobility, orthodontic treatment may generally be possible provided that periodontal tissues are confirmed healthy and free of ongoing inflammation upon examination. In such cases, any existing periodontal inflammation should be controlled prior to treatment. During orthodontic treatment, the dentist will adjust the force applied, using gentle tooth movement techniques to avoid additional irritation to the gums. Regular periodontal maintenance should also be performed to prevent further progression of gum recession, allowing most patients to successfully complete orthodontic therapy.

However, if the gum recession is severe, with extensive root exposure, noticeable tooth mobility, or accompanied by serious periodontitis and alveolar bone loss, direct orthodontic treatment is usually not recommended. Severe recession compromises the support structure of the teeth, and applying orthodontic forces may worsen tooth mobility or even lead to tooth loss. Additionally, performing orthodontic treatment while periodontal inflammation is uncontrolled can further damage periodontal tissues. Therefore, it is essential first to undergo periodontal therapy to control infection and improve gum health. Only after the teeth and periodontium have stabilized should a reassessment be made to determine eligibility for orthodontic treatment.

Prior to initiating orthodontic treatment, a comprehensive evaluation of periodontal health is necessary to identify the cause and extent of gum recession and to develop an individualized treatment plan. During treatment, meticulous oral hygiene must be maintained—using soft-bristled toothbrushes, dental floss, and other cleaning tools—and regular periodontal check-ups and maintenance visits are essential to prevent recurrence of inflammation. If symptoms such as gum redness, swelling, bleeding, or increased tooth mobility occur during treatment, prompt consultation with the dentist is required to adjust the treatment plan and ensure patient safety.