Background. Orthodontic TOOTH MOVEMENT are those generated by external forces applied in a controlled manner with the purpose of attaining a predetermined TOOTH MOVEMENT. orthodontict TOOTH MOVEMENTs must be carried out in the absence of inflammation, the accumulation of dental biofilm during orthodontic treatment must be prevented and closely monitored. Methods. Review articles were searched via PubMed, Elsevier, Science direct, Internatinal journal of periodontics, journal of clinical periodontology, international journal of orthodontics and dentofacial orthopedics, journal of orthodontics and craniofacial research. Results. Some clinical studies have reported a mean increase in probing depth of about 0. 5 mm During orthodontic treatment, which is usually a result of inflammatory changes rather than periodontal attachment loss. If the periodontal inflammation is not fully controlled during the orthodontic treatment, however, these inflammatory processes Can accelerate the progression of periodontal destruction, leading to further loss of attachment. Conclusions. In the presence of a thick gingival tissue, gingival recessions will not occur, even when labial or expansive TOOTH MOVEMENTs are carried out. Treatment of pathologic migration requires a multidisciplinary approach with complete periodontal therapy to eliminate the infection and the inflammation of the periodontal tissues, followed by orthodontic therapy and restoration of the Lost dentition With Dental Implants and/or prosthetic restorations.