In the present clinical case, the authors report the orthodontic treatment of an adult patient with Class II malocclusion with periodontal disease and extensive bone destruction in the anterior region of the median palatine suture. Before orthodontic treatment, the patient presented precarious oral health. The treatment proposed for the case was insertion of an autogenous graft and subsequent orthodontic movement of the teeth to the area of the graft. The results obtained were correction of the malocclusion with significant improvement in gingival retraction and smile esthetics. With this clinical case, it could be concluded that well-performed orthodontic treatment can improve periodontal condition.
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