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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

ASMS/ASPS Annual Meeting, October 16-19, 2020

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American Society of Maxillofacial Surgeons (ASMS)
BASIC MAXILLOFACIAL PRINCIPLES & TECHNIQUES

February 28 - March 1,2020
University of California,
San Francisco, CA

Chairs: Gaby Doumit, MD,Jason Pomerantz, MD, Delora Mount, MD
Local Host: William Hoffman, MD

Supported by an educational grant from KLS Martin

FRIDAY Lectures: Hotel Kabuki
 
Saturday and Sunday: University of California San Francisco
LECTURES: Room N-225
513 Parnassus Ave.
LABS: Fleming Dental Simulation Lab D-4203
707 Parnassus Ave.

COURSE OUTLINE & LECTURES

 
Friday, February 28, 2020
7:30 am Registration/Continental Breakfast
8:00 am Welcome
William Hoffman, MD

Introduction to course facility
Introduction of course faculty
Course Overview
Acknowledgment of corporate sponsors
8:05 am Housekeeping issues
Gaby Doumit, MD

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 Oral & Dental Anatomy
Andrew Wexler, MD

Teeth and supporting structures (pediatric and adult)
Alveolar bone
Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
9:00 am Radiological Studies
William Hoffman, MD

Periapical, occlusal and pantomogram views
Facial bones: mandible, maxilla, and TMJ views
CAT: Axial, coronal, oblique parasagittal and 3-D reconstruction
MRI
9:30 am Dental Extraction
Mark Urata MD, DDS

Overview of Dental Extraction Instruments
Techniques of extraction of different teeth (including third molar)
Dental Implants
Surgical Videos recommended
10:00 am Surgical Approaches to the Craniofacial Skeleton
Delora Mount, MD
10:30 am Coffee Break
10:40 pm Orbital Fractures and reconstruction
Mark Martin, MD

(blow-out, blow-in, entrapment).
Zygomatic Fractures.
11:10 am 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
12:00 am - 12:45 pm Lunch
12:45 pm Orthognathic Surgery/Orthodontics/Cephalometrics
Sabine Girod MD

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)
Lee Alkureishi

"Dry lab" for all faculty to review next day’s lab and to be during the Orthognathic/Cephalometric Analysis lecture
4:00 pm Live Computer Assisted Cephalometric tracing and orthognatic treatment planning
Gaby Doumit, MD
5:00 pm Friday Program Concludes
 
Saturday, February 29, 2020
7:30 am Continental Breakfast
8:00 am Laboratory Video
Andrew Wexler

Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.
8:45 am Laboratory Session #1
All faculty members

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 Head and Neck Anatomy
Peter Taub, MD
1:30 pm Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.)
Jason Pomerantz, MD

Palatal Fractures
2:00 pm ASMS Membership & Benefits
Delora Mount, MD

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
Reza Jarrahy, MD

Frontal sinus Fractures
2:35 pm Panfacial Sequencing
William Hoffman, MD
3:05 pm Coffee Break
3:20 pm Discussion of fracture plating and wire exercises
Warren Schubert, MD
3:35 pm Laboratory Session #2
All faculty

Lab Session #2, Part A
All faculty members

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, March 1, 2020
7:00 am Continental Breakfast
7:30 am Videos for Laboratory Session
Sabine Girod, MD

Orthognathic videos of Sabine Girod
8:00 am Laboratory Session #3
All faculty members

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 pm Computer assisted planning in Craniofacial Surgery
Gaby Doumit, MD
10:30 am Pediatric Craniofacial Surgery
Christopher Forrest, MD
11:00 am Surgical Management of Migraine headache
Frank Papay, MD
11:30 am Distraction of the craniofacial skeleton
Mark Urata, MD
12:00 am Pediatric Fractures
Christopher Forrest, 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
12:30 pm ASMS Course Adjourns

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