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Accelerated Osteogenic Orthodontics

Surgical Uncovering of Un-erupted (Impacted Teeth)

Dr. Rapoport and Dr. Schuler perform this procedure when your tooth fails to erupt on its own. Surgical uncovering is the removal or repositioning of gum tissue to expose an impacted tooth giving your orthodontist access to such tooth. After the tissue has been removed, a bracket is placed for the orthodontist to use in the movement of the tooth.

Dr. Rapoport and Dr. Schuler can help speed up orthodontic treatment greatly reducing the time you have to wear your braces.

This surgical procedure and the rapid tooth movement that follows is called:

Periodontally Accelerated Osteogenic Orthodontics™ (PAOO™)

PAOO greatly improves the thickness of bone around teeth, reducing the risks of gum recession. The additional bone thickness makes it possible for more ideal orthodontic results while retaining good bone around teeth. PAOO also reduces the risk of root resorption that can shorten the root lengths of teeth during orthodontics. The PAOO procedure has many years of clinical results and research to document it's safety and benefits. It is the only accelerated orthodontic procedure that can make that claim.


There are thin fibers in the gum tissue that connect between the teeth and jawbone. After undergoing orthodontic treatments to straighten your teeth, these fibers will act like rubber bands, undoing the orthodontics by slowly pulling the teeth back to their natural position. This is particularly true for teeth that were rotated (twisted) during orthodontic care.

At Pacific Northwest Specialists in Periodontics and Implant Dentistry, Drs Rapoport and Schuler can perform a fiberotomy which is a procedure to release these fibers. Fiberotomies are commonly performed toward the end of orthodontic treatment.


Your orthodontist and Drs. Rapoport and Schuler will carefully determine which teeth are subject to repositioning. During the procedure, Dr Rapoport or Dr Schuler will move around the full circumference of each of these teeth, gently detaching the fibers from the gum tissue. Fiberotomies are non-invasive, predictable procedures that greatly help to preserve the results of straightening.

Pacific Northwest Periodontics Accreditations and Memberships

AAPLogo ActiveMember American Dental Association American Board of Periodontology 3South King County Dental SocietyWashington State Dental Association Provider


Academy of General Dentistry Provider