Private Practice, Periodontics and Dental Implant Surgery, Periodontal Medicine & Surgical Specialists, LLC, Oakbrook Terrace, IL.
Department of Graduate Periodontics, College of Dentistry, University of Illinois, Chicago, IL.
Clin Adv Periodontics. 2020 Dec;10(4):204-212. doi: 10.1002/cap.10102. Epub 2020 May 29.
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)?
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.
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.
跨学科齿面治疗 (IDT) 团队在评估接受手术辅助正畸治疗 (SFOT) 的患者的诊断过程中应考虑哪些关键因素？
SFOT 可在牙颌面不调错畸形的治疗中产生脱矿骨基质并增强牙牙槽缺陷。存在许多适应证和禁忌证，这对牙周外科医生进行正确的病例选择至关重要。IDT 团队的协作性重点检查同样至关重要。锥形束计算机断层扫描 (CBCT) 和正畸模拟软件可识别牙齿移动对牙牙槽复合体的影响，这对于在治疗计划过程中向患者和 IDT 团队提供透明度至关重要。这种透明度可以帮助团队评估目标和结果，在考虑和尊重基础牙牙槽参数的同时，为可持续的结果做出贡献。
SFOT IDT 的决策过程复杂，但充满机会。通过创新和新颖的 3D 技术采用 SFOT IDT 可以优化条件，从而实现长期结果，这些结果与牙周稳定性以及患者目标和偏好一致，这些目标和偏好超越了“矫正牙齿”的实现。通过 3D CBCT 和正畸模拟软件实现复杂 IDT 的透明度可产生“协作问责制”，并可以改善患者沟通，这对于制定有意义和必要的治疗计划至关重要。
