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Jaw Surgery and Dental Implants in Singapore Blog

Corrective Jaw Surgery in Singapore– public or private hospital?


Last week, after a rather lengthy consultation, a patient asked me whether it is better for her to do her corrective jaw surgery in a public or private hospital. This is not an uncommon question but every time I hear that, I will pause for a while before answering. The critical issue here is of course what your definition of “better” is. 

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Is orthognathic surgery medically necessary?


It is not uncommon for insurance companies to question the medical necessity of orthognathic surgery. Certainly, the most noticeable benefit of orthognathic surgery is the cosmetic improvement. However, the objective of the surgery is not always cosmetic enhancement but a functional restoration. Sure, there are some that are more cosmetic than functional. Dentofacial deformities, which orthognathic surgery seeks to correct, constitute a spectrum rather than specific disorders. Can we draw a line separating the functional from the cosmetic?

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Does facial asymmetry worsen with time?


As the human face is never symmetrical, most patients with facial asymmetry can accept a fair degree of asymmetry. In fact, many patients with fairly obvious asymmetry are quite willing to accept status quo. What often prompts these patients to seek professional advice is the fear of a continuing worsening of the asymmetry. How do we tell whether the asymmetry is getting worse or predict whether it is likely to worsen?

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Does facial asymmetry need corrective jaw surgery?


Once of the features we look for when doing a facial aesthetic assessment is symmetry. It is generally believed that symmetry is good and is essential for aesthetics. However, the human face is never perfectly symmetrical. In fact, the human body is not symmetrical. The right side of the body is not a mirror image of the left. The differences between the right and left side give a face its unique character. It is only when the asymmetry becomes the overwhelming feature of the face that it becomes unaesthetic. How do we draw the line?


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Is orthognathic surgery plastic surgery?


 "Ortho" means straight, and "gnathic" means jaw. Together, orthognathic surgery refers to “straightening” of the jaws, ie correcting any “crookedness” or deformity of the jaws. "Plastic", refers to changing or moulding shape, and plastic surgery then refers to surgery that changes the shape or form. It can be further subdivided into aesthetic plastic surgery, where the objective is primarily improving the cosmesis of a body structure which is not diseased, and reconstructive plastic surgery, which as the name suggests, rebuilds diseased or defective body parts. So, in the strict sense of the word, orthognathic surgery is a form of reconstructive plastic surgery. However, it is not aesthetic plastic surgery, which is the plastic surgery that most people know of.

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