Introduction

Wide mandibular angles can sometimes cause aesthetic concerns and even functional problems for individuals. In New York City, there are several top - notch hospitals that offer high - quality solutions for improving wide mandibular angles. This article will introduce the top five hospitals in the city for this specific treatment, exploring their services, surgical techniques, and what makes them stand out.

Mount Sinai Hospital

Comprehensive Jaw - related Services

Mount Sinai is a well - known medical institution in New York. It has a division of oral and maxillofacial surgery that provides a range of services related to jaw correction. Orthognathic or corrective jaw surgery is a common procedure here. This surgery is aimed at moving the upper jaw (maxilla) and lower jaw (mandible) to an anatomically correct position, which helps in achieving a good occlusion (bite), opening the airway, and improving facial symmetry.

For patients with wide mandibular angles, the surgical approach may be customized. In cases where the wide angle is part of a larger malocclusion or facial asymmetry issue, orthognathic surgery can be combined with orthodontics. For example, if there is a skeletal deformity of the jaw that results in the wide mandibular angle and a malocclusion, the team at Mount Sinai will first conduct a detailed evaluation.

Advanced Diagnostic and Treatment Planning

The diagnostic process at Mount Sinai is comprehensive. It starts with an evaluation by the orthodontist and the oral and maxillofacial surgeon. This evaluation includes x - rays, models of the dentition, photographs, facial measurements, and a complete analysis of the data. The team uses the most advanced 3D x - rays and computer - assisted technology for treatment planning. Virtual surgical planning (VSP) is a key aspect of their treatment process. After pre - operative orthodontic therapy to level and align the teeth, a cone beam 3D CT scan and 3D photo morphometry are used for VSP. This allows the surgeon to “rehearse” the surgery in a virtual environment before performing it in the operating room. VSP also helps in predicting the outcome of the procedure and in designing and fabricating surgical guides using 3D printers.

Treatment of Related Conditions

Mount Sinai also treats a variety of jaw - related conditions that may be associated with wide mandibular angles. These include mandibular hyperplasia (prognathism), mandibular hypoplasia, maxillary hypoplasia, vertical maxillary deficiency, and vertical maxillary excess. Each condition requires a specific treatment approach, and the hospital's team of specialists is highly experienced in handling these complex cases.

The “Jaw in a Day” procedure is another innovative offering at Mount Sinai. While it is mainly focused on jaw tumor resection and reconstruction, the techniques and expertise developed can be relevant in cases where there are complex anatomical changes associated with the mandible, including wide mandibular angles.

Weill Cornell Medicine and New York - Presbyterian Hospital

Specialized Orthognathic Surgery

Weill Cornell Medicine has a team of oral and maxillofacial surgeons who are specialists in orthognathic or corrective jaw surgery. Their goal is to correct developmental growth abnormalities of the jaws and facial bones, which can cause problems with chewing, speech, and overall health, as well as affect the esthetic appearance of the face. In the context of wide mandibular angles, these surgeons can use a combination of surgical and orthodontic approaches to bring the jaw and teeth into better alignment.

Multidisciplinary Care

One of the main advantages of choosing Weill Cornell Medicine is the multidisciplinary care it offers. Orthognathic surgeries require the collaboration of both orthodontics and surgery. The hospital's unique approach coordinates complex care, providing patients with focused support before, during, and after the surgery. The surgical correction of maxillofacial skeletal deformities is a comprehensive process. It addresses abnormalities that can be caused by genetic, environmental, developmental, functional, or pathologic factors.

Patient - Centered Experience

Before the surgery, the hospital focuses on determining exactly what jaw surgery the patient needs. They collect data through radiographs, face and teeth measurements, clinical photographs, and health history. The patient and their family members can have their questions answered, and a detailed treatment plan is developed. After the surgery, patients are expected to stay in the hospital, which is one of the top - ranked hospitals in the country, for one to two nights. Post - surgery, they will return to the orthodontist to finish aligning the teeth to the new jaw position, and there are clear instructions regarding diet and activity restrictions during the healing period.

Columbiadoctors Dentistry at Columbia University

Expertise in Orthognathic Surgery

Columbiadoctors Dentistry's oral and maxillofacial surgeons have extensive expertise in orthognathic surgery. When a patient has a misaligned jaw, which could include a wide mandibular angle, and orthodontics alone cannot correct the bone position, these surgeons can step in. The surgery can reposition the jaw to improve appearance, speech, chewing function, breathing, and overall oral health.

Comprehensive Treatment Planning

The treatment process at Columbiadoctors Dentistry is similar to other top hospitals. The initial visits focus on determining the need for jaw surgery. Data collection, including radiographs, face and teeth measurements, clinical photographs, and health history, is followed by data analysis and the creation of bite models. A detailed timeline and plan are developed in collaboration with the patient. Before the actual surgery, the patient will work with an orthodontist for six to twelve months to move the teeth into the correct position. Computer - assisted digital surgical planning is then performed when the teeth are aligned.

Advanced Surgical Techniques

To help patients understand the surgery better, the hospital can illustrate the realignment with digital modeling. This allows patients to visualize what the surgery will accomplish. The surgery takes place at New York - Presbyterian Hospital or the Morgan Stanley Children’s Hospital of New York - Presbyterian, and patients can expect a one - to two - night stay. After surgery, they will return to the orthodontist for further tooth alignment, and there are strict diet and activity limitations during the initial healing phase.

New York Oral Surgery

Cutting - Edge Treatment Options

Dr. Stein and Dr. Koslovsky at New York Oral Surgery use the most advanced treatment options to correct a wide range of major and minor skeletal and dental deformities in the jaw. For wide mandibular angles, they can perform orthognathic surgery. Traditional orthodontics, or braces, may correct misaligned teeth, but when the problem lies with the position of the jaw itself, orthognathic surgery becomes necessary.

3D Technology for Surgery Planning

One of the standout features of this clinic is the use of the most sophisticated 3D computer modeling system. This system allows patients to see how their jaw surgery will proceed and what their face will look like once the surgery is completed. The 3D orthognathic surgery technology also assists the surgeons in precisely planning surgical options in advance. It serves as an ideal guide to educate patients on the possibilities of jaw surgery, including procedures to correct wide mandibular angles.

Customized Treatment Approach

The surgeons at New York Oral Surgery will evaluate each patient's condition and perform jaw surgery to reposition the jaw as needed. Depending on the individual case, they may reposition all or part of the upper jaw, lower jaw, or chin. The orthodontist works in tandem with the surgeon, providing braces to move the teeth into a better position both before and after the surgery.

DeLuca Plastic Surgery

Mandibular Angle Reduction Specialization

DeLuca Plastic Surgery is known for its expertise in mandibular angle reduction surgery. Women often seek this surgery to soften their jaws, and the hospital is well - equipped to handle such procedures related to wide mandibular angles. The pre - surgical evaluation and planning process is highly detailed. With the advent of virtual surgery planning, the surgeons can plan and execute the surgery more precisely.

Virtual Surgical Planning

After an initial office visit where the patient's surgical goals and expectations are discussed, a CT of the lower jaw and facial bone is obtained. Virtual surgical planning (VSP) is then performed on a computer simulation program based on the facial bone CT. This allows the expected final surgical outcome to be fine - tuned and visualized, and custom - made surgical cutting guides can be created.

Minimally Invasive Surgical Approach

The surgery is performed by making an incision inside the mouth to expose the angle of the jaw bone. The flaring of the mandible is treated by shaving down the outer cortex of the jaw bone, and the angle is softened by removing a piece of the jaw bone with the aid of a cutting guide to avoid over - resection. There is no external incision, and the intraoral scars usually heal well. The recovery time is relatively manageable, with swelling typically subsiding within two to four weeks, and patients can return to normal non - contact activity after 4 weeks of limited activity.

Comparison of the Top Five Hospitals

Conclusion

In conclusion, New York City offers a plethora of options for individuals looking to improve wide mandibular angles. The top five hospitals - Mount Sinai Hospital, Weill Cornell Medicine and New York - Presbyterian Hospital, Columbiadoctors Dentistry at Columbia University, New York Oral Surgery, and DeLuca Plastic Surgery - each bring unique strengths to the table. They have highly skilled surgeons, advanced treatment technologies, and comprehensive care models. Whether it's the multidisciplinary approach, cutting - edge 3D technology, or specialized surgical techniques, patients can find a suitable option for their needs.

If you're considering improving your wide mandibular angle, we encourage you to reach out to these hospitals. Schedule a consultation, learn more about the procedures, and discuss your expectations. You can also share this article with others who may be in a similar situation, so they too can make an informed decision about their treatment.