Teeth, gums and other treatmentsQuestion before treatment

I have gum problems. Can I start orthodontic treatment?

Answered byDr Ivelina Ivanova-Koycheva, Orthodontist (MSc)Master's degrees in orthodontics in Rome and in aligner treatment in Turin, international lecturerPublished on 12 November 2026

Problems such as bleeding gums, gum recession or loose teeth need to be brought under control before orthodontic treatment begins. This is done by a periodontist, who decides when straightening the teeth can begin.

The periodontist's work does not end once you are ready for orthodontic treatment – they also need to monitor the health of your gums during treatment to avoid complications.

This answer is for general information. Your own case needs an examination by an orthodontist.