Surgically Facilitated Orthodontic Therapy
Comorbidities that negatively impact orthodontic (malocclusion), periodontal (periodontitis, deficient dentoalveolar bone volume, mucogingival), and prosthetic (structural integrity compromise from caries, attrition, and erosion) conditions can affect the
- PDF / 1,067,106 Bytes
- 23 Pages / 439.37 x 666.142 pts Page_size
- 32 Downloads / 210 Views
14
George A. Mandelaris and Bradley S. DeGroot
14.1 Introduction It is widely accepted that diseases of the oral cavity have effects which reach past the head and neck area and may significantly impact the general health of the patient. Whether it is malocclusion, caries, attrition, erosion, periodontitis, deficient dentoalveolar bone volume, mucogingival discrepancies, or the impairment of craniofacial structural integrity, patients often find themselves at risk for systemic comorbidities. Increasingly, the underdeveloped or compromised airway and the myriad health impairments this may cause have become an emerging focus of dentistry. Deficiencies in dentoalveolar bone volume (relative to the dentition) and discrepancies in skeletal
G. A. Mandelaris (*) Diplomate, American Board of Periodontology, Severna Park, MD, USA Department of Graduate Periodontics, University of Illinois, College of Dentistry, Chicago, IL, USA Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA Periodontal Medicine and Surgical Specialists, LLC, Chicago, IL, USA e-mail: [email protected] B. S. DeGroot Diplomate, American Board of Periodontology, Severna Park, MD, USA Periodontal Medicine and Surgical Specialists, LLC, Chicago, IL, USA e-mail: [email protected] © Springer Nature Switzerland AG 2020 S. Nares (ed.), Advances in Periodontal Surgery, https://doi.org/10.1007/978-3-030-12310-9_14
223
224
G. A. Mandelaris and B. S. DeGroot
relationships can reduce oral cavity and oropharyngeal airway volume. Dentoalveolar volume deficiencies are manifesting with increasing prevalence as dental crowding, inappropriately compensated arch forms, and malocclusion. Surgically facilitated orthodontic therapy (SFOT) uses corticotomies and decortication within the dentoalveolar and alveoloskeletal bone complex to stimulate the regional acceleratory phenomenon (RAP) [1–6] and upregulate bone remodeling in order to facilitate tooth movement as a part of orthodontic decompensation measures. It also generally includes efforts consistent with guided periodontal tissue regeneration (where fenestrations or dehiscence’s are present) and/or dentoalveolar bone augmentation. This treatment modality is based on addressing the etiology of the core problem and is aimed at achieving a physiologically sound and homeostatic resolution. The harmonization of tooth-to-tooth, tooth-to-jaw, jaw-to-jaw, and jaws- to-face relationships, when implemented appropriately, can provide the patient with stable, sustainable esthetics and function. SFOT is emerging as a pivotal component of interdisciplinary dentofacial therapy (IDT) for the improvement of overall health. However, SFOT is demanding for both patient and treating clinician. It requires a high level of training, focus, attention, and communication by and among all members of the interdisciplinary team as well as thorough communication with the patient about the realistic expectations and outcomes from the therapy. This chapt
Data Loading...
