Introduction

The mandibular margin plays a crucial role in facial aesthetics and function. For those in New York City seeking to improve the mandibular margin, public hospitals offer a range of services. These hospitals combine high - quality medical expertise, advanced technology, and affordable care. In this article, we will explore some of the top public hospitals in New York City that specialize in procedures related to enhancing the mandibular margin.

Mount Sinai - New York

Overview

Mount Sinai is a well - known medical institution in New York City. It has a team of highly experienced specialists in plastic and reconstructive surgery, oral and maxillofacial surgery, and oral pathology. This multidisciplinary approach allows them to provide comprehensive care for patients with mandibular - related issues.

Treatable Conditions

• Mandibular Hyperplasia (Prognathism): This condition results in an excess of the lower third of the face, making it appear very prominent. It may also include an underdeveloped upper jaw. Mount Sinai's team can work to correct this deformity, restoring both function and appearance.
• Mandibular Hypoplasia: Characterized by a small lower jaw, an overbite, and possibly a tall upper jaw and long - face syndrome. The specialists at Mount Sinai can design a personalized treatment plan to address these issues.
• Maxillary Hypoplasia: A small upper jaw with a shallow, concave mid - face and an underbite. It can be associated with a cleft of the lip and palate or other craniofacial syndromes. The hospital's experts can use a combination of surgical and non - surgical techniques to manage this condition.
• Vertical Maxillary Deficiency (Short Face Syndrome): May cause an older appearance due to insufficient dental show from a vertical deficiency of the upper jaw. The team at Mount Sinai can assess and recommend appropriate corrective measures.
• Vertical Maxillary Excess (Long Face Syndrome): Results in the appearance of a long face and a possible open bite. The hospital has the expertise to perform surgeries to correct the excess vertical height of the upper jaw and associated lower - jaw shortness.

Orthognathic (Jaw) Surgery

Orthognathic surgery is a common procedure at Mount Sinai for overbites, underbites, and crossbites. It involves moving the upper and lower jaws to an anatomically correct position, which allows for a good occlusion, opening of the airway, and facial symmetry.

Diagnostics and Insurance Process

The treatment process begins 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. Mount Sinai uses advanced 3D x - rays and computer - assisted technology for treatment planning. Once the diagnosis and surgical plan are determined, the information is used to communicate with the orthodontist, explain the plan to the patient, and obtain insurance approval.

Virtual Surgical Planning and Surgical Guides

The virtual surgical planning (VSP) process starts with pre - operative orthodontic therapy, which can take 12 to 18 months. When the patient is ready for surgery, a cone beam 3D CT scan and 3D photo morphometry are used for VSP. This accurate tool allows the surgeon to “rehearse” the surgery in a virtual environment before performing it in the operating room. Surgical guides are fabricated using 3D printers to ensure the accurate transfer of the VSP to the operating room.

Procedure and Recovery

The orthognathic procedure is performed under general anesthesia with braces in place. Internal fixation devices (small titanium screws and plates) are used to connect the repositioned segments to the jaws. Patients usually stay in the hospital for about 1 to 2 days. After the procedure, training elastics are used to help retrain the patient to close into the new bite. The diet is limited to a liquid or non - chew diet for four weeks. Patients return to the orthodontist 6 to 8 weeks after the surgery for post - operative orthodontic treatment, which can last from 3 to 6 months. The oral and maxillofacial surgeon will continue to monitor the patient over time to ensure the stability of the treatment.

Jaw in a Day Surgery

This is a unique procedure offered at Mount Sinai. It is beneficial for patients who need to have part or all of the upper or lower jaw removed, such as those with cancer or jawbone deterioration. The “Jaw in a Day” procedure combines tumor resection and reconstruction with same - day placement of titanium dental implants to anchor temporary teeth that look like the patient's existing teeth.

How it Works

Before the mandibulectomy, patients meet with a multidisciplinary team. They undergo extensive scanning of their jaws and teeth, which is used to develop a virtual surgical plan and a custom - made temporary dental prosthesis. The surgical team performs a virtual tumor and jaw resection and prepares the fibula for implantation. The actual procedure takes six to eight hours and involves resection of the tumor and afflicted mandible, placement of dental implants in the fibula, and implantation of the fibula to create the new jaw and attach the temporary teeth.

Benefits

• Enhanced overall well - being as patients have immediate teeth restoration.
• Faster healing without scarring or deformity, facilitating quicker implantation of the permanent dental prosthesis.
• Shorter time to return to regular chewing and diet.
• Patients have a choice of permanent prosthetic options such as ceramic, zirconium, and titanium.

Oral Pathology Services

Mount Sinai has a dedicated oral pathologist, Dr. Naomi Ramer. She specializes in evaluating specimens of the jawbone and oral cavity. Biopsies taken for various conditions such as cysts, salivary gland tumors, oral cancer, and disorders related to the jawbone, lip, and palate are reviewed.

Role of the Oral Pathologist

The oral pathologist's experience of over 20 years in evaluating oral and jaw conditions helps in providing accurate diagnoses. She collaborates closely with the oral and maxillofacial surgeons to determine the best treatment for each patient. She also interacts directly with patients, advising them on oral care related to prescription drug reactions, oral cavity blisters, and palate burns.

Diagnosis and Treatment Planning

After the oral pathologist makes a diagnosis, advanced imaging tests like CT scans or MRIs may be required. Once all the diagnostic information is gathered, the oral and maxillofacial surgeons develop an optimal treatment plan, which is then communicated to the patient.

Dentistry Services

The Mount Sinai department of dentistry offers a wide range of services. It includes general dentistry such as restorative and cosmetic treatments, fixed and removable prosthetic services, and implant restorative services. They also treat temporomandibular joint (TMJ) dysfunction disorders.

History and Achievements

The department has a long history, dating back to 1910. It was among the first to use procaine as a local anesthetic in the U.S. The department's focus on prevention of dental - related infections led to the publication of one of the first clinical research papers on the use of penicillin in dentistry. They also established the first pilot cleft palate rehabilitation center in New York State through a multidisciplinary approach.

Weill Cornell Medicine

Overview

Weill Cornell Medicine provides advanced surgical restorative and reconstructive procedures for both adults and children under general anesthesia. Their oral pathologist specializes in the identification and management of diseases affecting the oral and maxillofacial regions. The hospital focuses on personalized care and patient comfort throughout the treatment process.

Why Choose Weill Cornell Medicine

Exceptional Surgeons

Patients benefit from the surgeons' years of training and experience. The hospital also provides dental clearance for cardiac procedures, head and neck radiation, and stem cell transplant.

Advanced Techniques and Technology

The surgeons use the most advanced surgical techniques and technology. They specialize in minimally invasive surgical procedures, which result in less pain and a shorter recovery time.

Collaborative, Personalized Care

The care team, including surgeons, nurses, and staff, prioritizes the patient's care, safety, and comfort. They empower the patient with information about their condition, treatment options, potential risks, and results, enabling informed decision - making.

Innovative Research

As an academic institution, Weill Cornell Medicine is at the forefront of the latest treatments. Their innovative research programs aim to develop new techniques and therapies to improve patients' quality of life.

Surgical Restorative and Reconstructive Options

• Oral and Maxillofacial Medicine and Pathology: Diagnosis and management of various diseases in the oral and maxillofacial regions.
• Adult & Pediatric Dental Rehabilitation under General Anesthesia: Restoring dental function and appearance in both adults and children.
• Non - Surgical Care of Temporomandibular Joint Disorders: Treatment of TMJ disorders without surgery.
• Surgical Management of Temporomandibular Joint Derangements: Corrective surgery for TMJ issues.
• Surgical Management of Benign Diseases of the Mouth and Jaw: Treatment of non - cancerous conditions in the mouth and jaw.
• Surgical Management for Congenital and Growth Deformities and Management of Facial Trauma: Addressing birth - related and trauma - related issues in the face and jaw.
• Dental Clearance for Cardiac Procedures, Head and Neck Radiation, and Stem Cell Transplant: Ensuring dental health before major medical procedures.

NewYork - Presbyterian

Overview

The divisions of dental, oral, and maxillofacial surgery at NewYork - Presbyterian/Columbia University Medical Center and NewYork - Presbyterian/Weill Cornell Medical Center provide extensive dental services for abnormalities and diseases affecting the mouth and related regions of the face and neck. The center for oral, facial and head pain at NewYork - Presbyterian/Columbia is specialized in the treatment of chronic pain, and the children's dental center at NewYork - Presbyterian/Weill Cornell offers care tailored to children's needs.

Services Offered

• Orthodontic Care: Available for both adults and adolescents to correct bite problems and align teeth.
• Correction of Dentofacial Deformities: Addressing issues related to the shape and alignment of the face and jaws.
• Temporomandibular Joint Syndrome Treatment: Expert surgeons are available to treat this common jaw disorder.
• Implant Dentistry: Services include grafting procedures and extractions for dental implant placement.

Conclusion

In New York City, there are several public hospitals that offer excellent services for improving the mandibular margin. Mount Sinai, with its multidisciplinary approach, advanced surgical techniques like “Jaw in a Day” surgery, and expertise in oral pathology and dentistry, provides comprehensive care. Weill Cornell Medicine stands out for its experienced surgeons, use of advanced technology, and focus on patient - centered care and research. NewYork - Presbyterian offers a wide range of dental and maxillofacial services, including orthodontics and treatment for dentofacial deformities.

If you are considering improving your mandibular margin, we encourage you to explore these hospitals further. Consult with the specialists at these institutions to understand the treatment options available for your specific condition. Share this article with others who may be interested in learning about mandibular - margin improvement in New York City, and explore the related topics on these hospitals' official websites to gather more in - depth information.