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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)
BASIC MAXILLOFACIAL PRINCIPLES & TECHNIQUES

August 7-9, 2015
University of Pennsylvania
Philadelphia, PA

COURSE OUTLINE & LECTURES
 
Friday, August 7, 2015
8:00 am Registration / Breakfast
8:30 am Welcome
8:35 am Housekeeping issues
8:40 am 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
9:10 am 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
9:30 am Principle of Dental extraction
Review of instruments used for dental extraction
Surgical Techniques of Dental extraction
Extraction Of impacted third molar
10:00 am Head and Neck Anatomy/Approaches to the craniofacial skeleton
Coronal, Upper and lower eyelids incision, Intra oral incisions, Risdon, retro mandibular incisions
10:35 am Coffee Break
10:45 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, 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
11:45 am Orbital Fracture
Orbital Fx's and reconstruction (blow-out, blow-in, entrapment)
Zygomatic Fx's
12:10 - 12:50 pm Lunch (provided)
12:50 pm Orthognathic Surgery / Orthodontics
2:50 pm Coffee Break
3:00 pm Cephalometric Analysis
Participants will learn the practical aspects of cephalometric analysis and surgical treatment prediction.
4:30 pm Live Computer Assisted Cephalometric tracing and orthognatic treatment planning
5:30 pm Friday Program Concludes
 
Saturday, August 8, 2015
7:00 am Continental Breakfast
7:30 am Laboratory Video
8:15 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. 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 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.
12:00 - 1:00 pm Lunch (provided)
Lecture Sessions
1:00 pm Naso Orbito Ethmoid / Nasal Fracture
1:30 pm Frontal Sinus Fracture
2:00 pm ASMS Membership & Benefits
2:05 pm Maxillary (Le Fort I, II, III)
Palatal fracture
2:30 pm Panfacial Sequencing
3:05 pm Coffee Break
3:20 pm Discussion of fracture plating exercises
3:35 pm 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)
5:35 pm Saturday program concludes
 
Sunday, August 9, 2015
7:00 am Continental Breakfast
7:30 am Videos for Laboratory Session
8:00 am 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)
10:00 am Coffee Break
10:15 am Pediatric Craniofacial Surgery
10:45 am Distraction of the craniofacial skeleton
Maxillary and Mandibular blocks
Complications
11:15 am 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
11:45 am Surgical Treatment of Migraine Headache
12:15 pm ASMS Course Adjourns
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