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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 23-25, 2019 University of Pennsylvania
Philadelphia, PA

Chairs: Gaby Doumit MD, Joseph Losee MD, Jesse Taylor MD
Local Host: Joseph Serletti, MD

8:00 a.m.
8:30 a.m.
Joseph Serletti, MD
  • Introduction of course faculty
  • Introduction to ASMS (History, membership, educational activities)
  • Course Overview
  • Acknowledgment of corporate sponsors
8:35 a.m.
Housekeeping Issues
Gaby Doumit, MD
  • 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.
  • Acknowledgment and thanks to corporate supporters.
8:40 a.m.
Oral & Dental Anatomy
Andy Wexler, MD, DDS
  • Mucosa and salivary glands
  • Teeth and supporting structures (pediatric and adult)
  • Alveolar bone
  • Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
9:20 a.m.
Use of Dental Splints
Andy Wexler, MD, DDS
  • 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
9:40 a.m.
Principle of Dental extraction
Rabie Shantie, MD, DDS
  • Review of instruments used for dental extraction
  • Surgical Techniques of Dental extraction
  • Extraction Of impacted third molar
10:10 a.m.
Head and Neck Anatomy
Phuong D. Nguyen, MD
  • Approaches to the craniofacial skeleton
  • Coronal, Upper and lower eyelids incision, Intra oral incisions
  • Risdon, retro mandibular incisions
10:35 a.m.
Coffee Break
10:45 a.m.
Mandible Trauma & Reconstruction
Warren Schubert, MD
  • 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 a.m.
Orbital Fracture
Jesse Goldstein, MD
  • Orbital Fx's and reconstruction (blow-out, blow-in, entrapment)
  • Zygomatic Fx's
12:10-12:50 p.m.
12:50 p.m.
Cephalometric Analysis
Pravin Patel, MD
2:50 p.m.
Coffee Break
3:00 p.m.
Orthognathic Surgery / Orthodontics
Donald Mackay, MD, DDS

Participants will learn the practical aspects of cephalometric analysis and surgical treatment prediction.

"Dry lab" for all faculty to review next day's lab and to be during the Orthognathic / Cephalometric Analysis lecture
Edward J. Stemmler Hall
3450 Hamilton Walk
First Floor, Labs - 106A, 106B and 106C

4:30 p.m.
Live Computer Assisted Cephalometric tracing and orthognatic treatment planning
Gaby Doumit, MD
5:00 p.m.
Friday Program Concludes

7:30 a.m.
Continental Breakfast
8:00 a.m.
Garri - Patel Video
Donald MacKay, MD, DDS
Gaby Doumit, MD
8:30 a.m.
Laboratory Session #1:
The Use of Fracture Models and the taking of Dental Impressions
All faculty members

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.
12:00-12:45 p.m.
12:45 p.m.
Nasal Fracture
Donald Mackay, MD
1:15 p.m.
Frontal Sinus Fracture/Naso Orbito Ethmoid
Michael Yaremchuk, MD
1:45 p.m.
ASMS Membership & Benefits
Andy Wexler, MD
  • Why join?
  • Membership applicatioin.
  • Upcoming courses and meetings.
2:00 p.m.
Maxillary (Le Fort I, II, III)
2:15 p.m.
Palatal fracture
Chris Brooks, MD
2:30 p.m.
Panfacial Sequencing
Joseph Serletti, MD
3:10 p.m.
Coffee Break
3:20 p.m.
Discussion of fracture plating exercises
Warren Schubert, MD
3:35 p.m.
Laboratory Session #2
All faculty
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 p.m.
Saturday program concludes

7:00 a.m.
Continental Breakfast
7:30 a.m.
Videos for Laboratory Session:
Orthognathic videos of Sabine Girod and Pravin Patel
Jesse Taylor, MD
8:00 a.m.
Laboratory Session #3:
Osteotomies for Genioplasty and Orthognathic Surgery
All faculty members
  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 a.m.
Coffee Break

Faculty debriefing Session All faculty members are strongly encouraged to attend
10:15 a.m.
Pediatric Craniofacial Surgery
Jesse Taylor, MD
10:45 a.m.
Pediatric Fractures
Alex Rottgers, MD
  • 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.
Cleft Lip
Jordan Swanson, MD
11: 45 p.m.
ASMS Course Adjourns
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