Abstract
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 alveoloskeletal relationships can impact the volume of hard and soft tissue structures of the periodontium and decrease oral cavity volume. Contemporary interdisciplinary dentofacial therapy (IDT) is a key process for addressing the comprehensive problems of patients based on etiology, homeostasis, and sustainability of physiologically sound outcomes. These provide the patient with sustainable esthetics and function. Surgically facilitated orthodontic therapy (SFOT) uses corticotomies and dentoalveolar bone decortication to stimulate the regional acceleratory phenomenon and upregulate bone remodeling and tooth movement as a part of orthodontic decompensation. It also generally includes guided periodontal tissue regeneration and/or dentoalveolar bone augmentation via particulate bone grafting. SFOT enhances the dentoalveolar bone phenotype and augments the orthodontic boundary conditions as well as expanding orthodontic treatment opportunities for challenging malocclusion cases. SFOT as a part of IDT is demanding and requires extensive attention and communication among all team members. This chapter focuses on the role of SFOT as an integral component of contemporary IDT to enhance and facilitate highly predictable and sustainable outcomes.
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References
Wilcko WM, Wilcko T, Bouquot JE, Ferguson DJ (2001) Rapid orthodontics with alveolar resha**: two case reports of decrowding. Int J Periodontics Restorative Dent [Case Reports] 21(1):9–19
Garg AK (1997) The regional acceleratory phenomenon: an up-to-date rationale for bone decortication. Dent Implantol Update 8(8):63–64
Mueller M, Schilling T, Minne HW, Ziegler R (1991) A systemic acceleratory phenomenon (SAP) accompanies the regional acceleratory phenomenon (RAP) during healing of a bone defect in the rat. J Bone Miner Res 6(4):401–410
Frost HM (1989) The biology of fracture healing. An overview for clinicians. Part II. Clin Orthop Relat Res [Review] (248):294–309
Frost HM (1989) The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res [Review] (248):283–293
Frost HM (1983) The regional acceleratory phenomenon: a review. Henry Ford Hosp Med J 31(1):3–9
Enlow DH, Moyers RE (1971) Growth and architecture of the face. J Am Dent Assoc 82(4):763–774
Evensen JP, Ogaard B (2007) Are malocclusions more prevalent and severe now? A comparative study of medieval skulls from Norway. Am J Orthod Dentofacial Orthop 131(6):710–716
Krneta B, Zhurov A, Richmond S, Ovsenik M (2015) Diagnosis of Class III malocclusion in 7- to 8-year-old children—a 3D evaluation. Eur J Orthod 37(4):379–385
Joshi N, Hamdan AM, Fakhouri WD (2014) Skeletal malocclusion: a developmental disorder with a life-long morbidity. J Clin Med Res 6(6):399–408
Ahn J, Kim SJ, Lee JY, Chung CJ, Kim KH (2017) Transverse dental compensation in relation to sagittal and transverse skeletal discrepancies in skeletal Class III patients. Am J Orthod Dentofacial Orthop 151(1):148–156
Staudt CB, Kiliaridis S (2009) Different skeletal types underlying Class III malocclusion in a random population. Am J Orthod Dentofacial Orthop 136(5):715–721
Mandelaris GA, De Groot BS, Relle R, Shah B (2018) Surgically facilitated orthodontic therapy (SFOT): optimizing dentoalveolar bone and space appropriation for facially prioritized interdisciplinary dentofacial therapy. Compend Contin Educ Dent 39(3):146–156
Mandelaris GA, Neiva R, Chambrone L (2017) Cone-beam computed tomography and interdisciplinary dentofacial therapy: an American Academy of Periodontology Best Evidence Review focusing on risk assessment of the dentoalveolar bone changes influenced by tooth movement. J Periodontol 88(10):960–977
Rose JC, Roblee RD (2009) Origins of dental crowding and malocclusions: an anthropological perspective. Compendium of continuing education in dentistry. Compend Contin Educ Dent [Historical Article] 30(5):292–300
Gilbert SF (2001) Ecological developmental biology: developmental biology meets the real world. Dev Biol 233(1):1–12
Boyd KL (2012) Darwinian dentistry part 2: early childhood nutrition, dento-facial development and chronic disease. J Am Orthodontia Soc 12(2):28–32
Agarwal SS, Sharma M, Nehra K, Jayan B, Poonia A, Bhattal H (2016) Validation of association between breastfeeding duration, facial profile, occlusion, and spacing: a cross-sectional study. Int J Clin Pediatr Dent 9(2):162–166
Kohli MV, Patil GB, Kulkarni NB, Bagalkot K, Purohit Z, Dave N et al (2014) A changing trend in eruption age and pattern of first deciduous tooth: correlation to feeding pattern. J Clin Diagn Res 8(3):199–201
Thomaz EB, Cangussu MC, Assis AM (2012) Maternal breastfeeding, parafunctional oral habits and malocclusion in adolescents: a multivariate analysis. Int J Pediatr Otorhinolaryngol 76(4):500–506
Kim SJ, Kim KH, Yu HS, Baik HS (2014) Dentoalveolar compensation according to skeletal discrepancy and overjet in skeletal Class III patients. Am J Orthod Dentofacial Orthop 145(3):317–324
Qu X, Liu Z, Wang Y, Fang Y, Du M, He H (2017) Dentofacial traits in association with lower incisor alveolar cancellous bone thickness: a multiple regression analysis. Angle Orthod 87(3):409–415
Estelita S, Janson G, Chiqueto K (2015) Extreme dental compensation in an adult skeletal Class III malocclusion: 3-year follow-up of a successfully compromised treatment. Int J Orthod Milwaukee 26(2):69–76
Evangelista K, Vasconcelos Kde F, Bumann A, Hirsch E, Nitka M, Silva MA (2010) Dehiscence and fenestration in patients with Class I and Class II Division 1 malocclusion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 138(2):133 e1–133 e7; discussion 5
Franklin KA, Lindberg E (2015) Obstructive sleep apnea is a common disorder in the population—a review on the epidemiology of sleep apnea. J Thorac Dis 7(8):1311–1322
Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM (2013) Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol 177(9):1006–1014
Patino M, Sadhasivam S, Mahmoud M (2013) Obstructive sleep apnoea in children: perioperative considerations. Br J Anaesth 111(Suppl 1):i83–i95
Nespoli L, Caprioglio A, Brunetti L, Nosetti L (2013) Obstructive sleep apnea syndrome in childhood. Early Hum Dev 89(Suppl 3):S33–S37
Iida-Kondo C, Yoshino N, Kurabayashi T, Mataki S, Hasegawa M, Kurosaki N (2006) Comparison of tongue volume/oral cavity volume ratio between obstructive sleep apnea syndrome patients and normal adults using magnetic resonance imaging. J Med Dent Sci 53(2):119–126
Iared W, Koga da Silva EM, Rufino Macedo C (2017) Esthetic perception of changes in facial profile resulting from orthodontic treatment with extraction of premolars: a systematic review. J Am Dent Assoc 148(1):9–16
Pliska BT, Tam IT, Lowe AA, Madson AM, Almeida FR (2016) Effect of orthodontic treatment on the upper airway volume in adults. Am J Orthod Dentofacial Orthop 150(6):937–944
Miller A, Vargervik K (1983) Electromyography as a technique to study neuromuscular characteristics in hemifacial microsomia and other congenital anomalies. In: Harvold EP, Vargervik K, Chierici G (eds) Treatment of hemifacial microsomia. Alan R. Liss, New York, pp 89–112
Harvold EP (1983) The theoretical basis for the treatment of hemifacial microsomia. In: Harvold EP, Vargervik K, Chierici G (eds) Treatment of hemifacial microsomia. Alan R. Liss, New York, pp 1–137
Chin M (2016) Establishing and maintaining osseointegration within the functional matrix. Int J Periodontics Restorative Dent 36(1):29–37
Chin M (2015) 5. Using develo** teeth to generate bone. Surgical design for dental reconstruction with implants: a new paradigm. Quintessence Books, Hanover Park
Chin M (2015) 1. Introduction to surgical design using embryologic processes. Surgical design for dental reconstruction with implants: a new paradigm. Quintessence Books, Hanover Park
Nanci A, Moffatt P (2012) Section 1: Bones of the oral-dental and craniofacial complex. In: McCauley LK, Somerman MJ (eds) Mineralized tissues in oral and craniofacial science: biological principles and clinical correlates. Wiley-Blackwell, West Sussex, pp 3–12
ten Cate AR (1980) Embryology of the head, face and oral cavity. In: Ten Cate AR (ed) Oral histology. development, structure and function. Mosby, St. Louis, pp 18–46
Cho MI, Garant PR (2000) Development and general structure of the periodontium. Periodontology 24:9–27
ten Cate AR (1980) Development of the periodontium. In: Ten Cate AR (ed) Oral histology. development, structure and function. Mosby, St. Louis, pp 218–233
Bosson C, Devillard F, Satre V, Dieterich K, Ray PF, Morand B et al (2016) Microdeletion del(22)(q12.1) excluding the MN1 gene in a patient with craniofacial anomalies. Am J Med Genet A 170(2):498–503
Calic A, Peterlin B (2015) Epigenetics and bruxism: possible role of epigenetics in the etiology of bruxism. Int J Prosthodont 28(6):594–599
Rot I, Mardesic-Brakus S, Costain WJ, Saraga-Babic M, Kablar B (2014) Role of skeletal muscle in mandible development. Histol Histopathol 29(11):1377–1394
Seelan RS, Mukhopadhyay P, Pisano MM, Greene RM (2012) Developmental epigenetics of the murine secondary palate. ILAR J 53(3–4):240–252
Ejdesjo A, Wentzel P, Eriksson UJ (2012) Influence of maternal metabolism and parental genetics on fetal maldevelopment in diabetic rat pregnancy. Am J Physiol Endocrinol Metab 302(10):E1198–E1209
Williams SD, Hughes TE, Adler CJ, Brook AH, Townsend GC (2014) Epigenetics: a new frontier in dentistry. Aust Dent J 59(Suppl 1):23–33
Beebe K, Kennedy AD (2016) Sharpening precision medicine by a thorough interrogation of metabolic individuality. Comput Struct Biotechnol J 14:97–105
Trainor PA, Richtsmeier JT (2015) Facing up to the challenges of advancing craniofacial research. Am J Med Genet A 167(7):1451–1454
Zimmo N, Saleh MH, Mandelaris GA, Chan HL, Wang HL (2017) Corticotomy-accelerated orthodontics: a comprehensive review and update. Compend Contin Educ Dent 38(1):17–25; quiz 6.
Mandelaris GA, Vence BS, Rosenfeld AL, Forbes DS (2013) A classification system for crestal and radicular dentoalveolar bone phenotypes. Int J Periodontics Restorative Dent 33(3):289–296
Mandelaris GA (2016) “Restorative Leadership” in the Digital Era of Implantology. Compend Contin Educ Dent 37(7):488–490
Yilmaz BS, Kucukkeles N (2014) Skeletal, soft tissue, and airway changes following the alternate maxillary expansions and constrictions protocol. Angle Orthod 84(5):868–877
Denolf PL, Vanderveken OM, Marklund ME, Braem MJ (2016) The status of cephalometry in the prediction of non-CPAP treatment outcome in obstructive sleep apnea patients. Sleep Med Rev 27:56–73
Evans M (2013) Three-dimensional control with TAD-tissue supported rapid palatal expander: an overview of clinical applications and biological advantages. Orthodont Clin Rev:22–31
Carlson C, Sung J, McComb RW, Machado AW, Moon W (2016) Micro-implant assisted rapid palatal expansion appliance to orthopaedically correct transverse maxillary deficiency in an adult. Am J Orthod Dentofacial Orthop 149:716–728
Mandelaris GA, Scheyer ET, Evans M, Kim D, McAllister B, Nevins ML et al (2017) American Academy of Periodontology Best Evidence Consensus Statement on selected oral applications for cone-beam computed tomography. J Periodontol 88(10):939–945
Handelman CS (1996) The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae. Angle Orthod 66(2):95–109; discussion 10
Braut V, Bornstein MM, Belser U, Buser D (2011) Thickness of the anterior maxillary facial bone wall-a retrospective radiographic study using cone beam computed tomography. Int J Periodontics Restorative Dent 31(2):125–131
Nowzari H, Molayem S, Chiu CH, Rich SK (2012) Cone beam computed tomographic measurement of maxillary central incisors to determine prevalence of facial alveolar bone width >/=2 mm. Clin Implant Dent Relat Res [Research Support, Non-U.S. Gov’t] 14(4):595–602
Wang HL, Boyapati L (2006) “PASS” principles for predictable bone regeneration. Implant Dent 15(1):8–17
Acknowledgment
The authors would like to acknowledge and thank Dr. Brian Shah and Dr. Robert Relle for their expertise and contribution to the orthognathic (jaws-to-face planning) surgery section of this chapter.
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Mandelaris, G.A., DeGroot, B.S. (2020). Surgically Facilitated Orthodontic Therapy. In: Nares, S. (eds) Advances in Periodontal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-12310-9_14
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DOI: https://doi.org/10.1007/978-3-030-12310-9_14
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