Preventing Gum Recession After Invisalign with SFOT

While Invisalign and other clear aligners are great for straightening teeth, some patients—especially those with thin gums or bone—are at risk of gum recession during treatment. That’s where SFOT (Surgically Facilitated Orthodontic Therapy) comes in.

At our periodontal offices in Washington, DC and Bethesda, Maryland, we specialize in using SFOT to support safe, healthy tooth movement during orthodontics. This blog post breaks down how SFOT works, why it’s important for protecting your gum and bone structure, and how it can prevent complications like gum recession after Invisalign. Whether you’re planning treatment or already in aligners, this article will help you understand when SFOT might be right for you.

Thinking About Invisalign?

Here’s What to Know About Gum Recession and How SFOT Can Help

Invisalign is a popular option for straightening teeth. It’s discreet, convenient, and doesn’t come with the brackets and wires of traditional braces. But before you jump in, there’s something you should know: if your gums are already thin or your bone is weak, Invisalign could actually increase your risk of gum recession.

(Video of Dr. Raha Yousefi)

What Is Gum Recession And Why Can It Happen After Invisalign?

Gum recession happens when your gum tissue pulls back or wears away, exposing more of your tooth or even the root. It’s not just a cosmetic issue—it can cause sensitivity, increase your risk for cavities, and lead to more serious dental problems if left untreated.

Invisalign, like any orthodontic treatment, moves your teeth through bone. If the bone around your teeth is thin or compromised, shifting the teeth can make things worse. This is especially true for adults or people who already have some level of gum disease or tissue loss.

Enter SFOT: Strengthen Before Your Straighten

That’s where SFOT (Surgically Facilitated Orthodontic Therapy) comes in. SFOT is a proactive procedure done before or alongside Invisalign treatment. The goal? To reinforce the foundation of your teeth—your bone and gums—so they can safely handle the tooth movement without causing recession. Think of it like prepping the ground before planting a tree. If the soil isn’t strong enough, the roots won’t hold. SFOT strengthens that “soil” so your teeth have the support they need for healthy, stable movement.

How Does SFOT Work?

SFOT typically involves a minor surgical procedure that enhances the volume of gum and bone around your teeth. It may include:

Bone grafting to reinforce thin or fragile bone
Soft tissue grafting if your gums are especially thin
Minor reshaping to create an ideal path for tooth movement

The result? A healthier, more stable environment for your Invisalign to work its magic—without compromising your gum health in the process.

Is SFOT Right For You?

If you’re considering Invisalign and:

You’ve been told you have gum recession or bone loss
You’ve noticed sensitive roots or longer-looking teeth
You’ve had previous orthodontic treatment that led to gum issues

…you might be a good candidate for SFOT. A comprehensive periodontal evaluation can determine whether you need additional support before starting treatment.

Protect Your Smile for the Long Haul

Invisalign is a great tool for a straighter smile—but the health of your gums and bone should come first. With SFOT, you can get the benefits of orthodontic treatment without sacrificing your long-term gum health.

Want to find out if SFOT is right for you? Schedule a consultation with our office today.