|American Society of Maxillofacial Surgeons (ASMS)
BASIC MAXILLOFACIAL PRINCIPLES & TECHNIQUES
January 22-24, 2016
University of California at San Francisco Medical School (Parnassus Ave)
San Francisco, CA
COURSE OUTLINE & LECTURES
|Friday, January 22, 2016
Introduction of course faculty
Acknowledgment of corporate sponsors
Wear name tags at all times.
Course Evaluation Forms.
ASMS Application Forms.
Reminder of social events.
||Oral & Dental Anatomy
Teeth and supporting structures (pediatric and adult)
Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
||Use of Dental Splints
Different types of Dental splint
Steps of Model Surgery to fabricate an intermediate and a final splint
||Head and Neck Anatomy
Overview of Dental Extraction Instruments
Techniques of extraction of different teeth (including third molar)
Surgical Videos recommended
||Surgical Approaches to the Craniofacial Skeleton
||Mandible Trauma & Reconstruction
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
|12:00 pm - 12:45 pm
||Orthognathic Surgery / Orthodontics / Cephalometrics
Participants will lean the practical aspects of cephalometric analysis and surgical treatment prediction for the following session. 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).
||Orthognathic Surgery / Orthodontics / Cephalometrics (continued)
||Live Computer Assisted Cephalometric tracing and orthognatic treatment planning
||Friday Program Concludes
|Saturday, January 23, 2016
Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.
||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.
- Take dental impressions of each other with alginate.
- 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.
- Make wax bite impressions, and mount your own dental models in the articulator with wax bite.
- Using your own dental models, make an occlusal splint.
- Using your own dental models, make a lingual and possible palatal splint, so that you are prepared for your next mandible and palatal fracture.
- A fracture model of a malunion of a mandible and the corresponding maxilla will be provided. Cut the mandible model to replicate the fracture.
- 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.
- Once the proper occlusion is established, stabilize the reduction mandible fracture with a glue gun, and then with plaster.
- 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.
- Make an acrylic splint.
|12:00pm - 1:00 pm
||Orbital Fractures and reconstruction (blow-out, blow-in, entrapment). Zygomatic Fractures.
||Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.) Palatal Fractures
||ASMS Membership & Benefits
Introduction to ASMS (History, membership, educational activities)
Upcoming courses and meetings.
||Maxillary (Le Fort I, II, III) Fractures Frontal sinus Fractures
||Discussion of fracture plating and wire exercises
||Laboratory Session #2
Lab Session #2, Part A:
Application of Plates & Screws to Mandible & Midface Fractures using Saw Bone Models:
Use of Typodont for MMF Exercises and Splint Construction:
Lab Session #2, Part B:
- Interdental & intermaxillary wiring techniques (arch bars, Ivy loops, Ernst ligature, interdental wiring, and spanning wire technique for midline fractures)
Mandible fracture exercises:
Midface fracture exercises:
- Champy plate for angle fracture
- Lag screw fixation for symphyseal fracture
- 'Box plate' for symphyseal fractures
- Mini-plate for subcondylar fracture
- 'Locking screw' of a large reconstruction plate for mandibular defect using a template
- Introduction to trochars for screw placement
- Mini-plates for zygoma fracture
- Mini-plates for hemi-LeFort I fracture
- Mesh plate for orbital floor fracture
||Saturday program conclude
|Sunday, January 24, 2016
||Videos for Laboratory Session
Orthognathic videos of Sabine Girod
||Laboratory Session #3:
Osteotomies for Genioplasty and Orthognathic Surgery:
Resorbable plates demonstration ("one on one" in the lab)
- Advancement Genioplasty with plating.
- Bilateral Sagittal Split Osteotomy, (BSSO), of the mandible with plating & screw fixation.
- Le Fort 1 Osteotomy & plating.
||Computer assisted planning in Craniofacial Surgery
||Pediatric Craniofacial Surgery
||Surgical Management of Migraine headache
||Distraction of the craniofacial skeleton
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
||ASMS Course Adjourns