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 25-27 2019
University of Miami
Miami, FL

Chairs: Gaby Doumit, MD, Peter Taub MD, Joe Garri MD, DMD
Local Host: Seth Thaller, MD

Support provided by KLS Martin, LP

Location: School of Medicine, University of Miami


Friday, January 25, 2019
7:30 am Registration / Continental Breakfast
8:00 am
Seth Thaller, MD DMD

Introduction to course facility
Introduction of course faculty
Course Overview
Acknowledgment of corporate sponsors
8:05 am
Gaby Doumit, MD
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.
8:10 am
Andrew Wexler, MD
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
Andrew Wexler, MD
Use of Dental Splints
9:00 am
Jim Stuzin, MD
Head and Neck Anatomy
9:40 am
Osbel Borges, DMD
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
Peter Taub MD
Surgical Approaches to the Craniofacial Skeleton
11:00 am
Warren Schubert, MD
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 am -12:45 pm Lunch
12:45 pm
David Morris, MD
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
Pravin Patel MD
Orthognathic Surgery / Orthodontics / Cephalometrics (continued)

'Dry lab' for all faculty to review next day's lab and to be during the Orthognathic / Cephalometric Analysis lecture
4:00 pm
Gaby Doumit, MD
Live Computer Assisted Cephalometric tracing and orthognatic treatment planning
5:00 pm Friday Program Concludes
Saturday, January 26, 2019
7:00 am Continental Breakfast
7:30 am
Andrew Wexler
Laboratory Video

Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.
8:15 am
All faculty members
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.
12:00-1:00 pm Lunch
Lecture Sessions
1:00 pm
Delora Mount, MD
Orbital Fractures and reconstruction

(blow-out, blow-in, entrapment).
Zygomatic Fractures.
1:30 pm
Jack Yu ,MD
Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.) Palatal Fractures
2:00 pm
Peter Taub, MD
ASMS Membership & Benefits

Introduction to ASMS (History, membership, educational activities)
Why join?
Membership application.
Upcoming courses and meetings.
2:05 pm
Peter Taub, MD
Maxillary (Le Fort I, II, III) Fractures
Frontal sinus Fractures
2:35 pm
Joe Garri, MD
Panfacial Sequencing
3:05 pm Coffee Break
3:20 pm
Warren Schubert, MD
Discussion of fracture plating and wire exercises
3:35 pm
All faculty members
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 27, 2019
7:00 am Continental Breakfast
7:30 am
Pravin Patel, MD
Videos for Laboratory Session

Orthognathic videos of Sabine Girod
8:00 am
All faculty members
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
(Faculty DeBrief)
Coffee Break
10:00 am
Mimis Cohen MD
Cleft Lip
10:30 am
Patricia Bortoluzzi, MD
Cleft Palate
11:00 am
Anand Kumar, MD
Computer assisted planning in Craniofacial Surgery
11:30 am
Seth Thaller, MD
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
12:00 pm ASMS Course Adjourns
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