Surgically Facilitated Orthodontic Therapy (SFOT): Diagnosis and Indications in Interdisciplinary Dentofacial Therapy Involving Tooth Movement.

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.

Surgically Facilitated Orthodontic Therapy: Optimizing Dentoalveolar Bone and Space Appropriation for Facially Prioritized Interdisciplinary Dentofacial Therapy.

Comorbidities that negatively impact orthodontic (malocclusion), periodontal (periodontitis, deficient dentoalveolar bone volume, mucogingival), and prosthetic (structural integrity compromise from caries, attrition, and erosion) conditions can affect the general health of the patient. In addition, emerging data highlights the importance of undiagnosed airway volume deficiencies and sleep-disordered breathing conditions in the adult and pediatric population. Deficiencies in dentoalveolar bone and discrepancies in skeletal relationships can impact the volume of hard- and soft-tissue structures of the periodontium and decrease oral cavity volume.

A classification system for crestal and radicular dentoalveolar bone phenotypes.

Pretreatment knowledge of crestal and radicular dentoalveolar zones and their associated thicknesses can improve risk assessment to meet esthetic and functional goals, particularly when discrepancies in anterior maxillary and mandibular arches exist and when an anterior protected articulation is to be achieved. This paper discusses a new classification of dentoalveolar bone phenotypes that differentiates the alveolar crestal zone from that of the radicular zone and classifies the thickness of facial bone at each compartment to aid in interdisciplinary dentofacial therapy risk assessment. The zone of crestal bone is defined as the region of the tooth alveolus measured from the cementoenamel junction (CEJ) to a point 4 mm apical.

Management of dentoalveolar ridge defects for implant site development: an interdisciplinary approach.

This article presents the interdisciplinary management of a severe alveolar ridge defect to enable optimal implant placement and minimally invasive dentistry for an optimal functional and esthetic outcome. To attain the best esthetic and biologic results for implant placement, an interdisciplinary approach was used to synergistically combine orthodontics, periodontics, and restorative dentistry to simplify a complex periodontal restorative problem and minimize the procedures required for restoration of maximal esthetics and function.

Predictable esthetics through functional design: the role of harmonious disclusion.

Unlabelled: The goal of this clinical report is to describe and illustrate the principles for achieving a predictable esthetic result for patients with worn incisal edges by creating a harmonious angle of disclusion. Patients can create an esthetic problem from altered tooth form and tooth migration, caused by worn incisal edges resulting from parafunctional activity. This presents substantial challenges to the restorative dentist, paramount among them, achieving longevity of porcelain or composite bonded restorations used in an esthetic reconstruction.