# Recession - Grafting before or after treatment?

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# Question: 

This is a pt with deep bite and a few area recession and 44 on cross bite , would you recommend getting grafting before Treatment?


# Answer: 

In general, complete all Treatment before doing orthodontic treatment. But, if you’re ever in doubt, ensure that you’ve completed a perio consult first. 


[https://www.loom.com/share/c9ed9695ca5d41b2aa674253b589a2bc?sid=d73e4989-2ce0-40b6-a983-5ed13f39a6aa](https://www.loom.com/share/c9ed9695ca5d41b2aa674253b589a2bc?sid=d73e4989-2ce0-40b6-a983-5ed13f39a6aa)


The question is whether it’s better to perform a graft before or after treatment for a patient with recession. In most real-world cases, it's recommended to do the graft at the end of treatment. However, if there’s any uncertainty, a perio consult is a good idea to ensure due diligence.


In this case, I would proceed with treatment and apply palatal or lingual root torque to improve the buccal-lingual alignment, which may help prevent further recession, and in some cases, may improve it. After treatment, the grafting can be done if necessary.