Aim- To assess the relationship between orthodontic treatment and gingival health. Materials and methods- This study aimed to evaluate the effects of fixed orthodontic treatment on gingival health. A total of 50 patients scheduled for orthodontic treatment were recruited for the research. An exhaustive intraoral examination was performed to assess visible plaque, any clinically apparent inflammation, and instances of gingival recession. The classification of gingival recession, when observed, adhered to the criteria established by Miller. Additionally, gingival biotype analysis was conducted based on assessments of gingival texture and capillary transparency. Follow-up records were also analyzed. Data analysis was done using SSPS software. Results- The visible plaque value increased from 4.2 before treatment to 5.7 after treatment, with a statistically significant P value of 0.002. Visible inflammation also showed a significant increase, rising from 3.12 before treatment to 14.01 after treatment, with a P value of 0.015. Similarly, the gingival recession score increased from 0.12 prior to treatment to 0.43 post-treatment, with a P value of 0.002, indicating a notable difference after orthodontic intervention. Conclusion- Following fixed orthodontic treatment, there is a notable rise in plaque accumulation, inflammation, and gingival recession. Therefore, it is essential to perform regular oral prophylaxis throughout the course of orthodontic care.