Fiberotomy is a minor surgical procedure performed in orthodontics to enhance the stability of orthodontic treatment outcomes. It involves carefully severing gingival fibers surrounding the teeth, particularly the supracrestal fibers, which possess elastic memory and tend to pull teeth back to their original positions after removing braces or other orthodontic appliances. By releasing this tension, fiberotomy significantly reduces the risk of relapse, ensuring that the teeth remain in their corrected positions long-term.
This procedure is crucial for maintaining the aesthetic, functional, and oral health benefits achieved through orthodontic treatment, ultimately enhancing patient satisfaction and quality of life.
Suitable Candidates for Fiberotomy
- Patients who have undergone orthodontic treatment to correct malocclusion or tooth misalignment
- Individuals at risk of relapse due to elastic memory of gingival fibers
- Patients with a history of orthodontic relapse or crowding
- Those with healthy gingival tissues and a good oral hygiene routine
- Individuals with stable periodontal health and absence of gum disease
- Patients who are committed to following post-operative care instructions
- Individuals who desire to maintain their orthodontic treatment outcomes' long-term stability and aesthetics
- Candidates with realistic expectations about the benefits and limitations of fiberotomy
- Patients who have completed orthodontic treatment are nearing the removal of braces or other appliances
- Those evaluated by an orthodontist or periodontist and deemed suitable for the procedure based on their specific needs and circumstances
The Fiberotomy Procedure
Pre-Procedure Preparation
Before the procedure, the patient undergoes a comprehensive evaluation by an orthodontist or periodontist. This evaluation includes dental examination, radiographic imaging (such as X-rays), and treatment planning to determine the need for fiberotomy and identify the teeth requiring treatment.
Anesthesia Administration
Local anesthesia is typically administered to numb the treatment area and ensure the patient's comfort throughout the procedure.
Incision
Once the anesthesia has taken effect, a small incision is made in the gingival tissue surrounding the tooth or teeth being treated. The incision provides access to the underlying gingival fibers.
Fiber Severing
Using specialized surgical instruments such as a peristome or sharp scalpel, the supracrestal fibers are carefully severed. These fibers, which run from the gingiva to the tooth's cementum, contribute to the elastic memory that can cause teeth to shift back to their original positions.
Closure
The incisions made during fiberotomy are often left to heal naturally without sutures. However, in some instances, mainly if the incisions are larger or there is concern about post-operative bleeding, sutures may be placed to facilitate wound closure and healing.
Post-Procedure Care
Following the procedure, patients are given instructions for post-operative care. This typically includes guidelines for maintaining oral hygiene, such as gentle brushing and avoiding hard or crunchy foods that may irritate the surgical site. Patients are also advised to monitor for signs of complications such as infection or excessive bleeding and to follow up with their orthodontist or periodontist as needed. Call us to learn more.
The Benefits of Fiberotomy
Prevention of Relapse
One of the primary benefits of fiberotomy is its ability to prevent tooth relapse after orthodontic treatment. By severing the supracrestal fibers that exert pressure on the teeth, fiberotomy helps to release the elastic memory that can cause teeth to shift back to their original positions. This results in more stable orthodontic outcomes and reduces the likelihood of requiring additional corrective measures.
Enhanced Long-Term Stability
Fiberotomy contributes to the long-term stability of orthodontic results by maintaining the alignment of teeth. By preventing relapse, the surrounding bone and soft tissues can adapt and stabilize around the newly positioned teeth, reducing the risk of teeth reverting to their pre-treatment positions over time.
Improved Aesthetic Results
Stable tooth positioning achieved through fiberotomy enhances the overall aesthetic results of orthodontic treatment. Patients can enjoy a more aesthetically pleasing smile with straighter, properly aligned teeth that are less likely to shift out of place after removing braces or other orthodontic appliances.
Enhanced Functional Outcomes
In addition to aesthetic benefits, fiberotomy contributes to improved bite function and oral health. Maintaining the corrected tooth positions through fiberotomy helps ensure proper occlusion and alignment, reducing the risk of malocclusion-related issues such as uneven wear, TMJ disorders, and difficulty chewing or speaking.
Minimally Invasive Procedure
Fiberotomy is a minimally invasive procedure that can typically be performed quickly and with minimal discomfort for the patient. Local anesthesia is commonly used to numb the treatment area, and the procedure itself involves making small incisions in the gingival tissue to access and sever the supracrestal fibers. Patients can resume normal activities shortly after the procedure, with only mild post-operative discomfort and minimal downtime.
Fiberotomy is a valuable adjunctive procedure in orthodontics, preventing relapse and ensuring long-term stability of orthodontic results. Visit Ali Haeri D.M.D., M.H.S. at 1297 W Main St., Suite A, El Cajon, CA 92020-4135, or call (619) 579-0505 to learn more.