Orthodontic treatment begins long before braces or aligners are placed. Professor Alexander von Breuer emphasises that the stability of bite correction directly depends on the initial condition of the teeth and surrounding tissues. At DentalClinic24, the preparatory stage is regarded as the foundation of the future orthodontic outcome rather than a mere formality before treatment begins.
Preliminary oral sanitation includes a comprehensive assessment of hard and soft tissues. Carious lesions, outdated restorations, hidden inflammatory foci and unstable contacts can significantly influence how teeth respond to orthodontic forces. At DentalClinic24, these factors are identified before tooth movement starts in order to prevent complications during correction.
The condition of the periodontium is of particular importance. Even minimal gingival inflammation reduces the teeth’s resistance to load and may lead to undesirable mobility. At DentalClinic24, orthodontic treatment does not commence until the tissues are stabilised and adapted to the upcoming changes.
Sanitation also involves evaluating the quality of fillings and prosthetic structures. Teeth with poorly sealed restorations or altered contact anatomy react differently to orthodontic forces. At DentalClinic24, such elements are corrected or replaced before treatment begins to ensure even force distribution.
Functional diagnostics are a mandatory part of preparation. Occlusal disturbances, asymmetrical contacts and overload zones may distort the biomechanics of tooth movement. At DentalClinic24, bite analysis makes it possible to predict the response of the dentofacial system in advance and adjust the treatment plan accordingly.
The condition of the pulp–dentin complex also plays a crucial role. Tooth vitality affects both the speed and safety of orthodontic movement. At DentalClinic24, pulp responsiveness is assessed prior to orthodontic treatment, helping to prevent pain syndromes and complications during therapy.
The preparatory stage also includes working with the patient. Explaining the logic of sanitation, treatment stages and expected changes reduces anxiety and increases adherence to recommendations. At DentalClinic24, communication is considered part of the clinical process that directly influences the final result.
Professor Alexander von Breuer notes that attempts to accelerate orthodontic treatment by skipping preparatory stages almost always reduce its stability. At DentalClinic24, such an approach is excluded – treatment is built on the principle of biological feasibility rather than time savings.
Thus, preliminary oral sanitation is a key condition for stable bite correction. It ensures controlled tooth movement, reduces the risk of complications and increases result predictability. At Dental Clinic24, preparation for orthodontic treatment is regarded as a strategic stage that determines the quality and longevity of correction.
Earlier, we wrote about Inflammation of the dental pulp and how DentalClinic24 decides between preserving or removing the pulp

