Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics

INTRODUCTION: The purpose of this article is to present a decision-making algorithm for soft and hard tissue augmentation in surgically facilitated orthodontics (SFOT). FOCUSED CLINICAL QUESTION: What type of hard and soft tissue augmentation is recommended in surgically facilitated orthodontics (SFOT)? SUMMARY: In cases where there is adequate hard and soft tissue envelope, selective corticotomies may be adequate. In cases where the existing hard and soft tissue anatomy is inadequate, hard and soft tissue augmentation is recommended. Also, hard and soft tissue augmentation is recommended to avoid teeth extractions during orthodontics. CONCLUSION: This decision-making process allows the clinician to select between hard and soft tissue augmentation protocols based on projected tooth movement as well as existing soft and hard tissue architecture in SFOT cases.