ASMS Members Corner
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)

January 22-24, 2016
University of California at San Francisco Medical School (Parnassus Ave)
San Francisco, CA

Friday, January 22, 2016
7:30 am Registration/Continental Breakfast
8:00 am Welcome

Introduction of course faculty
Course Overview
Acknowledgment of corporate sponsors
8:05 am Housekeeping issues

Informal dress.
Wear name tags at all times.
Course Evaluation Forms.
ASMS Application Forms.
Reminder of social events.
8:10 am Oral & Dental Anatomy

Teeth and supporting structures (pediatric and adult)
Alveolar bone
Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
8:40 am Use of Dental Splints

Different types of Dental splint
Steps of Model Surgery to fabricate an intermediate and a final splint
9:10 am Head and Neck Anatomy
9:50 am Dental Extraction

Overview of Dental Extraction Instruments
Techniques of extraction of different teeth (including third molar)
Dental Implants
Surgical Videos recommended
10:20 am Coffee Break
10:30 am Surgical Approaches to the Craniofacial Skeleton
11:00 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
12:00 pm - 12:45 pm Lunch
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).
2:45 pm Coffee Break
3:00 pm Orthognathic Surgery / Orthodontics / Cephalometrics (continued)
4:00 pm Live Computer Assisted Cephalometric tracing and orthognatic treatment planning
5:00 pm Friday Program Concludes
Saturday, January 23, 2016
7:00 am Continental Breakfast
7:30 am Laboratory Video

Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.
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.
  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.
12:00pm - 1:00 pm Lunch
Lecture Sessions
1:00 pm Orbital Fractures and reconstruction (blow-out, blow-in, entrapment). Zygomatic Fractures.
1:30 pm Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.) Palatal Fractures
2:00 pm ASMS Membership & Benefits

Introduction to ASMS (History, membership, educational activities)
Why join?
Membership application.
Upcoming courses and meetings.
2:05 pm Maxillary (Le Fort I, II, III) Fractures Frontal sinus Fractures
2:35 pm Panfacial Sequencing
3:05 pm Coffee Break
3:20 pm Discussion of fracture plating and wire exercises
3:35 pm 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:
  1. Interdental & intermaxillary wiring techniques (arch bars, Ivy loops, Ernst ligature, interdental wiring, and spanning wire technique for midline fractures)
Lab Session #2, Part B:

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
5:35 pm Saturday program conclude
Sunday, January 24, 2016
7:00 am Continental Breakfast
7:30 am Videos for Laboratory Session
Orthognathic videos of Sabine Girod
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)
9:45 am Coffee Break
10:00 am Computer assisted planning in Craniofacial Surgery
10:30 am Pediatric Craniofacial Surgery
11:00 am Surgical Management of Migraine headache
11:30 am Distraction of the craniofacial skeleton
12:00 pm 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
12:30 pm ASMS Course Adjourns
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