Age per se is not a contraindication to orthodontic treatment. No single treatment route is best for all adults who have malocclusions and who many times have problems that involve other areas of dentistry aside from the specialized area of orthodontics. This article presents a case report of 55 year old female who came with a chief complaint of rotation and spacing in lower front teeth. She had midline diastema in lower arch with lower cental incisors rotated and high frenal attachment. Her periodontal status showed that there was a severe horizontal bone loss irt 31,41. Patient went to an initial periodontal checkup followed by fixed orthodontic therapy. Care was taken to keep the forces light. After the orthodontic treatment, periodontal intervention was done with gingival repositioning and frenectomy. The patient and the interdisciplinary team were satisfied with the esthetic and functional outcomes of this challenging treatment.