Online course Larry Wolford

Learning Objectives - Understand and apply orthognathic surgery techniques

- Osseous and alloplastic chin augmentation, chin set-back
- Mandibular subapical and body osteotomies
- Modification of the sagittal split osteotomy
- Maxillary one-piece and segmental osteotomies
- Application of rigid fixation and bone grafting
- Virtual Surgical Planning (VSP) for double jaw orthognathic surgery
- Identifying patients who can benefit from occlusal plane alteration
- Clockwise rotation of the maxillo-mandibular complex; functional and esthetic changes
- Counter-clockwise rotation of the maxillo-mandibular complex; functional and esthetic changes

Learning Objectives – Identify and treat TMJ pathologies where the disc and condyle can be preserved including the following conditions

- MRI interpretation of TMJ pathologies
- Clinical assessment including the pathological “silent” joint
- Mitek anchor technique for disc repositioning
- Virtual Surgical Planning (VSP) for orthognathic surgery
- Concomitant TMJ and orthognathic surgery
- Disc displacement
- Adolescent Internal Condylar Resorption (AICR)
- Condylar Hyperplasia Type 1
- Condylar Hyperplasia Type 2

Learning Objectives – Identify and treat TMJ pathologies requiring total joint prostheses

- Clinical, radiographic, and MRI diagnostics for patients requiring total joint prostheses
- Virtual Surgical Planning (VSP) for concomitant TMJ and orthognathic surgery
- Surgical technique for placement of patient-fitted total joint prostheses
- Importance of fat grafts placed around articulation area of total joint prostheses
- Reactive arthritis
- Trauma
- Tumors
- Ankylosis
- Craniofacial deformities (hemifacial microsomia, Treacher-Collins syndrome, etc.)
- Connective tissue/autoimmune diseases (JIA, RA, psoriatic arthritis, etc.)

Learning Objectives – Implement pre and post-surgery orthodontic treatment and patient management protocols that will provide stable and predictable outcomes

- Extraction versus non-extraction, crowding versus spacing
- Management of accentuated or reverse curves of Spee and Wilson
- Manage tooth-size discrepancies
- Effect of occlusal plane alteration on presurgical orthodontic planning
- Final set-up for surgery
- Surgical splints: Palatal splint versus occlusal splint
- Post-surgical orthodontic management and retention appliances
- Post-surgical medications, diet, restrictions, healing process, expected outcomes, etc.
- Early post-surgical relapse: Causes, avoidance, management if relapse occurs
- Late post-surgical relapse: Causes, avoidance, management if relapse occurs

Learning Objectives – Identify and surgically treat upper airway obstruction

- The 3 areas of upper airway obstruction: nose, oral cavity, oropharyngeal area
- Facial morphological type (high occlusal plane angle) -- most common for sleep apnea
- Nasal obstruction; deviated septum, hypertrophic turbinates, narrow nostrils, etc.
- Oral cavity; narrow arches, retruded maxilla/mandible, tori, macroglossia, etc.
- Oropharynx; decreased airway; hyperplastic soft palate, tonsils, adenoids, etc.
- TMJ pathology – a common cause of mandibular retrusion and sleep apnea
- Surgical treatment of nasal, oral, and oropharyngeal airway obstruction
- Counter-clockwise rotation of the maxillo-mandibular complex to treat sleep apnea
- Concomitant TMJ, orthognathic surgery, and adjunctive procedures for correction of upper airway obstruction and sleep apnea