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Jaw Surgery and Dental Implants in Singapore Blog

Corrective jaw surgery- orthodontics or jaw surgery?

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Most medical problems have at least two possible solutions; surgical and non-surgical. Given that most people do not like to be cut, non-surgical options are by far the preferred option for most patients. For example, if you have some clogged-up arteries in your heart, do you go to a cardiologist or a heart surgeon. From what I understand from my heart surgeon friends, the first stop tend to be cardiologists these days. This is understandable as cutting open your chest to do a by-pass graft scares the living daylights out of most people. Compare this to someone inserting a wire from you thigh up to the heart to unblock the artery. Jaw deformities like an underbite or overbite, within certain limits, can be moderated with non-surgical treatment like orthodontics. But the key is knowing the limitations.

 

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A little bit of orthognathic surgery but not too much

 

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It is quite common in my practice to have patients coming in to ask for jaw surgery to correct what they feel are minor deformities. They often say that they are not seeking major changes and only want a bit of surgery but not too much. Every often, such requests are harder to fulfill than requests for extreme makeovers. Jaw surgery can achieve dramatic changes in facial appearance especially in cases of gross discrepancies of facial bone proportions and symmetry. However, for the patient who says she does not want major changes, is orthognathic surgery suitable?

 

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Who calls the shots in orthognathic surgery- orthodontist or surgeon?

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Many conditions require multi-disciplinary management. For example, ischemic heart disease may require the expertise of the cardiologist and the cardiothoracic surgeon. In the same, way, dentofacial deformities require the expertise of the orthodontist and the maxillofacial surgeon. The best outcome is achieved when surgical and non-surgical options are considered, balancing the treatment objectives and the risks involved. However, very often, the treatment plan depends on who is primarily in charge of the treatment planning.

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What cosmetic jaw surgery do I need?

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The advent of the internet has done much to decrease the information asymmetry between patient and doctor. Having the information is one thing but joining the dots to complete a picture is another. The wealth of information that is freely available on the web can be overwhelming. Cosmetic jaw surgery patients are generally youngish and most would have done some homework prior to coming in for a consultation. Once in a while I get some who are medical website junkies who scour the net for information and form their own diagnosis. They email in their own diagnosis and the treatment that they want and ask for a quotation. Most of the time, I either do not reply or simply tell them that I can’t comment until after a physical examination. Fortunately, the vast majority of patients are not like that. Most patients will ask the question, “What cosmetic jaw surgery do I need?”

 

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Creating the V Shape Face by jaw contouring surgery in Singapore

bigstock-Beautiful-Young-Smiling-Woman-102800567.jpgTwenty-four years ago, when I was preparing my Master’s thesis, I reviewed a lot of literature on facial norms. I needed to look at what constitute a “normal” face. As it turned out, most of the publications were actually based on aesthetic ideals. Naturally, this is because surgical literature are biased towards surgically enhancing facial proportions and features to achieve an aesthetic outcome. Somehow, “normal” is not what patients who are ready to subject themselves under the knife wanted. In Singapore, we are subjected to chiseled angular facial features of the West and the V-shape face so desired in Asia.

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Facial contouring with orthognathic surgery in Singapore

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Facial contouring surgery consists of augmentation and reduction of facial bones to change the contours of the face. Augmentation can be achieved by using implants. These implants are screwed onto the underlying facial bone to increase the projection of the face where it is deficient, e.g. a chin implant. Reduction can be achieved by trimming off prominent bony contours with a saw or drill. Orthognathic surgery can be used to achieve both augmentative and reductive results that are more natural and long lasting.

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Computerized simulation of underbite corrective surgery in Singapore

 

long_face.pngA 19 year old male Chinese patient was referred by his orthodontist for surgical correction of underbite deformity. It is commonly believed by most patients looking for underbite corrective surgery that their problem lies with the lower jaw being too long. However, it is rarely a problem of just the lower jaw. In most cases, it is also a case of the upper jaw being underdeveloped.

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Planning for Corrective Jaw Surgery for Overbite in Singapore.

bigstock-Side-View-Of-Beautiful-Woman-W-88938653.jpgOverbite deformity, whereby the lower jaw is significantly shorter than the upper jaw is actually a lot more common in Singapore. However, it is not as commonly treated surgically. This may be due to the fact that the ideal jaw relation dictates that the upper jaw is more protruding than the lower jaw. As such overbite only becomes a dentofacial deformity when it exceeds the norm by a significant extent, at least to an extent that the patient is bothered enough by it to seek surgery. However, unlike an underbite deformity, an overbite deformity can cause severe functional problems such as obstructive sleep apnea. The planning for such a case is similar to the underbite, but the movement of the jaws are in the opposite direction.


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Asymmetry of jaws - abnormal growth or disproportionate development


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Everybody has asymmetry to a certain extent. The left side is not a mirror image of the right and is never meant to be. Internally, our organs are even more different. As such nobody is symmetrical. However, gross facial asymmetry is also a sign that something is not quite right. While most cases of facial asymmetry are caused by disproportionate development between the left and right side, some cases are caused by disease. While developmental disharmonies poses primarily cosmetic problems, abnormal growth diseases such as fibrous dysplasia may result in functional problems as well.

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How to Choose an Aesthetic Clinic in Singapore?

bigstock-Asian-skincare-woman-lying-on--45174397Given the many advances in aesthetic medicine over recent years, cosmetic procedures in Singapore are becoming more popular than ever before, allowing people to resolve appearance problems today that previous generations simply had to live with. This increasing demand for cosmetic procedures – both surgical and non-surgical – has given rise to an ever-increasing number of aesthetic clinics. So how can the average Singapore patient ensure that they are choosing the best clinic to suit their needs? Here, we'll outline some of the most important factors to consider as you choose an aesthetic clinic in Singapore.

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