Tironi Francesco, Sofos Stavros, Wong Jason, Leyva Megan, Contasti Gisella, Nevins Myron, Vardar-Sengul Saynur
Department of Periodontology, College of Dental Medicine, Nova Southeastern University, Fort Lauderdale, Florida, USA.
Division of Periodontology, Department of Oral Medicine, Infection and Immunity, Harvard University, School of Dental Medicine, Boston, Massachusetts, USA.
Clin Adv Periodontics. 2024 Nov 14. doi: 10.1002/cap.10321.
Orthodontic treatment in adults with thin periodontal phenotype presents challenges such as lengthy treatment time and increased risk for gingival recessions. In this case, surgically facilitated orthodontic treatment (SFOT) was proposed to accelerate orthodontic tooth movement while modifying the periodontal phenotype.
An orthodontic patient was referred for periodontal evaluation of lower anterior teeth, which presented a thin gingival phenotype and bone dehiscence. SFOT was performed on the mandible using particulate allograft combined with platelet rich fibrin (PRF) and collagen membrane to augment soft and hard tissue, thereby preventing future recessions, while accelerating the treatment times.
Six-month and 3-year follow-ups confirmed radiographic bone fill, absence of gingival recession and thick band of keratinized gingiva. SFOT also resulted in a shorter treatment time where desired tooth movements were achieved within 6 months with periodontal stability.
SFOT provided clinical benefits by accelerating orthodontic movement, improving periodontal phenotype, preventing the displacement of teeth beyond the alveolar housing and minimizing the risk for development of dehiscences and gingival recessions.
Orthodontic movements can create recessions and dehiscence in thin periodontal phenotypes. SFOT can help prevent bone dehiscence and creates a thicker gingival phenotype while accelerating treatment time.
Adults who face lengthy orthodontic treatments and have thin gums have risks of gum problems. Surgically facilitated orthodontic treatment (SFOT) can help by speeding up tooth movements and improving gum health and thickness. A patient with thin gums and lack of bone in the lower front teeth was evaluated. The SFOT procedure involved using a bone graft, healing factors, and a collagen membrane to strengthen the gums and bones. This approach aimed to prevent future gum problems and speed up orthodontic treatment. Follow-ups at 6 months and 3 years after treatment showed good healing of the gums and bones, with no signs of gum recession and healthier, thicker gums. The desired tooth movements were achieved within 6 months, resulting in a shorter treatment time. The patient's gums remained stable throughout this period. SFOT offered significant clinical benefits, including faster tooth movement and improved gum health. It also helped prevent teeth from moving out of place and minimized the risk of gum recession and bone issues. This approach can be a valuable option for adults with thin gums undergoing orthodontic treatment.
对于牙周表型较薄的成年患者，正畸治疗面临诸多挑战，如治疗时间长以及牙龈退缩风险增加。在此病例中，提出了手术辅助正畸治疗（SFOT），以加速正畸牙齿移动，同时改善牙周表型。
一名正畸患者因下颌前牙的牙周评估前来就诊，其表现为牙龈表型较薄且存在骨开裂。在下颌进行了手术辅助正畸治疗，使用颗粒状同种异体移植物联合富血小板纤维蛋白（PRF）和胶原膜来增加软组织和硬组织，从而预防未来的退缩，同时缩短治疗时间。
6个月和3年的随访证实了影像学上的骨填充、无牙龈退缩以及角化龈增厚。手术辅助正畸治疗还使治疗时间缩短，在6个月内实现了所需的牙齿移动且牙周稳定。
手术辅助正畸治疗通过加速正畸移动、改善牙周表型、防止牙齿移位超出牙槽窝以及将开裂和牙龈退缩的发生风险降至最低，带来了临床益处。
正畸移动可在牙周表型较薄的情况下导致退缩和开裂。手术辅助正畸治疗有助于预防骨开裂，并在加速治疗时间的同时形成更厚的牙龈表型。
面临漫长正畸治疗且牙龈较薄的成年人有牙龈问题的风险。手术辅助正畸治疗（SFOT）可以通过加快牙齿移动以及改善牙龈健康和厚度来提供帮助。对一名下颌前牙牙龈薄且骨质缺乏的患者进行了评估。手术辅助正畸治疗程序包括使用骨移植、愈合因子和胶原膜来强化牙龈和骨骼。这种方法旨在预防未来的牙龈问题并加快正畸治疗。治疗后6个月和3年的随访显示牙龈和骨骼愈合良好，没有牙龈退缩的迹象，牙龈更健康、更厚。在6个月内实现了所需的牙齿移动，从而缩短了治疗时间。在此期间患者的牙龈保持稳定。手术辅助正畸治疗带来了显著的临床益处，包括更快的牙齿移动和改善的牙龈健康。它还有助于防止牙齿移位，并将牙龈退缩和骨骼问题的风险降至最低。对于接受正畸治疗的牙龈薄的成年人来说，这种方法可能是一个有价值的选择。
