At the first examination, the orthodontist assesses not only the alignment of the teeth but also the condition of the gums. Diseases of the tissues that support the teeth (the gums and bone) can have different stages and symptoms – redness, bleeding when you brush, gum recession and even bad breath.
If a patient has gum problems, these must be brought under control before orthodontic treatment begins. A periodontist can give recommendations and arrange maintenance appointments to make sure the gums stay healthy while the teeth are being moved.
Once orthodontic treatment is complete, further procedures may be needed – covering areas of gum recession or trimming the gums. Throughout treatment, it is important that there is no active gum inflammation or bone loss.
This answer is for general information. Your own case needs an examination by an orthodontist.