In the not too distant past, the orthodontist’s tool box was fairly limited in the adult patient. It included aligning teeth, intruding anterior teeth and orthognathic surgery. Today orthodontists have many new procedures and techniques, which have opened a new world of treatment planning for the pre-restorative orthodontic patient. The major advantage of pre-restorative orthodontic treatment is the ability of the restorative dentist to provide more conservative treatment, both in a fewer number of teeth requiring restorative treatment and less tooth removal in the preparation phase. These orthodontic treatment options include, surgically facilitated orthodontic treatment (SFOT), temporary anchorage devices (TADs), skeletal anchorage plates, micro-implant assisted rapid palatal expansion (MARPE), custom MARPE, and distraction osteogenesis with maxillary expansion (DOME). This presentation will provide an overview of these procedures.
Learning objectives:
Describe the indications for SFOT.
Describe the indications for TADs.
Describe the indications for skeletal anchorage.
Describe the indications for the MARPE appliance.
Describe the surgical options for palatal expansion.
