The aim of this presentation is to up-date the new strategies in adult ontic orthodontic treatment. The periodontal condition must be a primary consideration before initiating dontic orthodontic treatment and must be constantly monitored during the whole and treatment and retention period . 1250 patients ( 28-83 years old ) were analyzed and pre-treatment, 2, 4 and up 22 years post treatment results were evaluated The results confirmed that a significant osseous repair was achieved in nearly 82% 82% of the patients.

Learning Objectives :

1. New protocols will be discussed while considering the individualized treatment objectives
2. The use of new alloys allow better movement control and long term reliable results