PRESURGICAL TREATMENT PHASE
Periodontal Considerations
As the first step in treatment, gingival inflammation mustbe controlled and the’ patient’s cooperation ensured. In patients who are unwilling or unable to clean their teeth properly before the placement of orthodontic appliances,
oral hygiene procedures will be even less effective when complicated by orthodontic band placement.

area of attachment and keratinizatlon is visualized. B, Siqniflcant improvement in attachment
and keratinization of ‘labial gingival tissue after gingival grafting
don tic movement of teeth-or a surgical procedure such as an inferior border osteotomy or segmental osteotomies in interdental areas.