Paul Coceancig - 6Ways to Design a Face

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In this innovative and paradigm-busting book, the author asserts that almost all bad bites have their origin in a small mandible, what he calls anterior mandibular hypoplasia, or AMHypo, and further claims that surgical management is the only means to correct it. AMHypo arises because of a small anterior tongue, and it leads to dewlap (poor chin-neck contour), dental crowding, impacted third molars, a range of dental malocclusions, and retroglossal tongue displacement into the upper airway. Traditional orthodontics often camouflage the small jaw by extracting «extra» teeth that don't fit and controlling growth with various appliances, effectively leaving the patient in the same medical predicament they were before having their teeth straightened and their occlusion fixed. After all, for every patient with a bad bite, there are three combined, interwoven, inseparable treatment considerations: occlusion, airway, face. In this book, the author outlines the anthropologic underpinnings of the small jaw and then outlines his six surgical methods of designing the face to optimize bite, airway, and facial balance: IMDO, GenioPaully, custom BIMAX, SuperBIMAX, custom PEEK implants, and SARME. IMDO, or intermolar mandibular distraction osteogenesis, is a surgery less invasive than third molar surgery that can expand the mandible by as much as 16.5 mm and effectively bring the tongue forward to eliminate the potential for airway issues down the line, not to mention improve the patient's profile dramatically. The surgeries and protocols in this book will have you rethinking your approach to patient care and asking yourself how you can better care for your patient now AND in the future. The author sees no reason why we should not expect to carry all 32 of our teeth for our adult lifetime in a Class I occlusion and free of crowding or impactions or airway collapse. Do you dare to join him?

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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 - фото 1

© 2021 Quintessence Publishing Co, Inc

Quintessence Publishing Co, Inc

411 N Raddant Road

Batavia, IL 60510

www.quintpub.com

5 4 3 2 1

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 - фото 2

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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