New Technique?

New Technique?

N E W T E C H N IQ U E ? I do not often w rite this type of letter, b u t I felt th a t the inac­ curacies in “New Technique Remedies Distorted Ja w ...

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N E W T E C H N IQ U E ?

I do not often w rite this type of letter, b u t I felt th a t the inac­ curacies in “New Technique Remedies Distorted Ja w s” (News Section, January) necessitate th a t I respond. We are all quite fam iliar w ith the H apsburg jaw. However, I was am azed to find out th a t this m andibular prognathism is caused by the upper jaw which is too recessed, and thus consequently m akes the lower jaw only appear distorted. First, I think it would be nice if we used the correct term s such as m andibular retrognatha, m andibular prognath­ ism, m axillary retrognathia and m axillary prognathism . Secondly, anybody who has examined the paintings of the Hapsburgs would recognize th a t this is not solely related to a retrognathic maxilla, b u t is

probably a combined deformity involving both m andibular prognathism and m axillary retrognathia. More im portantly, however, Dr. Turley was not the develop­ er of a new treatm en t for m axill­ ary retrognathia. The so-called “baseball catcher’s m ask,” which in reality applies an orthopedic force in the anterior direction on the maxilla, was designed by Dr. Je an Delaire, and in fact has been used for a num ber of years in Europe and in America. S tep h en A. S ch en d el, M.D., D.D.S. Stanford, Calif.

H APSBURG JA W

“New Technique Remedies Distorted Ja w ” (News Section, January) is entirely inappro­ priate for the following reasons. First, Dr. Turley is recommend­

ing the correction of an exces­ sive protruding lower jaw , more commonly known as m andibular prognathia, ra th e r th an “H apsburg jaw ,” by proposing a treatm en t th a t would m ake the midface excessively protrusive to m atch the excessively pro­ trusive lower jaw. Logic would seem to dictate th a t one would correct the existing deformity ra th e r th an further deforming the face simply to m ake the teeth fit together. Secondly, this is not a new technique. This technique has been used routinely for a t least the last 30 years in special cases. I fail to see the advantage of this particular treatm en t modality. Our prim e purpose in the treatm en t of facial deform­ ities should be to correct the underlying deformity in the sim plest, quickest and most

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