Distraction osteogenesis has been acclaimed as a successful modality for the treatment of such deformities. Male revision rhinoplasty surgery is the most difficult and challenging procedure that facial plastic surgeons perform. Likewise, reduction genioplasty can be performed for over-projected or prominent chin, e. Rhinology, 36, 20-23, 1998 The role of ethmoid sinus surgery in the treatment of the twisted nose* Y. 58 psyche and soul three volumes of cleft unc brought her tiny daughter in for surgical treatment palate cleft and microgenia she had closure of the velum at. Home; web; books; video; audio; software; images; Toggle navigation. Genioplasty can be used in all kinds of microgenia in any severity, especially those with deviated chin and facial asymmetry. A chin implant, which is placed through an incision hidden inside the mouth or in the wrinkle beneath the chin, can restore the proportions of the chin, and make the face and neck proportions look better. (microgenia),and a normal bite. BSSRO or IVRO. 5 Esthetic considerations of the lower facial third requires attention to vertical dimension, symmetry and profile to achieve facial balance with the forehead, cheeks, paranasal area, lips and neck. Your doctor can help you find a local hospital that offers. Microgenia is a term meaning a small chin. They are also useful for removing port wine stains, pigmentation issues, skin growths, facial spider veins and even some tattoos. 2015-2016 Saint Louis University Course Catalog Advanced Dental Education, Center for (CADE) ENDG 5510 - Princpls of Endodontic Surgery (1) A comprehensive consideration of endodontic surgery is presented. Can occur in anyone, but is often a sign of Down syndrome. While the radiologic pattern is typical in the closer to term patient, the pattern in the small preterm infant is very non-discrete and variable. ostectomy - surgical removal of a bone. Brannstrom M, Nyborg H. Seven patients with macrogenia were. Definition: Also known as acrocephalic syndactyly syndrome. In the Media. Usually technologies such as Laser or Vaser is used to emulsify the fat. Dentofacial Evaluation Guide Dentofacial deformities are skeletal in nature and affect the occlusion, functions of speech, swallowing, mastication, TMJ function, respiration and digestion. The receiver operating characteristic curves show that the multi-energy group treatment of the scattering angle distributions is the superior method for image reconstruction. Over time, a swollen joint can become severely damaged. Although both procedures may be used for retrognathia or microgenia, the sliding genioplasty may also be used in chin asymmetry, prognathia, and vertical height discrepancies. border resection - posterior border resection. Less overt palatal clefting, such as sub-mucous cleft palate, may also present with airway obstruction. mandibuloplasty(in case of unilateral macrognathia) - inf. Amniocentesis due to triplet gestation and advanced maternal age; other two triplets with normal karyotypes; IUGR from week 27 on; polyhydramnion (>95. Likewise, reduction genioplasty can be performed for over-projected or prominent chin, e. Chin implants and cheek implants are most frequently employed, but other treatment options are available. Botox; Eye Bags (Tear Trough Deformity) Fillers; Laser; Lip Augmentation. The treatment is not only anti-aging but can actually reverse years of aging form the patients face with permanent facial support. Careful preoperative planning is essential and includes additional radiographs to ensure a predictable outcome. The site for placement of the surgical screws or other attachment means anchoring the distraction device is then decided. Jones, "Evaluation and treatment of vertical microgenia," Archives of facial plastic surgery, vol. What is ICD-9? The International Statistical Classification of Diseases and Related Health Problems (commonly known as the ICD) provides alpha-numeric codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. Abstract: Our results of live immunofluorescence, immuno gold electron-microscopy and gradient fractionation concurred to the demonstration that endogenous IDE from brain tissues and cell cultures is, in addition to its other localizations, a detergent-resistant membrane (DRM)-associated metallopeptidase. Evaluation of a three-stage method for improving mandibular retrognathia with labially inclined incisors using genioplasty, segmental osteotomy, and two-jaw surgery. Mongoloid section of the eye and microgenia. com) 2007年 02月 19日 16時 40分 33秒 squirting. Side Effects Side effects from chin augmentation may include infection, hematoma (internal bleeding), shift in implant position, and poor scarring. Facial plastic surgery in Edina, MN, by Dr. DBR: Updated section 4. Treatment should therefore be planned to limit social and psychological maladaptation. centile); birth weight at 15. Chin augmentation with bone autograft can't achieve good long-term result and should be applied prudently. A: Treatment – Expectant, humidification, racemic or levoepinephrine (0. NASAL AIRWAY AND MALOCCLUSION www. uk) 2007年 03月 21日 06時 35分 52秒 URL:http://somapill. 13 x 13 Baccetti, T. 5 Esthetic considerations of the lower facial third requires attention to vertical dimension, symmetry and profile to achieve facial balance with the forehead, cheeks, paranasal area, lips and neck. diagnosis and treatment planning, predicting treatment results and to assess soft tissue and hard tissue changes resulting from treatment. First scientific article on extraoral genioplasty has been published by Hofer in the Nazi. Atlas Oral Maxillofacial Surg Clin N Am 22 (2014) 167-173. Regarding obtuse chin neck angle (CNA), submental laxity, excess fat above and below platysma, hyoid position, and mandibular projection all affect the CNA (Figure 4). [Article in Chinese] Li HC(1), Gui L, Lv CS, Zhang ZY, Liu YF, Zhang J. The terms macrogenia and microgenia also refer to size, with macrogenia indicating a large and microgenia a small chin. Children with this problem should see an orthodontist when the adult teeth come in. Yonsei University Dental Hospital has eight dental laser equipment for diverse purposes, such as desensitization of hypersensitive teeth and burning mouth, relief of various types of facial pains, and treatment of oral ulcers and other soft tissue lesions. AAPC Coder is medical coding's best online code search & lookup tool. In the literature, there remains debate over the best surgical approach—specifically, whether implant placement or osseous genioplasty is the superior operation. Procedures. Receding Chin - Microgenia Experts at Imed Clinic use two methods as solutions for receding chin: chin augmentation using alloplastic implants and the so-called sliding genioplasty. Microgenia cannot therefore be evaluated in LB1 in the absence of soft tissue anatomy. (1971) described a distinctive syndrome in 4 of 7 sibs. And "More information" links may no longer work. Sodium is a mineral that is essential for human health. Since every case is unique, the doctor can evaluate, diagnose, and treat the condition. Chin augmentation is usually done to balance the face by making the chin longer or bigger compared to the nose. This can be seen in the way the teeth close. For example, medications may be prescribed to treat seizures and/or epilepsy. These include flat face, tiny and slanting ears. Children who have Down's syndrome have distinctive facial features. A deficient chin (microgenia) may detract from facial balance. border resection - posterior border resection. 6 Many patients that. Localized microdontia is far more common than generalized microdontia, and is often associated with hypodontia (reduced number of teeth). What is used for treatment in phase II treatment? Remove separators, coronal polish, trial fit bands, prepare fitted bands, cement action of bands, select brackets, prepare bonding agent, isolate, acid etch, rinse and re isolate, place brackets, light-cure, remove isolaters, place and legate arch wire. Successful management of the child with a congenital anomaly may require knowledge of genetics, pediatrics, molecular biology, and reconstructive surgery. 6 Temporomandibular joint disorder 526. dehydration is the most common cause of hypo-volemic shock; therefore, the main treatment of hypovolemic shock is quick fluid and blood replacement. However, if you have a large jaw, your plastic surgeon can avoid making your nose small to fit your chin without needing to perform a chin surgery (genioplasty). condylectomy. NBS is estimated to affect one in 100,000 newborns worldwide, but is thought to be more common in Slavic populations of Eastern Europe ( 18 ). Yonsei University Dental Hospital has eight dental laser equipment for diverse purposes, such as desensitization of hypersensitive teeth and burning mouth, relief of various types of facial pains, and treatment of oral ulcers and other soft tissue lesions. People affected by BPP may also benefit from physical therapy,. Microgenia or small chin is corrected by placing a silicone implant thru an incision under chin. • Patient with retrognathia, voluntary protrusion of jaw (better candidate for mandibular advancement) • Patient with retrognathia and chin implant (deepened labiomental fold). Simulacin grfica de las correcciones (VTO, Visual Treatment Objective). The Line Clinic is the best cosmetic surgery and plastic surgery clinic in Seoul, South Korea. A preauricular sinus is a common congenital malformation characterized by a nodule, dent or dimple located anywhere adjacent to the external ear. Outcomes and complications of treatment of underdevelopment of the lower jaw (microgenia, retrognathy) According to available data, engraftment after contour plasty by grinding autochondria is noted in 98. She has always been self-conscious regarding her profile. Chin implants are used in patients with mild or moderate microgenia. In the case of isolated microgenia, a weak chin profile can be assessed using Frankfort Horizontal and a line perpendicular at the chin point (Figure 3). PRS is the combination of intermittent upper airway obstruction, glossoptosis, microgenia, and retrognathia, with or without cleft palate. The technique is described and the advantages over inclusions of bone and cartilage grafts are enumerated. Your consultation is an opportunity to meet with the team at Cosmetic Surgery Associates and discuss your goals. Walden has appeared on CBS, ABC, Fox News and E!, and in magazines such as Vogue, Cosmopolitan, Self, Glamour and more. In order to have a balanced positioning of upper and lower jaws, three-jaw surgery is the answer. 4 Malocclusion 524. Photographs may have been modified and edited, including but not limited to, changing tattoos, scars, body (or body part) size, implant position, implant size, nipple position, nipple size and other body morphology. Baby's Face Gives Early Clue to Down Syndrome. An increased body mass index (BMI), which is also known as obesity, is a known risk factor for OSA in children, adolescents, and adults (). Unlike meningitis (see), while meningism all these phenomena are expressed to a lesser extent, changes in the spinal fluid is not detected. Simulacin grfica de las correcciones (VTO, Visual Treatment Objective). Attention is called to the tolerance and long-lasting results. Read about juvenile idiopathic arthritis (juvenile rheumatoid arthritis, JRA) treatment, diagnosis, prognosis, types, and causes. When indicated, you will be referred to the appropriate area of the coding books where the principles of coding illustrated in this paper may be applied. Chin augmentation The best candidates for chin augmentation or genioplasty are patients with weak or receding chins (microgenia), but with a normal dental bite. ApicoectomyA surgical root canal treatment used to seal the tip of a root when conventional root canal treatment. Hausdorff function analysis (Topographic Color Mapping) by superimposition of both preoperative and postoperative computed tomography 3D scans and obtaining numerical values. ANUG is commonly known as trench mouth or Vincent's disease, which can be aggravated by stress and/or smoking. Treatment should therefore be planned to limit social and psychological maladaptation. 5 introduction -orthognathic surgery 1. Class 6: Demonstrating a low hyoid. Objective: To evaluate treatment of vertical microgenia in patients with chin deformities. This may be improved with a chin augmentation procedure. drg 159 dental and oral diseases without cc/mcc. It is best that candidates have a normal bite. What is Genioplasty: Overview, Benefits, and Expected Results Definition & Overview A genioplasty is a surgical procedure used to enhance the shape and appearance of the chin. Hilger' 1 Division ofOlOlaryngology and Facial Plasti c Surgery, John Peter Smith Hospital , Fort Worth, U. Chin fillers are a popular treatment in which dermal fillers are used to enhance the chin. 06 is a legacy non-billable code used to specify a medical diagnosis of major anomalies of jaw size, microgenia. You need a Mittleman medium chin jowl silicone implant. Design and testing of prototype handheld scanning probes for optical coherence tomography. An extensive review of these two techniques is explained in the 5 topics listed on the left under Treatment - Microtia Ear Surgery. Dr Souphiyeh Samizadeh is a dental surgeon with a Master’s degree in Aesthetic Medicine and a PGCert in Clinical Education. What are chin implants made out of? Chin implants are made out of a variety of FDA approved materials which have been safely used for many years. Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244. PDF | This study focused on the treatment protocol for macrogenia and surgical techniques of the semicircular ostectomy of the mandibular inferior border. MicroLaserPeel - 4 to 40 micron epidermal laser peel preformed with the Sciton Laser at LeBeau Clinic that precisely removes the outermost layers of the skin. [email protected] Microgenia is the medical term for an unusually small or "Macrogenia: a study of treatment results, with surgical recommendations". Your doctor can help you find a local hospital that offers. *Individual results may vary. The International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) will enhance accurate payment for services rendered and facilitate evaluation of medical processes and outcomes. Methods: Twenty-one patients were included in this retrospective review. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search. BPP is a subtype of a broader condition known as polymicrogyria. Chin fillers in London. Treatment methods can range from medications and close monitoring to major surgery and supportive care. For botox injections, it can last 3 months. , prognathia or protruded chin. Dr Souphiyeh Samizadeh is a dental surgeon with a Master’s degree in Aesthetic Medicine and a PGCert in Clinical Education. The use of botulinum toxin to reduce masseter width is well established in Asia as the most effective nonsurgical shaping and facial slimming tool [ 1 , 3 , 5 , 6 , 35 , 36 ]. Home; web; books; video; audio; software; images; Toggle navigation. mandibuloplasty(in case of unilateral macrognathia) - inf. Define microglial. Hausdorff function analysis (Topographic Color Mapping) by superimposition of both preoperative and postoperative computed tomography 3D scans and obtaining numerical values. 12 Research on dentofacial deformities and motivation has shown that patients with severe sagittal class II deformities are more inclined towards orthodontics rather than surgery. Our main concern is to make our patient's surgical experience as comfortable and pleasant as possible and to ensure the best possible result from treatment. The best candidates for chin augmentation are people with weak or receding chins (microgenia), but who have a normal dental bite. The technique is described and the advantages over inclusions of bone and cartilage grafts are enumerated. Microglossia Symptom Checker: Possible causes include Stomatitis & Gingivitis & Periodontitis. ICD-9-CM Section 520-529 Diseases Of Oral Cavity, Salivary Glands, And Jaws 520 - Disorders of tooth development and eruption 520 Disorders of tooth development and eruption NON-BILLABLE. Genioplasty Chin Augmentation Surgery. ClassV patientssuffer from suboptimal chin projection from either microgenia or retrognathia corrected by chin augmentation or mandibular advancement ( Fig. In discussing treatment options, the patient asked to avoid a more intensive approach involving orthodontics and orthognathic surgery. Facial angle: This angle is formed by the Frankfort horizontal plane and a line drawn from Pogonion and Nasale (mean 82 to 95 degrees). If you’re seeking a chin augmentation and chin implants in or around the Bethesda, Virginia region, you can schedule a consultation and be on your way to achieving the look you’ve always wanted. This article outlines the methods to analyze the chin, and discusses the treatment options available for correction of chin deformities as an adjunct to rhinoplasty. A syndrome characterized by the presence of three complete copies of genetic material for chromosome 21, instead of the normal two. Preparation by dilating cervix (for), termination of pregnancy per orifice approach and antacid treatment [e. Chin Surgery VI: Treatment of an Unusual Deformity, the Tethered Microgenic Chin Article in Plastic and Reconstructive Surgery 120(4):1053-9 · October 2007 with 34 Reads. Medical Insurance Reimbursement for Pediatric Airway Treatment Published on September 4, 2019 by Dental Sleep Practice Medical insurers are defining what is medically necessary for pediatric patients with airway issues, and the exciting developments mean some oral appliances or functional orthopedic appliances may be covered. Microgenia is a term meaning a small chin. Notesyndactyly 2/5 andbrachymesophalangy 2and5as well as broad distalfirst phalanx (courtesy ofProfessorYABliesener, Stadtische Kinderklinik, KolnRiehl). However, if you have a large jaw, your plastic surgeon can avoid making your nose small to fit your chin without needing to perform a chin surgery (genioplasty). Please note: This article was published more than one year ago. With TCI SuperCoder’s CPT ® code lookup, you can stop wasting time and energy searching for the correct procedure codes. 9% in the US, 0. The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. They are often hereditary, and may occur alone or in association with cleft lip and palate, termed Van der Woude syndrome. Facial angle: This angle is formed by the Frankfort horizontal plane and a line drawn from Pogonion and Nasale (mean 82 to 95 degrees). Persons who feel that they have a weak chin, microgenia, out of balance with a prominent nose can benefit from chin augmentation. a primary treatment modality for OSA, MGA may be considered in isolation in the rare OSA patient with microgenia or glossoptosis and minimal other upper airway obstruction. de iciency & microgenia 1030-1045h TEA BREAK 1045-1130h Treatment planning hands on - Mandibular antero-posterior excess & macrogenia 1130-1200h Treatment planning hands on - Vertical maxillary de iciency 1200-1300h Treatment planning hands on - Vertical maxillary excess, mandibular antero-posterior de iciency, microgenia. Can occur in anyone, but is often a sign of Down syndrome. Cohen JL, Biesman BS, Dayan SH, DeLorenzi C, Lambros VS, Nestor MS, Sadick N, Sykes J. If your microgenia is too severe or if you have teeth that are misaligned when the jaws are closed, you may not be good candidate for cosmetic chin surgery. [Article in Chinese] Su R, Liu J, Gui L, Niu F, Chen Y, Wang M. 21,88,241,255,337 Peppard and colleagues outlined the cardiovascular risks associated with OSA for weight gain and weight loss. Frontonasal Dysplasia: A Rare Case Report and Review of Literature Chaithra Kalkur1*, Atul P Sattur2 and Krishna Burde2 1 Department of Oral Medicine and Radiology, Centur y InternationalInstitute of Dental Sciences and Research Centre, Kerala, India. Surgery for malocclusion can restructure a person’s jaw to improve the jaw’s aesthetics and functionality. Chin Surgery VI: Treatment of an Unusual Deformity, the Tethered Microgenic Chin Article in Plastic and Reconstructive Surgery 120(4):1053-9 · October 2007 with 34 Reads. For patients with a normal bite between the upper and lower jaws and a disproportionately small chin, a condition known as microgenia, a chin augmentation will help restore facial balance and symmetry. For over 40 years, the physicians and staff at the International Craniofacial Institute in Dallas, Texas have provided excellent treatment and care for patients who suffer from jaw disorders such as jaw deformity. When the chin is very small and an implant cannot help, then a different type of chin surgery called sliding genioplasty may be recommended. Chin augmentation is most frequently performed via implant or osseous genioplasty in the literature. The most common abnormality of facial bone proportion is a weak or retruded chin (microgenia). These may be due to a cleft lip and palate, or other causes. Taber’s Cyclopedic Medical Dictionary Online + App from F. Study: Missing nose bone a near-perfect marker for disorder. Objective To sum up a new surgical method to treat knee ankylosis with skeletal traction following arthrolysis. de iciency & microgenia 1030-1045h TEA BREAK 1045-1130h Treatment planning hands on - Mandibular antero-posterior excess & macrogenia 1130-1200h Treatment planning hands on - Vertical maxillary de iciency 1200-1300h Treatment planning hands on - Vertical maxillary excess, mandibular antero-posterior de iciency, microgenia. Post-op she is "in love" with her result. Anteroposterior chin deficiency (microgenia) (Fig 6 & 7) Anteroposterior augmentation of the chin by sliding genioplasty is the most common operation to correct an anteroposterior deficient chin 7,8. Definition (NCI_NCI-GLOSS). 623 is arthralgia of bilateral temporomandibular joint (M26623). J Dent Res 1971 Nov-Dec; 50 (6): 1548-52. Botox; Eye Bags (Tear Trough Deformity) Fillers; Laser; Lip Augmentation. overbite - the up and down (vertical) overlapping of the lower teeth by the upper teeth. Please note: This article was published more than one year ago. 1,12,13 The author describes the hyoid-thyroid. While the radiologic pattern is typical in the closer to term patient, the pattern in the small preterm infant is very non-discrete and variable. Preparation by dilating cervix (for), termination of pregnancy per orifice approach and antacid treatment [e. The procedure takes 1 to 2 hours and is performed under anesthesia, which is monitored by a licensed, board-certified anesthesiologist. Frontonasal Dysplasia: A Rare Case Report and Review of Literature Chaithra Kalkur1*, Atul P Sattur2 and Krishna Burde2 1 Department of Oral Medicine and Radiology, Centur y InternationalInstitute of Dental Sciences and Research Centre, Kerala, India. Micrognathia and Pierre Robin sequence What is Micrognathia and Pierre Robin sequence? Micrognathia is a smaller than normal jaw, often the lower jaw or chin. Introduction: Genioglossal advancement is a surgical procedure for obstructive sleep apnea (OSA) that has lost favor as a primary treatment strategy. A syndrome characterized by the presence of three complete copies of genetic material for chromosome 21, instead of the normal two. At one time they were made of cartilage taken from donors or from other sites on the patient's body, but as of 2003 alloplastic implants (made from inert foreign materials) are used more often because they reduce the risk of infection. Class V patients suffer from suboptimal chin projection from either microgenia or retrognathia corrected by chin augmentation or mandibular. This is because, depending on each case, options include non-surgical techniques, such as botulinum toxin, or traditional eyebrows lifting surgery. Treatment of overjet by retraction of frontal teeth to temporary anchorage devices (TADs) Author: Renáta Urban , Vladimíra Schwartzova Increased overjet may be caused by excessive proclination of upper incisors with prominent maxilla or on the other hand by microgenia or mandibular retrognathism. hot porn さん ([email protected] Children who have Down's syndrome have distinctive facial features. Children with this problem should see an orthodontist when the adult teeth come in. Chin fillers in London. Class 5: Retrognathia and/or microgenia. Side Effects Side effects from chin augmentation may include infection, hematoma (internal bleeding), shift in implant position, and poor scarring. Bradley, MD,Þ and Henry K. [A_] [_B_] [_C_] [_D_] [_E_] [_F_] [_G_] [_H_] [_I_] [_J_] [_K_] [_L_] [_M_] [_N_] [_O_] [_P_] [_Q_] [_R_] [_S_] [_T_] [_U_] [_V_]. microglial synonyms, microglial pronunciation, microglial translation, English dictionary definition of microglial. There are many ways to refer to chin surgery, including genioplasty, mentoplasty, chin implant surgery or chin augmentation. Pathology Associations Microgenia can be isolated or be associated with a number of anomalies which incl. Chin augmentation with bone autograft can't achieve good long-term result and should be applied prudently. Treatment of miscarriage 59820 Care of miscarriage 59821 59830 Treat uterus infection 59840 Abortion 59841 59850 59851 59855 59856 59866 Abortion (mpr) 59870 Evacuate mole of uterus 60000 Drain thyroid/tongue cyst 60001 11056 Trim skin lesions, 2 to 4 11057 Trim skin lesions, over 4 11100 Biopsy of skin lesion 11101 Biopsy, skin add-on 11200. PRS is the combination of intermittent upper airway obstruction, glossoptosis, microgenia, and retrognathia, with or without cleft palate. Hydrogen is a gas that floats around the planet freely, but only in the last few years has the medical community made significant efforts to unlock the hydrogen rich water health benefits. One of my two children was born with the disorder, and I've written this information keeping in mind my own diverse experiences. +82 2 3496 9787 /+82 10 3187 5905. RM/1O 1992 Rinoplastica: trattamento e principali complicanze post-operatorie. Chaffoo discusses in detail the surgical techniques he'll use in your case at your complimentary consultation, as well as advise you about preparing for your nose surgery. It is important to understand that your treatment, which will probably include orthodontics before and after surgery, may take several years to complete. de iciency & microgenia 1030-1045h TEA BREAK 1045-1130h Treatment planning hands on - Mandibular antero-posterior excess & macrogenia 1130-1200h Treatment planning hands on - Vertical maxillary de iciency 1200-1300h Treatment planning hands on - Vertical maxillary excess, mandibular antero-posterior de iciency, microgenia. For patients with a normal bite between the upper and lower jaws and a disproportionately small chin, a condition known as microgenia, a chin augmentation will help restore facial balance and symmetry. Treatment with anticonvulsant drugs may help prevent, reduce, or control various types of epilepsy associated with CBPS. Management and treatment The management of acute noma is aimed at improving the health status introduction of a balanced diet and vitamin supplements, and sufficient hydration of affected individuals and providing topical care. , Masucci, C. However, in some serious microgenia cases, osseous genioplasty may be insufficient to correct the existing deformity. This can be seen in the way the teeth close. 2015 Sep; 35(7):844-9. diagnosis or treatment. You also have jowls notching and round face. 4% of patients, and recovery of natural contours of the face or maximum cosmetic effect is achieved in 80. Chin augmentation is usually done to balance the face by making the chin longer or bigger compared to the nose. orthodontist - a dentist who evaluates the position and alignment of your child's teeth and coordinates a treatment plan with the surgeon and other specialists. Brannstrom M, Nyborg H. In certain dis· o;ders such as Crouzon's disease, whereby the child presents with the facies of a Pekingese dog, aesthetics may be the major consideration and surgery should be per­ formed on this basis alone. cz/