Surgically Facilitated Orthodontic Therapy
90% of humans have less than 1 millimeter of bone on the front aspects of their natural teeth1. This increases the risks associated with orthodontic tooth movement. SFOT is an alternative approach that can help convert a vulnerable periodontal phenotype to one that is more robust and with less risk for long-term gingival health problems. It may also improve cavity volume and subsequently tongue space. SFOT moves teeth with less risk to bone and gums and can improve the bone volume around the often deficient root structures.
1.Braut V, Bornstein MM, Belser U, Buser D. Thickness of the anterior maxillary facial bone wall- a retrospective radiogaphic study using cone beam tomography. Int J Periodontics Restorative Dent 2011; 31(2):125-131.
Surgically-facilitated orthodontic therapy (SFOT), also known as Periodontally Accelerated Osteogenic Orthodontics (PAOO; i.e. Wilckodontics®) is a revolutionary approach that not only includes the efficient application of forces to the teeth, but also exploits the potential of the surrounding bone to respond to these forces. This orthodontic therapy is said to be “surgically-facilitated” because a periodontal procedure is used to accelerate tooth movement. Dr. Mandelaris is a certified Wilckodontics® surgeon.
How does Wilckodontics® work?
SFOT works to develop and manipulate the bone structure that supports teeth. This enables the doctors to temporarily “soften” bone so that teeth move more expeditiously in response to the forces exerted upon them by braces or other orthodontic appliances such as Invisalign®. Surgically-facilitated orthodontic therapy enables patients to grow additional bone where need be. This can be especially important for skeletally mature patients, as their bones are no longer in the process of growing and developing like children or teenage patients.
This interdisciplinary approach produces better results for patients. This is because facial bone structure is considered alongside tooth appearance, creating a beautiful, structurally-sound smile with sufficient bone support. Patients who opt for SFOT often have lower incidences of relapse and a decreased chance of root resorption (i.e., root breakdown and eventual loss). Patients also benefit from a shortened orthodontic treatment 50%-60% of the time.
Dr. Mandelaris has developed a forward-looking perspective on SFOT, as it goes hand in hand with the interdisciplinary philosophy of Periodontal Medicine Surgical Specialists. Dr. Mandelaris is currently working to educate other clinicians on the benefits of collaboration between oral health specialists for SFOT and other types of treatment.