I'm 39: 50% bone loss biologically and stress. Can I still have braces? Have healthy dental hygiene and gums. (photo)

HI, thanks for sending your question. I believe that since your periodontal condition is well controlled you should consider orthodontic which would have multiple benefits. First, repositioning your teeth in will improve the longevity of your teeth, since it would be more easier to keep clean and have less food trap areas. Furthermore by aligning the teeth the bite will be more secure and help in stabilizing the teeth.  I would seriously consider alignment of your teeth with clear aligners which will have multiple advantages vs traditional braces in your situation.  By eliminating brackets and metals your hygiene will be optimal because it is much easier to brush and floss. Furthermore since the movements are strategically placed using computer animation we are more in control of the forces being applied and increase the chance of more stable orthodontics. I routinely treat teeth similar to yours using Invisalign and have spectacular results. If you would like you can visit us in our Irvine location which is close. All the best.

Periodontal disease is never cured, only controlled/maintained (you state 50% bone loss, which means periodontal disease by definition).  While there may not be any puffy or bleeding gums, you cannot be categorized as healthy, just controlled.  As such, I believe the benefits to straight teeth are enough to pursue and think braces are a good choice.  As long as you see your periodontist as often as they suggest, you can minimize the risk of losing teeth.  There is still a CHANCE, so proceed cautiously.