Introduction
When it comes to improving the mandibular border in New York City, finding the right hospital is crucial. A well - defined mandibular border not only enhances facial aesthetics but also plays a significant role in oral function. In this article, we will explore the top three hospitals in New York City that are known for their expertise in mandibular border improvement. These hospitals offer a wide range of treatments, from corrective surgeries to innovative procedures that can transform the appearance and functionality of the lower jaw.
1. Mount Sinai Hospital
Overview
Mount Sinai Hospital is a renowned medical institution in New York City. It is nationally ranked in 12 adult specialties and 4 pediatric specialties, according to US News (https://health.usnews.com/best - hospitals/rankings/orthopedics/new - york - ny). With its team of highly skilled surgeons and state - of - the - art facilities, it is a top choice for patients seeking to improve their mandibular border.
Jaw - Related Procedures Offered
- Jaw in a Day Surgery: This is a unique new procedure developed at Mount Sinai. It is an all - in approach to jaw tumor resection and reconstruction. When a patient undergoes a mandibulectomy (removal of part or all of the lower jaw), the "Jaw in a Day" procedure offers immediate post - surgical restoration of their smiles. Here's how it works:
- Before the surgery, patients meet with a multidisciplinary team including a head - neck surgeon, a maxillofacial surgeon, and a prosthodontist. They undergo extensive scanning of their jaws and teeth. These scans are used to develop a virtual surgical plan and manufacture a temporary dental prosthesis that closely resembles their real teeth.
- The surgical team performs a virtual tumor and jaw resection along with harvesting and placement of the fibula (a non - weight - bearing leg bone). Once the virtual surgery is completed and the plans are finalized, they proceed with the actual surgery. The surgery involves resection of the tumor and afflicted mandible, placement of dental implants in the fibula using a custom - made surgical guide, and then implantation of the fibula to create the new jaw and placement of temporary teeth.
- The procedure takes six to eight hours to complete, and healing typically takes between six weeks and six months. During this time, the team closely monitors the patient, cleans the temporary prosthetic, and makes adjustments to improve alignment, bite force distribution, and chewing function. Once the patient is fully healed, the temporary prosthesis is removed, and a permanent one is fabricated.
- Orthognathic / Corrective Jaw Surgery: This procedure is used to correct overbites, underbites, and crossbites. It involves moving the upper jaw (maxilla) and lower jaw (mandible) to an anatomically correct position, allowing for a good occlusion (bite), opening of the airway, and facial symmetry.
- The treatment typically begins with an evaluation by an orthodontist and an oral and maxillofacial surgeon. They use advanced 3D x - rays and computer - assisted technology for diagnosis and treatment planning. The orthodontic treatment, which can take 12 to 18 months, aims to level and align the teeth over the maxillary and mandibular bony arches.
- When the patient is ready for surgery, a cone beam 3D CT scan and 3D photo morphometry are used for virtual surgical planning (VSP). VSP allows the surgeon to "rehearse" the surgery in a virtual environment, predict the outcome, and design and fabricate surgical guides using 3D printers. The surgery is performed under general anesthesia with braces in place, and 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 approximately 1 to 2 days. After the procedure, training elastics are used to help the patient retrain to close into their new bites. The patient's diet is limited to a liquid or non - chew diet for four weeks to allow for undisturbed healing. They return to the orthodontist 6 to 8 weeks after the surgery for the post - operative orthodontic phase, which can last from 3 to 6 months to fine - tune the final occlusion.
- Treatment of TMJ Disorders: The temporomandibular joint (TMJ) is the joint that allows the lower jaw to open and close. At Mount Sinai, the oral and maxillofacial surgeons have vast experience in treating all stages and facets of TMJ disorders (temporomandibular dysfunction or TMD).
- The signs and symptoms of TMD include disc displacement, clicking, deviation on opening, crepitus, limited opening, painful opening, muscle dysfunction, painful mandibular movement, muscle spasm, and decreased strength. The causes can be trauma to the jaw, a bad bite, arthritis, systemic disease, congenital anomalies, clenching, and grinding.
- Treatment options vary based on the diagnosis. Non - surgical therapies include medications, orthotic appliances, physical therapy, and behavioral modification. Surgical treatments may involve arthrocentesis, arthroscopy, arthroplasty, or total joint replacement. The surgeons perform a complete work - up to arrive at the correct diagnosis and develop an appropriate treatment plan for each patient.
Surgeons' Expertise
Surgeons at Mount Sinai, such as Daniel Buchbinder, DMD, MD (maxillofacial surgery), and Michael Turner, DDS, MD, FACS (maxillofacial surgery), are experienced in performing these complex procedures. They have access to a wide range of specialists across the medical center, enabling them to deliver outstanding multidisciplinary care to meet the patients' needs. Their experience ensures a precise fit and a natural - looking smile for patients undergoing jaw - related surgeries.
2. Weill Cornell Medicine
Overview
Weill Cornell Medicine, in collaboration with New York - Presbyterian Hospital, is a leading healthcare provider in New York City. It is well - known for its expertise in orthognathic (jaw) surgery and offers comprehensive care for patients with jaw - related problems.
Orthognathic Surgery
Orthognathic surgery at Weill Cornell Medicine is performed to correct developmental growth abnormalities of the jaws and facial bones. Patients with these abnormalities often have an imperfect positioning of the teeth when the jaws are closed, which can affect chewing, speech, overall health, and the esthetic appearance of the face.
- Pre - Surgery Evaluation: The first visits to Weill Cornell Medicine focus on determining exactly if and what jaw surgery the patient needs. They collect data in the form of radiographs, measurements of the face and teeth, clinical photographs, and health history. The team analyzes this data, creates models of the bite, and develops a comprehensive plan to correct the problem. Sometimes, only the upper jaw or lower jaw needs to be repositioned, while in other cases, both jaws must be realigned. Before the actual surgery, the patient works with an orthodontist to move the teeth into the correct position within the jawbone, which typically involves six to twelve months of braces. During this time, the surgeon checks on the patient periodically.
- The Surgery: When the teeth are close to alignment, the surgery is scheduled. It takes place at New York - Presbyterian Hospital, Cornell campus, one of the top - ranked hospitals in the country by US News and World Report. The surgery corrects maxillofacial skeletal deformities, which may be caused by genetic, environmental, developmental, functional, or pathologic factors. The principal goal is to restore and/or improve function and prevent potential sequelae. The surgical procedures involve repositioning and recontouring the facial bones to correct functional and/or pathologic problems.
- Post - Surgery Care: After the surgery, the patient stays in the hospital for one to two nights. Approximately six weeks after surgery, they return to the orthodontist to finish aligning the teeth to the new jaw position. For the first six to eight weeks after surgery, the bones are healing, and the patient is restricted to a diet of liquids and soft foods, and their activity is limited. The patient and the surgeon discuss the return to full activity.
Why Choose Weill Cornell Medicine?
- Convenient, Individualized Care: Patients receive personalized care that is comprehensive and compassionate. The staff is sensitive to the patients' needs and creates a supportive, comfortable environment while offering highly specialized care.
- Multidisciplinary Care from Leading Experts: Orthognathic surgeries require comprehensive, collaborative care from both orthodontics and surgery. Weill Cornell Medicine takes a unique multidisciplinary approach, coordinating complex care and providing focused support before, during, and after the surgery.
3. NYU Langone Orthopedic Hospital
Overview
NYU Langone Orthopedic Hospital is nationally ranked in 13 adult specialties and 3 pediatric specialties. It has a strong reputation for its orthopedic and reconstructive surgeries, including those related to the jaw.
Jaw - Related Treatments
While specific details on their mandibular border - improvement procedures may not be as comprehensively available in the provided references, it is reasonable to assume that they offer a range of treatments based on their overall orthopedic and reconstructive surgery expertise.
- They likely treat jaw deformities such as mandibular hyperplasia (prognathism), mandibular hypoplasia, maxillary hypoplasia, vertical maxillary deficiency, and vertical maxillary excess. These deformities can occur due to different rates of growth of the upper or lower jaw, birth defects, trauma, or tumor growth.
- The hospital's team of plastic and reconstructive surgeons would work in coordination with dentists, orthodontists, and other specialists to provide comprehensive care for patients with jaw problems. They would focus on restoring both function and appearance of the jaw, aiming for the best possible outcome for the patient.
Comparison of the Three Hospitals
Hospital | Unique Procedures | Multidisciplinary Care | Post - Surgery Support | National Ranking |
---|---|---|---|---|
Mount Sinai Hospital | Jaw in a Day Surgery, advanced VSP for orthognathic surgery | Strong multidisciplinary team including head - neck surgeons, maxillofacial surgeons, and prosthodontists | Close monitoring during healing, adjustment of temporary prosthetics | #11 in orthopedics (US News) |
Weill Cornell Medicine | Orthognathic surgery for developmental growth abnormalities | Collaboration between orthodontics and surgery teams | Detailed pre - and post - surgery care plans, follow - up with orthodontist | Not specifically ranked for orthognathic surgery but associated with a top - ranked hospital |
NYU Langone Orthopedic Hospital | Broad range of orthopedic and reconstructive surgeries for jaw deformities | Coordination with dentists, orthodontists, and other specialists | Likely comprehensive post - surgery care based on overall expertise | #4 in orthopedics (US News) |
Conclusion
In conclusion, Mount Sinai Hospital, Weill Cornell Medicine, and NYU Langone Orthopedic Hospital are among the top hospitals in New York City for improving the mandibular border. Each hospital has its own strengths, whether it's the innovative "Jaw in a Day" procedure at Mount Sinai, the comprehensive orthognathic surgery approach at Weill Cornell Medicine, or the broad - based orthopedic expertise at NYU Langone. These hospitals offer high - quality care, a multidisciplinary approach, and a focus on patient well - being. If you are considering mandibular border improvement, it is advisable to consult with the specialists at these hospitals to determine the best treatment option for your specific needs.
Call to Action: If you are experiencing jaw - related problems or are interested in improving your mandibular border, don't hesitate to reach out to these hospitals. Contact them for a consultation and start your journey towards a better - functioning and more aesthetically pleasing jaw. Share this article with others who may benefit from this information.