Surgically Facilitated Orthodontic Treatment (SFOT) is a surgical intervention used prior to orthodontic therapy. It is used to enhance the bone quality and quantity around the teeth as they move orthodontically. Sometimes SFOT is used in conjunction with other periodontal surgery treatments, like soft tissue grafting, to build up the supporting structures of the teeth. This procedure is performed under IV sedation in the periodontal office.
SFOT makes it easier and often faster to move the teeth through the bone of the jaws. This decreases the risk of tooth loss, tooth resorption, gum recession, and bone loss during and after orthodontics.
Post-operatively, you can expect some discomfort and mild to moderate swelling. Some patients have no pain and others use Ibuprofen in the immediate post-op period. You will receive detailed instructions to make your post-op period comfortable. After 2-3 days, while sutures are still in place, you will be back to normal activities and work.
When combined with other periodontal surgeries, there is only a small additional cost to perform SFOT. Otherwise, the cost for SFOT is similar to having gum grafting or periodontal surgery with an additional cost for bone grafting materials.