Stern J Kobi, Beauchamp Stuart, Baldock William, Pumphrey Brock J, Richman Colin
Associate Professor, Department of Periodontics, Augusta University Dental College of Georgia, Augusta, Georgia.
Private Practice specializing in Periodontics, Ormond Beach, Florida.
Compend Contin Educ Dent. 2020 Sep;41(8):410-418; quiz 419.
The purpose of surgically facilitated orthodontic treatment (SFOT) is to increase and thicken the periodontal biotype, including both hard and soft tissue, and facilitate accelerated tooth movement through the induction of the regional acceleratory phenomenon. This article discusses the surgical and biomaterial factors related to increased predictability of bone augmentation when performing this pre-orthodontic surgical technique. Critical surgery-related factors of SFOT that will be examined include incision and flap design and closure, the depth and location of corticotomies, surgical trauma, augmentation protocols, and postoperative considerations. Biomaterial-related factors that will be reviewed encompass bone grafting materials, biologics, barrier membranes, and planned tooth movement.
外科辅助正畸治疗（SFOT）的目的是增加并增厚牙周生物型，包括硬组织和软组织，并通过诱导局部加速现象来促进牙齿的加速移动。本文讨论了在实施这种正畸术前外科技术时，与提高骨增量可预测性相关的手术和生物材料因素。将探讨的SFOT关键手术相关因素包括切口和瓣的设计与关闭、皮质切开术的深度和位置、手术创伤、增量方案以及术后注意事项。将回顾的生物材料相关因素包括骨移植材料、生物制剂、屏障膜以及计划中的牙齿移动。
