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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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American Society of Maxillofacial Surgeons (ASMS)

August 9-11, 2013
University of Pennsylvania
Philadelphia, PA

Co-Chairs: Joseph Losee, MD; Donald Mackay, MD, DDS; Warren Schubert, MD; Jesse Taylor MD
Local Host: Joseph Serletti, MD

Location: University of Pennsylvania, School of Medicine

Friday, August 9
Biomedical Research Building 2/3 (BRBII/III), Auditorium- Ground floor level, 421 Curie Boulevard
8:30 a.m.
9:00 a.m. Welcome
Introduction of course faculty
Introduction to ASMS (History, membership, educational activities)
Course Overview
Acknowledgment of corporate sponsors
9:10 a.m. Housekeeping Issues
How did registrants find out about the course?
Who in their training program do the registrants identify as their ASMS contact?
Course Evaluation Forms.
ASMS Application Forms.
9:15 a.m. Oral & 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
9:45 a.m. Use of Dental Splints
Indications for Palatal Fractures
Use of Lingual Splints
Use of dentures of splints in edentulous patients to maintain mandibular height
Possible use of splints for pediatric mandibular fractures
10:00 a.m. 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, para-symphyseal, 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
12:30 p.m. Orthognathic Surgery / Orthodontics
2:30 p.m.
Coffee Break
2:45 p.m. Cephalometric Analysis
Participants will learn the practical aspects of cephalometric analysis and surgical treatment prediction.
5:00 p.m. Friday Program Concludes
Saturday, August 10
Biomedical Research Building 2/3 (BRBII/III), Auditorium- Ground floor level, 421 Curie Boulevard
7:00 a.m. Continental Breakfast
7:30 a.m. Laboratory 1 Video

Edward J. Stemmler Hall, First Floor, Labs - 106A, 106B and 106C, 3450 Hamilton Walk
8:00 a.m. 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. When you are finished with this exercise, do not throw these molds away as they will be reused for future courses.
  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 prepared 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 modeling compound 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. Clean up your mess. Remove your models from the articulator. Clean off the plaster from the articulator. Clean off your plastic mold.
12:45-1:30 p.m.

1:30 p.m. Midface Fractures Part I
Surgical approaches
2:00 p.m. Midface Fractures Part II
Orbital Fx's and reconstruction (blow-out, blow-in, entrapment)
Zygomatic Fx's
2:30 p.m. ASMS Membership & Benefits
Why join?
Membership Application.
Upcoming courses and meetings.
2:35 p.m. Midface Fractures Part III
Nasal Fractures
Naso-Orbital-Ethmoid (N.O.E.)
Maxillary (Le Fort I, II, III)
Palatal fractures
3:05 p.m. Midface Fractures Part IV
Frontal sinus fractures
Panfacial Sequencing
3:35 p.m. Discussion of fracture plating exercises
3:45 p.m.
Coffee Break

Edward J. Stemmler Hall, First Floor, Labs - 106A, 106B and 106C, 3450 Hamilton Walk
4:00 p.m. Laboratory Session 2

Lab Session 2, Part A:
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
Lab Session 2, Part B:

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)
6:15 p.m. Saturday program concludes
7:00 p.m. Reception-Inn at Penn
Sunday, August 11
7:00 a.m. Continental Breakfast
Edward J. Stemmler Hall, First Floor, Labs - 106A, 106B and 106C, 3450 Hamilton Walk
7:30 a.m. Laboratory 3 Videos

Orthognathic videos of Sabine Girod and Pravin Patel
8:00 a.m. Laboratory Session 3:

Osteotomies for Genioplasty and Orthognathic Surgery:
  1. Advancement Genioplasty with plating.
  2. Bilateral Sagittal Split Osteotomy, (BSSO), of the mandible with plating & screw fixation.
  3. Le Fort 1 Osteotomy & plating.
Resorbable plates demonstration ('one on one' in the lab)
Biomedical Research Building 2/3 (BRBII/III), Auditorium- Ground floor level, 421 Curie Boulevard
10:00 a.m.
Coffee Break
10:15 a.m. Regional Dental Anesthesia
Maxillary and Mandibular blocks
10:45 a.m. Pediatric Fractures
Unique pediatric problems regarding mandible Fx's
Unique problems regarding pediatric dentition
Discussion of possible unique needs of splinting for pediatric fractures Midface Fx's
Controversies regarding pediatric plating and the use of absorbable plates and screws
11:15 a.m. Pediatric Craniofacial Surgery
11:45 a.m. CAD CAM in Orthognathic Surgery
Computer Assisted Model Surgery
Computer Assisted Jaw Surgery
12:15 p.m. ASMS Course Adjourns
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