A panel discussion excerpt where Dr. Victoria Veytsman explains evaluating dental-facial aesthetics with attention to both appearance and function. She describes causes like narrow palate, tongue-tie, and macroglossia, and outlines treatment options ranging from orthodontics to orthognathic (jaw) surgery and full mouth rehabilitation using porcelain restorations to reopen and restore bites.
Chapters
We can actually open bites and restore people to where they started or to ideal if they were never there before. So when a patient comes in, we're evaluating their dental facial aesthetics, not just for aesthetics, but for functionality. So if we see someone with, say, a narrow palate or a tongue, like a tongue tie or macroglossia, which is like a large tongue, that's going to affect their facial aesthetic. So we'll try to be proactive there and think about things like, for instance, orthognathic surgery as like the last resort, but orthognathic jaw surgery to potentially expand the palate, or orthodontics, which is more conservative, but that affects not just the facial symmetry, but also function breathing as well. So we try to be proactive in that sense. Now for patients come in and they're already displaying signs and symptoms of sleep apnea or decreased volume in the lower third of the face. There are ways, luckily, to correct that with restorative dentist. So we do. That's what we call full mouth rehabilitation. We do that with porcelain restorations, and we can actually open bites and restore people to where they started or to ideal if they were never there before.