Dr. Daniela Garbo

Bio

Graduated from Medical School in 1992, Dentistry degree in 1995 and diploma in Periodontology in 1996 at the University of Turin, Italy. Specialization in Orthodontics in 2001 after a three-year postgraduate program at the Royal Dental College, Aarhus University, Denmark, in the department directed by Professor Birte Melsen. In 2003 Master of Science in Orthodontics in the same department. Winner of the 2003 SIDO prize as best Oral Presentation in the section Osteodistraction. Best Poster in 2017 SIDO Congress. Diplomate at the Italian Board of Orthodontics in 2013 and European Board of Orthodontics in 2020. Faculty member at the EFP Master in Periodontology, Turin University, since 2007. Guest lecturer at the International Short-term Postgraduate Course in Orthodontics at Aarhus University (DK) since 2011. Lecturer at the Postgraduate Orthodontic Program at Turin University and Milan San Raffaele Vita e Salute University. President of SIBOS (Italian Society of Biomechanics and Segmented Arch) 2019-20. Treasurer of SIDO (Italian Society of Orthodontics) in 2020-21.
SIDO President elected for 2026.
She published scientific articles in the field of orthodontics and is an international invited speaker.
Active member of SIDO, Italian Academy of Orthodontics, AAO, WFO, EOS.
Private practice of orthodontics in Turin, Italy.

Abstract

Orthodontic treatment of patients with compromised periodontium:
key-points for
long-term success.

Adult patients increasingly seek orthodontic treatment, as the appearance of their smile is a key factor in self-esteem, social relationships, and overall health at any age.
As the demand for improved smiles grows among adult patients, an interdisciplinary approach frequently becomes necessary due to factors like worn dentition, soft tissue issues, and periodontal concerns. In cases of Stage 3 and 4 periodontitis, patients often develop secondary malocclusion as a result of pathological tooth migration. This condition requires a coordinated interdisciplinary intervention to achieve occlusal, functional, and aesthetic outcomes. The orthodontist plays a crucial role in this process, tasked with enhancing occlusion and aesthetics, facilitating the alignment of teeth to optimize prosthetic restorations, or redistributing spaces for implant placement.

For successful treatment, it is essential that the orthodontist understands the periodontal conditions required to perform orthodontic procedures without exacerbating the periodontal support already compromised by periodontitis. Careful planning must include adapting biomechanics to the altered anatomical conditions, properly assessing anchorage and tooth movement needs, selecting the most appropriate appliance, and monitoring periodontal health throughout the treatment.
Retention strategies must also be carefully planned, considering subsequent steps in interdisciplinary treatment, which often involve additional restorative procedures, and must be monitored over time.

This comprehensive workflow ensures long-term success and the preservation of the patient’s natural dentition, as demonstrated by 25 years of clinical experience and studies involving over 60 patients.