Malocclusion of the teeth..?
Hello Dr.
Jiang: First of all, I want to thank you for your previous response.
I would like to ask again, if my suspected hemifacial microsomia is caused by dental malocclusion, can it be corrected through plastic surgery? I have previously visited a major hospital in central Taiwan for examination, and the doctor mentioned that orthodontic treatment is necessary for improvement, which takes a lot of time and costs up to 500,000 NT dollars...
aking, 20~29 year old female. Ask Date: 2004/01/07
Dr. Jiang Baicong reply Plastic Surgery
Apologies: The cost is determined by the complexity and intricacy of the surgery.
Please be sure to communicate with a board-certified plastic surgeon.
Jiang Bai-Cong.
Reply Date: 2004/01/07
More Info
Jaw alignment issues can indeed be addressed through various surgical and non-surgical methods, but the most effective approach often depends on the underlying cause of the misalignment. In your case, if the suspected facial asymmetry is primarily due to dental occlusion problems, it is essential to understand the relationship between orthodontics (teeth alignment) and orthognathic surgery (jaw surgery).
Firstly, it is important to clarify that while plastic surgery can enhance the aesthetics of the jaw and face, it may not fully correct functional issues related to jaw alignment caused by dental problems. Orthodontic treatment, such as braces or clear aligners, is typically the first line of treatment for correcting bite issues. This process can take time, often several months to a few years, depending on the severity of the misalignment. The cost can also be significant, as you mentioned, potentially reaching up to $50,000 or more, especially if comprehensive treatment is required.
If orthodontic treatment alone does not achieve the desired results, or if the jaw structure itself is significantly misaligned, orthognathic surgery may be recommended. This type of surgery involves repositioning the jawbones to improve both function and aesthetics. It is usually performed after the teeth have been aligned through orthodontics, ensuring that the bite is correct post-surgery.
In some cases, plastic surgery techniques can be used to enhance the jawline or correct minor asymmetries, but these procedures do not address the underlying dental occlusion issues. For example, procedures like genioplasty (chin surgery) or jaw contouring can improve the appearance of the jaw but may not resolve functional problems related to how the teeth fit together.
Regarding your concerns about the time and cost associated with orthodontic treatment, it is worth considering that while the initial investment may seem high, the long-term benefits of improved oral health, function, and aesthetics can be significant. Additionally, some dental insurance plans may cover a portion of orthodontic treatment, so it may be beneficial to check with your insurance provider.
If you are hesitant about undergoing orthodontic treatment due to the time and cost involved, it may be helpful to seek a second opinion from another orthodontist or oral surgeon. They can provide you with a comprehensive evaluation and discuss alternative treatment options that may be more suitable for your specific situation.
In summary, while plastic surgery can enhance the appearance of the jaw, correcting jaw alignment issues caused by dental occlusion typically requires a combination of orthodontic treatment and possibly orthognathic surgery. It is essential to consult with qualified dental and surgical professionals to determine the best course of action for your specific needs.
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