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首页> 外文期刊>Clinical advances in periodontics. >Surgical Considerations and Decision Making in Surgically Facilitated Orthodontic Treatment/Periodontally Accelerated Osteogenic Orthodontics
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Surgical Considerations and Decision Making in Surgically Facilitated Orthodontic Treatment/Periodontally Accelerated Osteogenic Orthodontics

机译：手术促进的正畸治疗/牙周加速的成骨正畸中的手术考虑和决策

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Focused Clinical Question Surgically facilitated orthodontic treatment (SFOT)/periodontally accelerated osteogenic orthodontics (PAOO) has the potential of allowing safer orthodontic treatment in vulnerable periodontium with thin phenotypes. SFOT/PAOO is a phenotype modification therapy (PhMT) approach where thin bone morphotype and/or gingiva are surgically augmented to convert a fragile‐thin to a robust‐thick periodontal environment. This permits orthodontic treatment in these previously thin phenotype cases to proceed without iatrogenically‐induced adverse effects. This is an infrequently performed procedure with few available clinical recommendations. Summary In this practical application paper, three clinicians with the collective clinical experience of over 1500 SFOT cases developed a clinical decision‐making algorithm outlining the key steps for SFOT. A sample case is provided for clinical appreciation of the procedure. Lastly, this panel reviewed and detailed the critical decision making and surgical approaches associated with the use of SFOT. Though the basic decision making is consistent, individual variations on surgical management are compared. This is summarized in a clinical decision tree along with a sample clinical case. Additionally, the cumulative experience has been organized into tables that provide comparative decision and surgical approaches. There are similarities and differences. Lastly, strategies that have not been individually effective are also noted. Conclusion SFOT/PAOO is an effective PhMT approach whereby the bone and/or soft tissue phenotype can be surgically modified to permit orthodontic treatment in patients with thin phenotypes. The cumulative experience of three experienced clinicians provides clinical recommendations for SFOT management of PhMT for pre‐orthodontic treatment.
机译：专注于手术促进正畸治疗（SFOT）/牙周加速的成骨正畸（PAOO）具有允许在易受感受的牙周上具有较薄的表型的牙周牙周病。 SFOT/PAOO是一种表型修饰疗法（PHMT）方法，在该方法中，薄骨形型和/或牙龈被手术增强，以将脆弱的细胞转化为坚固的牙周牙周环境。这允许在这些先前薄的表型病例中进行正畸治疗，而无需医源性诱导的不良反应。这是一个很少执行的程序，几乎没有可用的临床建议。总结在这份实用的申请文件中，三位拥有1500多个SFOT病例的集体临床经验的临床医生开发了一种临床决策算法，概述了SFOT的关键步骤。提供样本案例，以供临床欣赏该程序。最后，该小组审查并详细介绍了与使用SFOT相关的关键决策和手术方法。尽管基本决策是一致的，但比较了手术管理的个人变化。这是在临床决策树和样本临床病例中总结的。此外，累积经验已被组织成提供比较决策和手术方法的表。有相似之处和差异。最后，还记录了尚未单独有效的策略。结论SFOT/PAOO是一种有效的PHMT方法，可以通过手术修饰骨骼和/或软组织表型，以允许在薄表型患者中进行正畸治疗。三位经验丰富的临床医生的累积经验为PHMT的SFOT管理提供了临床建议。

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