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Periodontal phenotype modification in surgically facilitated orthodontics: A case report
Francesco Tironi1, Stavros Sofos1, Jason Wong1
1Department of Periodontology, College of Dental Medicine, Nova Southeastern University, Fort Lauderdale, Florida, USA.
Clinical Advances in Periodontics
|November 14, 2024
Summary
Surgically Facilitated Orthodontic Treatment (SFOT) accelerates tooth movement and improves gum health in adults with thin periodontal phenotypes. This innovative approach reduces treatment time and prevents gingival recession and bone dehiscence.
Area of Science:
- Periodontology
- Orthodontics
- Regenerative Medicine
Background:
- Adult orthodontic treatment with thin periodontal phenotype poses risks of prolonged treatment and gingival recession.
- Surgically Facilitated Orthodontic Treatment (SFOT) is explored to expedite orthodontic movement and enhance periodontal phenotype.
Observation:
- A patient with a thin gingival phenotype and bone dehiscence in the lower anterior teeth underwent SFOT.
- The procedure involved particulate allograft, platelet-rich fibrin (PRF), and a collagen membrane to augment soft and hard tissues.
Findings:
- Radiographic bone fill and a thick band of keratinized gingiva were observed at 6-month and 3-year follow-ups.
- Absence of gingival recession and achievement of desired tooth movements within 6 months with periodontal stability were noted.
- SFOT accelerated treatment time while enhancing periodontal health.
Implications:
- SFOT offers significant clinical benefits for adults with thin periodontal phenotypes.
- The procedure accelerates orthodontic movement, improves gingival phenotype, and prevents complications like dehiscence and recession.
- SFOT is a valuable option for minimizing risks and improving outcomes in adult orthodontic treatment.
