Introduction
Overbite and maxillary protrusion are common dental and facial concerns that can have a significant impact on a person's appearance, oral health, and quality of life. In New York City, there are several hospitals and clinics that excel in the assessment and treatment of these conditions. This article will explore the top 5 hospitals in New York City for overbite and maxillary protrusion assessment, along with the different techniques they use.
Understanding Overbite and Maxillary Protrusion
Before delving into the hospitals, it's important to understand what overbite and maxillary protrusion are. An overbite occurs when the upper front teeth overlap the lower front teeth by an excessive amount. This can be caused by various factors, such as genetics, thumb - sucking habits in childhood, or improper jaw growth.
Maxillary protrusion refers to the forward positioning of the upper jaw. It can result in an unbalanced facial profile, difficulties with biting and chewing, and speech problems. Some of the underlying causes of maxillary protrusion include abnormal growth patterns, genetic predisposition, or certain medical conditions.
Top 5 Hospitals in New York City for Assessment
1. Mount Sinai Hospital
Mount Sinai is renowned for its comprehensive approach to treating jaw deformities. Their plastic and reconstructive surgeons work in a team that includes dentists, orthodontists, and other specialists. They treat a wide range of jaw - related conditions.
Conditions Treated
- Mandibular hyperplasia (prognathism): Excess of the lower third of the face, which may include an underdeveloped upper jaw.
- Mandibular hypoplasia: A small lower jaw, often associated with an overbite and possible long - face syndrome.
- Maxillary hypoplasia: A small upper jaw with a shallow, concave midface and an underbite, which may be associated with other craniofacial syndromes.
- Vertical maxillary deficiency (short face syndrome): Can cause an older appearance due to insufficient dental show.
- Vertical maxillary excess (long face syndrome): Results in a long - faced appearance and a possible open bite.
Treatment Techniques
For overbite and maxillary protrusion, Mount Sinai's oral and maxillofacial surgery team uses state - of - the - art technologies. They employ advanced virtual surgical planning (VSP) for complex cases. This process starts with pre - operative orthodontic therapy to level and align the teeth over the maxillary and mandibular bony arches, 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 allows the surgeon to “rehearse” the surgery in a virtual environment, predict the outcome, and design surgical guides using 3D printers. The orthognathic procedure is performed under general anesthesia, and internal fixation devices (small titanium screws and plates) are used to connect the repositioned segments to the jaws.
2. NewYork - Presbyterian Lower Manhattan Hospital
The oral and maxillofacial surgery service at NewYork - Presbyterian Lower Manhattan Hospital offers a full spectrum of services with an emphasis on orthognathic and reconstructive surgery.
Services Offered
- Impact wisdom teeth and extractions
- Facial, oral, dental trauma and broken jaws
- Dental emergencies
- Surgical corrections of facial deformities
- Dental implants
- Biopsies
- Apicoectomies
- Temporomandibular joint dysfunction (TMJ)
- Maxillary sinus lift
- Platelet rich plasma augmentation and bone grafting
Techniques for Overbite and Maxillary Protrusion
For the assessment and treatment of overbite and maxillary protrusion, the hospital's team will first conduct a thorough evaluation, which includes radiographs, measurements of the face and teeth, clinical photographs, and a review of the patient's health history. They work closely with orthodontists to develop a comprehensive treatment plan. The surgical approach may involve repositioning the upper and/or lower jaw to correct the bite and improve facial aesthetics. Post - operatively, patients will be guided through a recovery process that includes a specific diet and follow - up orthodontic care to fine - tune the alignment of the teeth.
3. Columbiadoctors Dentistry (affiliated with New York - Presbyterian Hospital)
Columbiadoctors Dentistry is known for its expertise in orthognathic surgery. Their oral surgeons have extensive experience in treating complex jaw problems.
Assessment Process
During the initial visits, the oral and maxillofacial surgeons will collect data in the form of radiographs, facial and dental measurements, clinical photographs, and health history. They will analyze this data, create models of the bite, and develop a comprehensive plan to correct the problem. Sometimes, only the upper or lower jaw needs repositioning, while in other cases, both jaws have to be realigned.
Treatment Approach
Before surgery, patients will work with an orthodontist to move their teeth into the correct position within the jawbone, usually for six to twelve months. Once the teeth are close to alignment, computer - assisted digital surgical planning is performed. Surgery takes place at New York - Presbyterian Hospital or the Morgan Stanley Children’s Hospital of New York - Presbyterian. After surgery, patients can expect to stay in the hospital for one to two nights. Approximately six weeks after surgery, they will return to the orthodontist to finish aligning the teeth to the new jaw position. For the first 6 to 8 weeks after surgery, patients will be on a liquid and soft - food diet, and their activity will be limited.
4. 209 NYC Dental
209 NYC Dental is New York State's oldest continuously operating dental practice. They offer a wide range of dental services, including advanced orthodontic treatment.
Treatments Available
- All dental specialties, from routine cleanings to dental implants, whitening, and orthodontic treatment
- Specific orthodontic treatments for overbite and maxillary protrusion include clear braces and Invisalign. Invisalign for overbite uses a series of clear, removable aligners to gradually move the teeth into the correct position.
Technique Advantages
The advantage of Invisalign is its aesthetic appeal, as the aligners are nearly invisible. They are also removable, which allows patients to eat and clean their teeth more easily compared to traditional braces. The dentists at 209 NYC Dental use advanced digital scanning technology to create a customized treatment plan for each patient, which helps in accurately predicting the outcome of the treatment.
5. Pearl Dental NYC
Pearl Dental, located in the heart of the financial district, offers a full range of dental services with a focus on providing high - quality care.
Services for Overbite and Maxillary Protrusion
They offer Invisalign treatment for overbite and maxillary protrusion cases. In addition to the orthodontic aspect, they also consider the overall oral health of the patient. For example, if there are underlying issues such as cavities or gum problems, they will address these before starting the orthodontic treatment. The dentists at Pearl Dental work closely with patients to understand their goals and develop a personalized treatment plan.
Treatment Process
The treatment process begins with a comprehensive examination, including digital X - rays and 3D scans. Based on the findings, the dentist will recommend the most suitable treatment option, which may be Invisalign or other orthodontic appliances. Throughout the treatment, patients will have regular check - ups to monitor the progress and make any necessary adjustments to the aligners or treatment plan.
Comparison of Treatment Techniques
| Hospital | Treatment Technique | Advantages | Disadvantages |
|---|---|---|---|
| Mount Sinai Hospital | Advanced virtual surgical planning (VSP) for orthognathic surgery | High precision, ability to predict outcomes, 3D - printed surgical guides for accurate surgery | Longer pre - operative orthodontic phase (12 - 18 months), invasive surgery, longer recovery time |
| NewYork - Presbyterian Lower Manhattan Hospital | Comprehensive surgical and non - surgical treatment based on evaluation | Full - spectrum services, coordinated care with orthodontists | May require multiple appointments and a complex treatment plan |
| Columbiadoctors Dentistry | Computer - assisted digital surgical planning for orthognathic surgery | Experienced surgeons, high - tech planning, treatment at top - ranked hospitals | Lengthy pre - operative orthodontic treatment (6 - 12 months), hospital stay required |
| 209 NYC Dental | Invisalign for orthodontic treatment | Aesthetically pleasing, removable for easy eating and cleaning, digital scanning for customized plan | May not be suitable for severe cases, requires strict compliance with wearing aligners |
| Pearl Dental NYC | Invisalign with comprehensive oral health assessment | Personalized treatment plan, focus on overall oral health | Similar to Invisalign at 209 NYC Dental, may not address severe skeletal issues |
Conclusion
In New York City, there are several excellent hospitals and clinics for the assessment and treatment of overbite and maxillary protrusion. Mount Sinai Hospital stands out for its advanced surgical techniques and comprehensive approach to treating jaw deformities. NewYork - Presbyterian Lower Manhattan Hospital offers a full range of oral and maxillofacial services. Columbiadoctors Dentistry provides expert orthognathic surgery with advanced digital planning. 209 NYC Dental and Pearl Dental NYC offer non - invasive orthodontic options like Invisalign, which are more aesthetically appealing for patients who do not require major surgical intervention.
If you are suffering from overbite or maxillary protrusion, it's important to consult with a professional. We encourage you to reach out to one of these top - rated institutions to schedule an assessment. Take the first step towards improving your oral health and enhancing your facial aesthetics. Share this article with others who may be in need of such treatment, and explore more about dental and orthodontic treatments on relevant health websites.
