Since bone response is conditioned by periodontal ligament, tooth movement will fundamentally be an action of the aforementioned ligament. Conventionally, periodontal therapy in adult patients suffering from reduced periodontium and orthodontic involvement, is reflected in prolonged treatments which might compromise the patient's financial possibilities, whereby he might not be able to afford them. Treatment results are unpredictable since bone behavior can vary and cause failure or relative success. For the aforementioned reasons, patients might well become reluctant to accept long term treatments. Orthodontic micro-surgery or corticotomy might be an alternative for orthodontic treatment in patients with reduced, healthy periodontium.
Convencionalmente, la terapia periodontal en pacientes adultos con periodonto reducido e involucramiento ortodóntico se traduce en tratamientos prolongados o puede implicar un compromiso financiero que el paciente no puede pagar, y los resultados del tratamiento son impredecibles ya que el comportamiento óseo puede variar y causar un fracaso o un éxito relativo, lo cual genera que los pacientes sean renuentes a aceptar tratamientos de largo plazo; una alternativa para el tratamiento ortodóntico en pacientes con periodonto reducido o periodonto sano es la microcirugía ortodóncica o corticotomía.