Descrizione
Lezione 1.Orthognathic Surgery Techniques and Effects of Occlusal Plane Alteration
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
Lezione 2.TMJ Surgery – Part 1: TMJ Pathologies Amenable to Articular Disc Preservation
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
Lezione 3.TMJ Surgery – Part 2: TMJ Pathologies Requiring Total Joint Replacement
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.)
Lezione 4.Presurgical Orthodontics; Post-Surgical Orthodontics and Patient Management
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
Lezione 5.Diagnosis and Treatment of Upper Airway Obstruction in Sleep Apnea Patients
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
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Lettori 1
Dr. Larry M. Wolford is a Clinical Professor in the Departments of Oral and Maxillofacial Surgery and Orthodontics at Texas A&M University College of Dentistry, and in full time private practice at Baylor University Medical Center, Dallas, TX. He has been involved in resident training and education for 46 years. He sponsored and directed a Fellowship program for TMJ and Orthognathic surgery for 28 years at Baylor University Medical Center. He has co-authored two text books, co-edited 2 other text books, written over 45 book chapters for other books, has over 225 other publications, and over 150 published scientific abstracts. He has received the William J. Gies Award and the W. Harry Archer Award (two of the highest awards in Oral and Maxillofacial Surgery) for major contributions to the specialty. He is internationally known for his expertise in orthognathic surgery, TMJ surgery, and sleep apnea surgery. He has developed many of the surgical techniques, philosophies, and evidence-based treatment protocols that are used in these surgical areas.
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