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ASMS: The American Society of Maxillofacial Surgeons
ASMS: The American Society of Maxillofacial Surgeons

Leaders in the Education, Art, and
Science of Facial Reconstruction

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ASMS Basic Course
February 17 - 19, 2012
University of California San Francisco
San Francisco, California


PROGRAM

Friday, February 17, 2012

7:00 am Registration/Continental Breakfast
Health Science West – HSW 300
Enter at Medical Science Building, 513 Parnassus Ave

7:30 am Welcome
  • Introduction to course facility.
  • Introduction to course faculty.
  • Course overview.
  • Acknowledgment of corporate sponsors.

7:40 am Housekeeping Issues
  • Informal dress.
  • Wear name tags at all times.
  • Course Evaluation Forms.
  • ASMS Application Forms.
  • Acknowledgment and thanks to corporate supporters.
  • Reminder of social events.

7:45 am Oral and Dental Anatomy
  • Mucosa and salivary glands.
  • Teeth and supporting structures (pediatric and adult).
  • Alveolar bone.
  • Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions.

8:30 am Use of Dental Splints

8:45 am Radiological Studies
  • Periapical, occlusal and pantomogram views
  • Facial bones: mandible, maxilla, and TMJ views
  • CAT: Axial, coronal, oblique parasagittal and 3-D reconstruction
  • MRI

9:15 am Coffee Break

9:30 am Mandible Trauma & Reconstruction
  • Surgical approaches
  • Mandibular biomechanics
  • Controversy of the use of mini-plates versus large plates, compression plates, lag screws (with discussion of various techniques)
  • Mandibular (simple symphyseal, parasymphyseal, body, angle, ramus and condylar)
  • Defect mandibular injuries (comminuted, edentulous, segmental defect)
  • Teeth in the line of fracture
  • Treatment of avulsed teeth
  • Options for mandibular reconstruction

11:00 am Post Traumatic Facial Restoration: A Philosophy of Care
Participants will gain an understanding of surgical treatment planning in patient with maxillofacial deformity. The discussion will emphasize the surgical techniques (LeFort I, BSSO, and genioplasty), the supportive orthodontic management and prosthodontic treatment (osseointegrated implants).

11:30 am - 12:30 pm Lunch

12:30 pm Orthognathic Surgery / Orthodontics

2:30 pm Coffee Break

2:45 pm Cephalometric Analysis
Participants will learn the practical aspects of cephalometric analysis and surgical treatment prediction. dental models in the articulator with wax bite

5:00 pm Friday Program Concludes.



Saturday, February 18, 2012

7:00 am Continental Breakfast
Health Science West – HSW 300

7:30 am Garri / Patel Video
Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.

9:00 am Laboratory Session #1:
The Use of Fracture Models and the Taking of Dental Impressions:
Discussion of alginate, dental stone, plaster, acrylic, wax bite, typodonts, and articulators.

First Exercise:
  1. Take dental impressions of each other with alginate.
  2. Use dental stone to make dental models of each other. Use the clear plastic molds when you pour these models, so they fit into the articulator.
  3. Make wax bite impressions, and mount your own dental models in the articulator with wax bite.

Second Exercise:
  1. Using your own dental models, make an occlusal splint.
  2. Using your own dental models, make a lingual and possible palatal splint, so that you are pre pared for your next mandible and palatal fracture.

Third Exercise:
  1. A fracture model of a malunion of a mandible and the corresponding maxilla will be provided. Cut the mandible model to replicate the fracture.
  2. Use the maxillary model, mandibular pieces and Play-Doh to re-establish the proper pre-morbid occlusion. You may need to cut or burr the edges of the model in order to remove corners that interfere with re-establishing the proper occlusion.
  3. Once the proper occlusion is established, stabilize the reduction mandible fracture with a glue gun, and then with plaster.
  4. Mount the maxilla and mandible in the articulator and recheck that you have properly established the pre-morbid occlusion. It should replicate the occlusion of your typodont, from which the models were originally casted.
  5. Make an acrylic splint.

Fourth Exercise:
  1. Construction of an acrylic Gunning splint for a typodont that has mandibular incisors, but is otherwise edentulous.

12:45 pm - 1:30 pm Lunch

1:30 pm Midface Fractures Part I
  • Surgical approaches
  • Orbital Fxs and reconstruction (blow-out, blowin, entrapment)
  • Zygomatic Fxs

2:30 pm ASMS Membership & Benefits
  • Introduction to ASMS (History, membership, educational activities)
  • Why join?
  • Membership applicatioin.
  • Upcoming courses and meetings

2:35 pm Midface Fractures Part II
  • Nasal Fxs
  • Naso-Orbital-Ethmoid (N.O.E.)
  • Palatal Fxs
  • Maxillary (Le Fort I, II, III)
  • Palatal Fxs
  • Frontal sinus Fxs
  • Panfacial Sequencing

3:35 pm Endoscopic Techniques for Orbital Trauma

3:50 pm Discussion of fracture plating exercises
  • Discussion of the use of Porous Polyethylene for facial augmentation
  • Video of use of wire and MMF procedure

4:00 pm Coffee Break

4:15 pm Laboratory Session #2:
Part 1: Application of Plates & Screws to Mandible & Midface Fractures using Saw Bone Models:

Mandible fracture exercises:
  1. Champy plate for angle fracture
  2. Lag screw fixation for symphyseal fracture
  3. Box plate for symphyseal fractures
  4. Mini-plate for subcondylar fracture
  5. Locking screw of a large reconstruction plate for mandibular defect using a template
  6. Introduction to trochars for screw placement

Midface fracture exercises:
  1. Mini-plates for zygoma fracture
  2. Mini-plates for hemi-LeFort I fracture
  3. Mesh plate for orbital floor fracture

Part 2: Use of Porous Polyethylene (PPE) Implants for Facial Augmentation:
  1. Orbital sheets
  2. Orbital mesh + PPE
  3. Temporal implants
  4. Malar implants
  5. Chin implants
  6. Calvarial implants

Part 3: Use of Typodont for MMF Exercises and Splint Construction:
  1. Interdental & intermaxillary wiring techniques (arch bars, Ivy loops, Ernst ligature, interdental wiring, and spanning wire technique for midline fractures)

8:30 pm Saturday Program Concludes



Sunday, February 19, 2012

7:00 am Continental Breakfast
Health Science West – HSW 300

7:30 am Videos for Laboratory Session
Orthognathic videos of Sabine Girod.

8:00 am Laboratory Session #3:
Osteotomies for Genioplasty and Orthognathic Surgery: Advancement Genioplasty with plating.
  1. Bilateral Sagittal Split Osteotomy, (BSSO), of the mandible with plating & screw fixation.
  2. Le Fort 1 Osteotomy & plating.
Resorbable plates demonstration (one on one in the lab)

9:45 am Coffee Break

10:00 am Regional Dental Anesthesia
  • Maxillary and Mandibular blocks.
  • Complications.

10:30 am Cleft Surgery

11:00 am Pediatric Craniofacial Surgery

11:30 am Accelerated Surgical Orthodontics-A Paradigm Shift

12:15 am Pediatric Fractures
  • Unique pediatric problems regarding mandible Fxs
  • Unique problems regarding pediatric dentition
  • Discussion of possible unique needs of splinting for pediatric fractures Midface Fxs
  • Controversies regarding pediatric plating and the use of absorbable plates and screws

12:45 pm ASMS Course Adjourns


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