A member asked:

Do i have to get a fiberotomy before my braces are removed? is a fiberotomy done on every single tooth? i really don't like surgery, and would rather avoid it if i don't have to have it done.

6 doctors weighed in across 6 answers

A : A fiberotomy is not done on every tooth only those teeth that were severely crowded or misaligned. Fiberotomies cut away the memory fibers attached to the teeth. Your orthodontist and a periodontist will recommend the best timing for a fiberotomy. I personally recommend them after the braces are removed. By waiting you will get a better result. Good luck.

Answered 10/3/2016

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Dr. Marianna Evans answered

Specializes in Orthodontics

Fiberotomy : Fiberotomy is not indicated for every patient that is going through orthodontic treatment. This procedure is usually done around lower anterior teeth, if they were severely crowded prior to orthodontic treatment to "erase" pre-treatment arrangement of the fibers that connect teeth to gums and bone. Your orthodontist will evaluate your bite and will be the best to determine if you will benefit from it. If you do require it, it is a simple minimally invasive surgery with only 2-3 days recovery period. Good luck!

Answered 10/3/2016

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Dr. Sam Kadan answered

Fiberotomy : Fiberotomy is not recommended for evey tooth. It is usually reserved for very severely rotated teeth. Fiberotomy does not prevent the tooth from moving. It is a procedure that used to be more popular and is used much less frequently nowadays. There are alternatives to fiberotomy procedures: permanent retention, long term retention are some of the options. I hope this helps!

Answered 10/3/2016

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I : I do not recommend a fiberotomy, as it can cause gum recession. The idea behind is that it removes gingival fibers that have a memory of where the tooth was. New ones grow in that have no memory and so do not pull the tooth back to where it was. If you wear your retainer long enough, each gingival fiber will eventually die a natural death and be replaced by a new one that has no memory.

Answered 8/14/2019

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Edward's works: The edward's procedure or supercrestal fiberotomy was described in 1970 and assists in retaining problematic, rotated teeth. This small procedure is usually only accomplished for 1 or 2 teeth. The need, the process, and the risk/benefits should be discussed with your orthodontic and periodontal specialist.

Answered 2/3/2016

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Can't tell: Can't tell over the computer. If teeth were crooked, fiberotomy often indicated in adults. Talk to your Orthodontic Specialist and ask for referral by your General Dentist or the Orthodontist to a Periodontist. Fiberotomy is like getting a paper cut, a little uncomfortable but goes away quickly. The Orthodontic Specialist should make these decisions with you.

Answered 9/8/2014

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