Background: The current study was carried out to determine how orthodontic therapy and gingival health are related. Material and methods: The study involved 100 people, comprising 40 boys as well as 60 girls. The researchers looked at the patients' medical records and took note of their ages, length of treatment, and type of orthodontic therapy. The incisor angles on the lateral cephalometric films were evaluated both before and after the orthodontic therapy, and they also looked at intraoral photographs, noted whether or not there was visible plaque, inflammation, or gingival recession. Results: Patients treated with functional appliances both before and after treatment did not show any appreciable differences, according to the study. However, there was a considerable rise in visible plaque, inflammation, and gingival recession in patients who received fixed orthodontic gear after treatment. The gingival biotype did not significantly differ from one another. In patients who got fixed appliances and extractions, the study discovered a strong link between the position of the lower incisors and gingival recession. Additionally, among all teeth, cuspids exhibited the highest rate of gingival recession. Conclusion: It was found that throughout orthodontic treatment, the average levels of visible plaque and visible inflammation dramatically increased. Therefore, before starting orthodontic treatment, patients should have great periodontal health, and they should maintain it throughout the process. Additionally, a link was found between lower incisor retraction and gingival recession. Thus, during orthodontic treatment, lower incisor inclination shift should be evaluated with more controlled prospective research in order to prevent adverse effects. Given the link between orthodontic therapy and gingival health, patients, orthodontists, and periodontists should work together during orthodontic therapy.