Periodontist

Surgically Assissted Osteogenic Orthodontics

Orthodontic treatment is very commonly indicated in adult patients, to correct malocclusion (bad bite) and align teeth to facilitate home hygiene care and facilitate restoration.  Treatment by Orthodontists and Periodontists in tandem is very common, as malocclusion, and its associated symptoms are often the root cause of periodontal issues such as receding gums and loose teeth.  If dental malocclusion is a factor in your periodontal condition, Dr. Bouffard will likely suggest a consultation with an orthodontist to determine the best course of treatment.  Treating a condition without addressing the root cause of that condition will often lead to a less than ideal result. Not all orthodontist receive the same training, or maintain proficiency in treating adult patients.  We maintain a referral relationship with board certified orthodontists who have extensive training and knowledge of the relationship between periodontal disease and dental occlusion.

Orthodontic therapy has changed dramatically in the past two decades.  Two of the most dramatic changes have been the advent of removable, clear aligners, and of surgically accelerated osteogenic orthodontics (SAOO).  Clear trays such as Invisalign have made orthodontic therapy far less invasive, by eliminating bands and brackets from the treatment regimen.  These work very well for simple tooth movement.  For more complicated cases, surgically accelerated osteogenic orthodontic therapy makes movement of severely malposed teeth possible, and reduces the time of treatment significantly.  Teeth move less readily in adult patients.  SAOO is a minor surgical procedure to perforate the bone surrounding the tooth roots to promote rapid tooth movement.  Bone is grafted at the time of surgery to build stronger bone to support the teeth once orthodontic treatment is completed.  The greatest advantage is that orthodontic treatment time is significantly reduced.