Читать книгу 6Ways to Design a Face - Paul Coceancig - Страница 6

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