Supporting Healthy, Efficient Orthodontic Treatment 
In some orthodontic cases, teeth need a little extra support to move safely and efficiently. SFOT, PAOO, and corticotomies are advanced periodontal procedures that help guide tooth movement while protecting — and often improving — the health of the surrounding bone and gums.
These procedures are typically performed by a periodontist in coordination with your orthodontist.
Corticotomies
A corticotomy is a minor surgical procedure that involves making small, controlled openings in the outer layer of the jawbone around certain teeth.
Why this is helpful:
These tiny openings temporarily soften the bone, allowing teeth to move more easily during orthodontic treatment. This can reduce resistance, improve comfort, and in some cases shorten overall treatment time.
Corticotomies do not weaken the jawbone — instead, they encourage natural bone healing and remodeling as teeth move into their new positions.
PAOO (Periodontally Accelerated Osteogenic Orthodontics)
PAOO builds on corticotomies by combining them with bone grafting around the teeth being moved.
What makes PAOO different:
In addition to helping teeth move more efficiently, PAOO adds volume and thickness to the supporting bone. This can be especially important when teeth need to be moved forward, outward, or into areas with thinner bone.
Benefits of PAOO may include:
- Improved bone support around teeth
- Reduced risk of gum recession
- More predictable orthodontic results
- Enhanced long-term stability
SFOT (Surgically Facilitated Orthodontic Therapy)
SFOT is a broader treatment approach that may include:
- Corticotomies
- Bone grafting
- Gum (soft tissue) grafting, when needed
SFOT is designed to create a healthier foundation for orthodontic treatment, especially in patients with thin gums or limited bone support.
This approach focuses not just on moving teeth, but on protecting the gums and bone that hold those teeth in place — both during treatment and long after braces or aligners are removed.
Why a Periodontist Might Recommend These Procedures
Your periodontist and orthodontist may recommend SFOT, PAOO, or corticotomies if:
- Teeth need to move a significant distance
- Bone or gum tissue is thin or fragile
- There is a higher risk of gum recession
- Orthodontic treatment is expected to be lengthy
- You are an adult undergoing orthodontic care
- Long-term stability and gum health are a priority
These procedures help ensure that tooth movement happens safely, comfortably, and with lasting support.
