6Ways to Design a Face
Corrective Jaw Surgery to Optimize Bite, Airway, and Facial Balance
Library of Congress Cataloging-in-Publication Data
Names: Coceancig, Paul, author.
Title: 6ways to design a face : corrective jaw surgery to optimize bite, airway, and facial balance / Paul Coceancig.
Other titles: 6 ways to design a face
Description: Batavia, IL : Quintessence Publishing Co, Inc, [2021] | Includes bibliographical references and index. | Summary: “This book details the author’s 6Ways to design a face: IMDO, GenioPaully, BIMAX, SuperBIMAX, custom PEEK, and SARME. All of these corrective jaw surgery procedures address functional issues, primarily the small mandible, to maximize the patient’s airway, occlusion, and facial esthetics”-- Provided by publisher.
Identifiers: LCCN 2020035755 | ISBN 9780867159660 (hardcover)
Subjects: MESH: Orthognathic Surgical Procedures--methods | Reconstructive Surgical Procedures--methods
Classification: LCC RK529 | NLM WU 600 | DDC 617.5/22059--dc23
LC record available at https://lccn.loc.gov/2020035755
© 2021 Quintessence Publishing Co, Inc
Quintessence Publishing Co, Inc
411 N Raddant Road
Batavia, IL 60510
www.quintpub.com
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All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.
Editor: Leah Huffman
Design: Sue Zubek
Production: Sarah Minor
Printed in the USA
contents
foreword by Arun K. Garg foreword Paul Coceancig is not the first dentist to correlate small jaws in adolescents with bad bites and crooked teeth, but his ideas about how to treat this condition—which seems to be rampant in Western society—depart significantly from established views. Based on his extensive professional training and experience, and to some extent on the abysmal failure of his own orthodontic treatment as a teenager and again during dental school, Coceancig rejects the basic tenets of mainstream orthodontics, with its focus on the occlusion and its reliance on tooth extraction to make the teeth fit in the jaws. The long-term ramifications of this treatment approach—a disproportionate face, a collapsing tongue, and a compromised airway—are widespread and devastating to the overall health of patients. Coceancig presents and argues very convincingly in favor of an alternative, holistic approach to correcting bad bites and crooked teeth that he has developed over many years, based on the premise that having 32 functional teeth is the natural and ideal state of every adult human. In his view, abnormal states of facial profile and bad bite fall on a spectrum, yet they all have exactly the same etiology—a small mandible. Furthermore, the most efficient way to permanently change a small jaw into one that is more proportionate to the rest of the face is through corrective jaw surgery, using simple distraction techniques that Coceancig has refined over many years with excellent results, as demonstrated by the dozens of well-documented cases he presents throughout his book. By adopting Coceancig’s philosophy and surgical protocol, oral and maxillofacial surgeons can reverse the cosmetic effects and correct for the orthodontic consequences of the small jaw in their adolescent patients. In addition, a variation of this surgery is highly effective in reversing the destructive consequences of a constricted airway on older people who have already developed obstructive sleep apnea (OSA) as a result of their small mandibles. By curing people of breathing difficulties, such as snoring, or of the risk or presence of OSA through corrective jaw surgery, the oral and maxillofacial surgeon is also helping to prevent a range of other diseases that are commonly associated with OSA. Arun K. Garg, DMD Miami, Florida
Introduction
1 Reimagining Orthodontics and Oral Surgery
2 Why Obstructive Sleep Apnea Occurs
3 Deciding on Jaw Surgery
4 The Digital Diagnostic Process
5 What Is AMHypo and Why Should Clinicians Understand It?
6 Jaw Correction Procedures
7 Managing the Chin and Jawline
8 Explaining the IMDO Protocol
9 Designing for IMDO and GenioPaully
10 What Patients Can Expect with IMDO Therapy
11 Introducing Custom BIMAX
12 The Remedial BIMAX
13 The SuperBIMAX
14 What Patients Can Expect with BIMAX
15 Creating the Ideal Maxilla
16 Introducing PEEK Implants
17 The Negatives of Corrective Jaw Surgery
epilogue
index
foreword
Paul Coceancig is not the first dentist to correlate small jaws in adolescents with bad bites and crooked teeth, but his ideas about how to treat this condition—which seems to be rampant in Western society—depart significantly from established views.
Based on his extensive professional training and experience, and to some extent on the abysmal failure of his own orthodontic treatment as a teenager and again during dental school, Coceancig rejects the basic tenets of mainstream orthodontics, with its focus on the occlusion and its reliance on tooth extraction to make the teeth fit in the jaws. The long-term ramifications of this treatment approach—a disproportionate face, a collapsing tongue, and a compromised airway—are widespread and devastating to the overall health of patients.
Coceancig presents and argues very convincingly in favor of an alternative, holistic approach to correcting bad bites and crooked teeth that he has developed over many years, based on the premise that having 32 functional teeth is the natural and ideal state of every adult human. In his view, abnormal states of facial profile and bad bite fall on a spectrum, yet they all have exactly the same etiology—a small mandible. Furthermore, the most efficient way to permanently change a small jaw into one that is more proportionate to the rest of the face is through corrective jaw surgery, using simple distraction techniques that Coceancig has refined over many years with excellent results, as demonstrated by the dozens of well-documented cases he presents throughout his book.
By adopting Coceancig’s philosophy and surgical protocol, oral and maxillofacial surgeons can reverse the cosmetic effects and correct for the orthodontic consequences of the small jaw in their adolescent patients. In addition, a variation of this surgery is highly effective in reversing the destructive consequences of a constricted airway on older people who have already developed obstructive sleep apnea (OSA) as a result of their small mandibles. By curing people of breathing difficulties, such as snoring, or of the risk or presence of OSA through corrective jaw surgery, the oral and maxillofacial surgeon is also helping to prevent a range of other diseases that are commonly associated with OSA.
Arun K. Garg, DMD Miami, Florida
INTRODUCTION
For over a decade my wife has been persistently asking me to write a book about corrective facial skeletal surgery. I resisted for a while, thinking the process to be too big, too elaborate, and too broad. After all, the writing process is very introspective, which for me is very isolating, and requires significant time and dedicated sustained concentration. As my wife can attest, to successfully write a book comes at the sacrifice of children, parents, friends, referrers, business associates, and patients.
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