Powerful Hospitals for Anterior Maxillary Protrusion in New York City

Anterior maxillary protrusion, commonly known as upper teeth overlapping lower teeth, is a dental and facial condition that can have various impacts on an individual's oral health, facial aesthetics, and overall quality of life. In New York City, several hospitals stand out for their expertise in treating this condition. This article will explore three such powerful hospitals and also provide a comprehensive overview of anterior maxillary protrusion, including its causes, treatment methods, and more.

Understanding Anterior Maxillary Protrusion

What is Anterior Maxillary Protrusion?

Anterior maxillary protrusion is a type of malocclusion. Malocclusion is a term used to describe irregularities in the alignment of teeth and jaws. In the case of anterior maxillary protrusion, the upper front teeth protrude forward, often resulting in an overjet and overbite. This can cause problems with chewing, speaking, and can also lead to self - esteem issues due to the effect on facial appearance.

According to the information from "Chapter 60 Flashcards | Quizlet", most malocclusions are caused by hereditary factors that affect the contours of the face and the size of the teeth and jaw. The most common cause of malocclusion is a disproportion in size between the jaw and the teeth or between the upper and lower jaws. For anterior maxillary protrusion, genetic causes can be responsible when discrepancies in the size of the jaw and/or the size of the teeth are evident. Fetal molding, which occurs when an arm or leg of the fetus is pressed against another part of the body, such as when the arm is abnormally pressed against the mandible, can also lead to distortion of rapidly growing areas and contribute to the development of this condition.

Classification of Malocclusions Related to Anterior Maxillary Protrusion

• Class II Malocclusion: Also known as distoclusion, the mandible is in an abnormal distal relationship to the maxilla. A common lay term for class II malocclusion is "buck teeth". This is often associated with anterior maxillary protrusion where the upper teeth are prominent compared to the lower teeth.
• Overjet and Overbite: Overjet is excessive protrusion of the maxillary incisors, causing space or distance between the facial surface of the mandibular incisors and the lingual surface of the maxillary incisors. Overbite is an increased vertical overlap of the maxillary incisors. With an extreme overbite, the mandibular incisors may not be visible.

Impact of Anterior Maxillary Protrusion

Anterior maxillary protrusion can have several negative impacts. From an oral health perspective, it can contribute to decay and periodontal disease. The misalignment of teeth can make it difficult to clean them properly, leading to the accumulation of plaque and bacteria. In terms of function, it can affect chewing efficiency and may even cause problems with speech. Psychologically, it can have a significant impact on a person's self - confidence, especially in social and professional settings.

The Three Powerful Hospitals in New York City

1. Mount Sinai Hospital

Expertise in Treating Jaw Deformities

Mount Sinai is well - known for its expertise in treating all forms of jaw deformities. As stated in "Jaw Surgery NYC | Mount Sinai - New York", their plastic and reconstructive surgeons work as a team of specialists, coordinating care with dentists, orthodontists, and other plastic surgeons as needed. For anterior maxillary protrusion, they have the necessary skills and resources to address both the functional and aesthetic aspects of the condition.

The hospital treats many conditions affecting the jaw, including maxillary hypoplasia which can be related to anterior maxillary protrusion in some cases. Maxillary hypoplasia appears as a small upper jaw with a shallow, concave midface and an underbite (skeletal malocclusion), and may be associated with a cleft of the lip and palate or other craniofacial syndromes. Their team is experienced in dealing with complex cases, which is crucial when treating anterior maxillary protrusion that may be accompanied by other facial and dental issues.

Treatment Approaches

At Mount Sinai, treatment for anterior maxillary protrusion may involve a combination of orthodontic treatment and surgical intervention. Orthodontic treatment can help straighten teeth that are rotated, tilted, or otherwise improperly aligned, correct crowded or unevenly spaced teeth, and correct bite problems. Surgical treatment, such as orthognathic surgery, may be necessary in more severe cases to align the upper and lower jaw properly.

2. New York - Presbyterian Hospital - Columbia and Cornell

Comprehensive Dental and Maxillofacial Care

New York - Presbyterian Hospital - Columbia and Cornell offers comprehensive dental and maxillofacial care. It is ranked highly in multiple specialties according to "Best Hospitals by Specialty: National Rankings | US News". Although not specifically mentioned for anterior maxillary protrusion treatment in these rankings, its overall high - quality care in related fields such as orthopedics, dentistry, and surgery makes it a strong candidate for treating this condition.

The hospital has a team of experts in orthodontics and oral and maxillofacial surgery. Orthodontists at the hospital can accurately diagnose the condition through a series of examinations, including clinical evaluations, photographic analysis, radiographs, and diagnostic casts. This detailed assessment is essential for formulating an effective treatment plan for anterior maxillary protrusion.

Multidisciplinary Treatment

The hospital emphasizes a multidisciplinary approach to treatment. This means that orthodontists, oral and maxillofacial surgeons, and other specialists work together to provide the best possible outcome for patients. For example, in cases where orthodontic treatment alone is not sufficient, the oral and maxillofacial surgeons can perform surgical procedures to correct the jaw alignment. The combined expertise of different specialists ensures that all aspects of the patient's condition, including the dental, skeletal, and soft - tissue components, are addressed.

3. NYU Langone Hospitals

Advanced Treatment Options

NYU Langone Hospitals is recognized for its advanced treatment options in the field of dentistry and maxillofacial surgery. It has a state - of - the - art dental clinic and a team of highly skilled professionals. The hospital is likely to offer the latest orthodontic technologies and surgical techniques for treating anterior maxillary protrusion.

They may use fixed appliances such as braces, which are a combination of bands, brackets, arch wires, and auxiliaries that can move a tooth in six directions (mesially, distally, lingually, facially, apically, and occlusally). In addition, they may also consider the use of temporary skeletal anchorage devices (TSADs) which, according to "En - masse Retraction of Upper Anterior Teeth in Adult Patients with Maxillary or Bimaxillary Dentoalveolar Protrusion: A Systematic Review and Meta - analysis", can give significantly better results in terms of posterior anchorage compared to conventional anchorage.

Research and Innovation

NYU Langone Hospitals is also involved in research and innovation in the field of orthodontics and maxillofacial surgery. This commitment to research allows them to stay at the forefront of new treatment methods and technologies. They may be conducting studies on new ways to treat anterior maxillary protrusion more effectively, with less pain and a shorter treatment duration. This is beneficial for patients as they can access the latest and most advanced treatment options available.

Treatment Methods for Anterior Maxillary Protrusion

Orthodontic Treatment

Fixed Appliances (Braces)

Braces are a common orthodontic treatment for anterior maxillary protrusion. They consist of brackets that are bonded to the teeth, arch wires that are placed through the brackets, and ligature ties or elastomeric ties that hold the arch wires in place. Different types of arch wires can be used at different stages of treatment. For example, nickel - titanium (NiTi) arch wires are very useful for movement because of their flexibility and are used during the initial stages of tooth movement for maligned and/or crowded teeth. Stainless steel wire is stiffer and stronger and is used to apply greater force and give better stability to control the teeth and is called the working arch wire.

Removable Appliances

Removable appliances can also be used in some cases. These may include retainers that are used after the initial orthodontic treatment to maintain the position of the teeth. Some removable appliances can also be used for minor tooth movements and to correct bite problems. However, their effectiveness may be limited compared to fixed appliances for more severe cases of anterior maxillary protrusion.

Surgical Treatment

Orthognathic Surgery

Orthognathic surgery is a major surgical treatment option for anterior maxillary protrusion, especially in cases where there are significant skeletal discrepancies. This surgery involves repositioning the jaws to correct the bite and align the teeth properly. As described in "Surgical Treatment Plan | Houston Methodist", before surgery, the surgeon must determine whether the patient is ready for surgery. This includes confirming that the goals of presurgical orthodontics have been met and that the patient's health has been optimized to ensure the lowest possible surgical risk.

The surgical planning process is complex and may involve the use of computer - aided surgical simulation (CASS). CASS allows surgeons to simulate the surgical procedures and visualize their outcomes before performing the actual surgery. This helps in achieving more accurate and predictable results.

Maxillary Anterior Alveolar Osteotomy

Maxillary anterior alveolar osteotomy is another surgical option for treating anterior maxillary protrusion. According to "Maxillary Protrusion with Severe Overjet Treated by Maxillary Anterior Alveolar Osteotomy", this technique is primarily employed to posteriorly reposition the anterior dentoalveolar segment through a limited vestibular approach. It is usually indicated in patients with excessive dentoalveolar protrusion and relatively stable favorable molar occlusion. This method has several advantages, including the ability to sever the sagittal skeletal discrepancy while controlling the axial inclination and vertical position of the anterior teeth, and minimizing excessive and prolonged tooth movement, which reduces the risk of root resorption and gingival recession.

The Importance of Choosing the Right Hospital

Choosing the right hospital for the treatment of anterior maxillary protrusion is crucial. A high - quality hospital with experienced professionals can ensure accurate diagnosis, appropriate treatment planning, and successful treatment outcomes. Hospitals like Mount Sinai, New York - Presbyterian Hospital - Columbia and Cornell, and NYU Langone Hospitals have the necessary expertise, advanced technologies, and multidisciplinary teams to provide comprehensive care for patients with anterior maxillary protrusion.

Moreover, these hospitals can offer personalized treatment plans based on the individual needs of each patient. They can also provide post - treatment care and follow - up to ensure the long - term stability of the treatment results and the patient's overall oral and facial health.

Conclusion

In conclusion, anterior maxillary protrusion is a common and often complex dental and facial condition. In New York City, Mount Sinai Hospital, New York - Presbyterian Hospital - Columbia and Cornell, and NYU Langone Hospitals are three powerful hospitals that are well - equipped to treat this condition. They offer a wide range of treatment options, from orthodontic treatment to surgical intervention, and have the expertise to handle both simple and complex cases.

If you or someone you know is suffering from anterior maxillary protrusion, we encourage you to reach out to one of these hospitals for a professional consultation. Take the first step towards improving your oral health and facial aesthetics today!