Chronic Periodontists is characterized by: higher prevalence in adults compared to children and adolescents, disease progression is slow with periods of exacerbation and remission of periodontal tissue destruction related to the presence of local factors, the calculation is a subgingival common finding, can be classified based on the extent and severity, which in this case is a severe generalized chronic periodontitis. (3)
Sometimes ortondoncicos procedures are required for periodontal treatment to reposition teeth. The recommendation to pursue an orthodontic correction depends on the severity of the periodontal problem, braces may improve with the level of the remaining bone, and it is also possible that the periodontal condition worsens uncorrected orthodontic (2) in the reported case were not evaluated these parameters yet started orthodontic treatment.
Priority is the patient involved in treatment because it will critically influence the course of their illness and the approach, although the degree of collaboration and capacity in the control of oral hygiene by the patient may only assess tratamiento4 over, in this case the patient was not motivated and maintained a high degree of collaboration in the control of plaque and periodontal disease advanced. One of the most important requirements for starting orthodontic treatment in a patient treated periodontally include patient motivation, periodontal disease under control and good communication between especialistas5, in this case was not complied with any of these requirements.