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Surgically Facilitated Orthodontic Therapy (SFOT): Diagnosis and Indications in Interdisciplinary Dentofacial Therapy Involving Tooth Movement
Author(s) -
Mandelaris George A.,
Huang Iwei,
Relle Robert,
Vence Brian S.,
DeGroot Bradley S.
Publication year - 2020
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10102
Subject(s) - medicine , transparency (behavior) , case selection , radiation treatment planning , cone beam computed tomography , malocclusion , orthodontics , dentistry , medical physics , computed tomography , computer science , surgery , computer security , radiation therapy
Focused Clinical Question What are the key considerations for the interdisciplinary dentofacial therapy (IDT) team in the diagnostic process to evaluate a patient for surgically facilitated orthodontic therapy (SFOT)? Summary SFOT creates a demineralized bone matrix and augments dentoalveolar deficiencies in the management of dentofacial disharmony malocclusion. Numerous indications and contraindications exist which are essential to the periodontal surgeon for proper case selection. A collaboratively focused workup by an IDT team is equally essential. Cone beam computed tomography (CBCT) and orthodontic simulation software which identifies changes in the dentoalveolar complex influenced by tooth movement are critical in providing transparency to the patient and IDT team during the treatment planning process. Such transparency can aid the team in assessing goals and outcomes that consider and respect foundational dentoalveolar parameters while contributing to sustainable outcomes. Conclusions The SFOT IDT decision making process is complex, yet full of opportunities. Embracing SFOT IDT with innovative and novel 3D technology can optimize conditions leading to long‐term outcomes that align with periodontal stability as well as patient goals and preferences which permeate beyond the achievement of “straightening teeth”. Transparency of complex IDT through 3D CBCT and orthodontic simulation software engenders “collaborative accountability” and can improve patient communication which is critical to developing meaningful and essential treatment plans.