Fiberotomy

Fiberotomy is a dental surgical procedure aimed at reducing the recurrence of tooth rotation after orthodontic treatment. This procedure involves severing the periodontal fibers around a tooth, particularly those fibers that tend to pull the tooth back to its original position before orthodontic treatment. Fiberotomy is often considered in cases where there has been significant tooth movement, especially rotation, to improve the stability of the orthodontic outcome.

Indications

Fiberotomy is primarily indicated for patients who have undergone orthodontic treatment involving significant tooth rotation or movement. It is especially relevant for:

• Teeth that have been rotated more than 15 degrees.
• Cases where there is a high risk of relapse due to the elastic nature of the periodontal fibers.
• Patients with a history of relapse after previous orthodontic treatment.

Procedure

The fiberotomy procedure is typically performed by a periodontist or an orthodontist and can be done using various techniques, including:

• Surgical scissors or a scalpel to manually sever the fibers.
• Lasers, which offer a less invasive option with minimal bleeding and faster healing times.
• Electrosurgery, which uses electrical energy to cut the fibers.

The procedure is usually done after the active phase of orthodontic treatment, just before or after the removal of braces. Local anesthesia may be used to minimize discomfort.

Benefits

• Reduces the risk of relapse, particularly in cases of tooth rotation.
• Helps in maintaining the results achieved through orthodontic treatment.
• Minimally invasive, especially when performed using lasers or electrosurgery.

Risks and Complications

While fiberotomy is generally safe, like any surgical procedure, it may involve certain risks and complications such as:

• Minor bleeding or swelling.
• Infection at the site of the procedure.
• Temporary discomfort or sensitivity in the treated area.

Aftercare

Post-procedure care is crucial for healing and includes:

• Maintaining good oral hygiene to prevent infection.
• Avoiding hard or chewy foods that might stress the treated area.
• Regular follow-ups with the orthodontist or periodontist to monitor healing and stability.

Conclusion

Fiberotomy is a valuable adjunct to orthodontic treatment, particularly in preventing the relapse of tooth rotation. By severing the elastic periodontal fibers, it helps in maintaining the stability of orthodontic outcomes. However, the decision to perform a fiberotomy should be based on a thorough assessment of the individual case, considering the potential benefits and risks.