Surgically Facilitated Orthodontics in Pasadena, CA

What Is Surgically Facilitated Orthodontics?

Surgically facilitated orthodontics is a procedure that combines selective bone remodeling surgery with conventional orthodontics. This controlled surgical technique allows teeth to move more freely through the jawbone, which can:

• Accelerate orthodontic treatment time
  
• Reduce the risk of root resorption (damage to the roots during movement)
  
• Improve periodontal outcomes by preventing gum recession or bone loss
  
• Support broader, more stable arch expansion in adults
  
• Make orthodontic treatment possible for patients who were previously not ideal candidates
  

This technique is also referred to as PAOO (Periodontally Accelerated Osteogenic Orthodontics) or Wilckodontics, depending on the specific method used.

How It Works

Surgically facilitated orthodontic treatment is typically performed in coordination with your orthodontist’s plan. Here’s what you can expect:

1. Initial Evaluation
   We perform a comprehensive diagnostic workup, including 3D imaging and digital scans to assess your bone volume, root position, and periodontal status.
   
2. Corticotomy Procedure
   A minimally invasive procedure is performed under local anesthesia. Small openings are made in the bone surrounding specific teeth to stimulate a temporary, healing-driven response that allows the bone to remodel more quickly.
   
3. Orthodontic Activation
   Your orthodontist activates your appliance shortly after surgery, taking advantage of the accelerated healing phase—usually resulting in 30–50% faster treatment time.
   
4. Supportive Therapies
   In some cases, bone grafting is performed at the same time to improve bone thickness or prevent future gum recession. We may also incorporate salivary diagnostics or nutritional support to optimize healing.
   
   

Benefits of SFOT

• Shorter treatment duration
  
• Enhanced stability and esthetics in orthodontic results
  
• Ideal for adults with thin bone or periodontal risk factors
  
• Reduces risk of gum recession during or after treatment
  
• Expands treatment options for patients with limited bone support
  

This procedure is often used to prevent complications that might occur in standard orthodontics, especially in patients over 30 or those with pre-existing gum or bone concerns.

Collaboration with Orthodontists

Angha Perio works closely with referring orthodontists to:

• Co-develop treatment plans
  
• Share imaging and case documentation
  
• Coordinate surgical timing with orthodontic activation
  
• Track post-surgical healing and long-term outcomes
  

If you're an orthodontist looking for a surgical partner to support complex cases or time-sensitive treatment plans, contact us here to learn more about collaboration.

Advanced Technology, Minimally Invasive Techniques

Our SFOT procedures are supported by the latest periodontal tools, including:

• 3D CBCT imaging for precise mapping of root and bone structures
  
• Digital scanning for surgical guide fabrication and faster planning
  
• Minimally invasive flap techniques that reduce trauma and promote faster healing
  
• Oral conscious sedation for a comfortable, low-stress experience
  

We also offer soft tissue grafting to reinforce gum health when needed—especially around newly moved teeth.

Is SFOT Right for You?

This treatment is ideal for patients who:

• Are adults undergoing orthodontics
  
• Have thin gums or compromised bone
  
• Have experienced orthodontic relapse
  
• Are concerned about treatment length or gum recession
  
• Have been told they may not be candidates for traditional orthodontics due to age or bone limitations
  

We’ll assess your goals, medical history, and existing orthodontic plan to determine if SFOT is appropriate.