2016 AAO Winter Conf - Treatment Options in Maxillary Transverse Skeletal Deficiencies / Surgically Facilitated Orthodontic Therapy (SFOT): The Direction is "Clear"

Treatment Options in Maxillary Transverse Skeletal Deficiencies

The transverse dimension of the maxillomandibular complex must be evaluated, diagnosed and addressed in order to achieve stability following orthodontic/orthognathic correction. Orthopedic maxillary expansion (non-surgical) is effective and stable in the young population prior to sutural closure, and is not effective or stable in patients following sutural closure in the maxillofacial complex. During this presentation different treatment options for patients with maxillary transverse skeletal deficiencies will be illustrated and discussed.

Learning Objectives:

• Diagnose maxillary transverse skeletal deficiency
• List the different treatment options for maxillary transverse skeletal deficiency
• Analyze the limitations, advantages and disadvantages of the different treatment options for maxillary transverse skeletal deficiency

Surgically Facilitated Orthodontic Therapy (SFOT): The Direction is "Clear"

Many complex interdisciplinary problems involve deficiencies or discrepancies in the dentoalveolar complex that can prolong treatment time and compromise overall outcomes. Surgically Facilitated Orthodontic Therapy (SFOT), in combination with skeletal anchorage, can shorten treatment times, modify vertical relationships and enhance the development of the arch form, alveolar bone and soft tissue to ideally address these issues involving the dentoalveolar complex. Special focus will be given to utilizing high-tech clear aligners instead of traditional orthodontic appliances to add a new and exciting dimension to SFOT while significantly increasing patient treatment acceptance.

Learning Objectives:

• Describe interdisciplinary diagnostics and treatment planning for the SFOT patient
• Combine hard and soft tissue grafting with selective corticotomies
• Utilize skeletal anchorage with SFOT to modify vertical relationships