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Orthognathic and TMJ surgery. Larry Wolford protocols

Orthognathic and TMJ surgery. Larry Wolford protocols

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Category: Surgery

Instructor(s): Larry Wolford

Course structure: Lessons: 7 lessons | Duration: 6 h 01 min

Course overview

Powerful training on orthognathic and TMJ surgery protocols from legendary oral and maxillofacial surgeon Larry Wolford!
You will learn the protocols of:
Mandibular and maxillary osteotomy
Surgical maxillary expansion
Surgery first approach
Surgical occlusal plane change
TMJ surgery (including total prosthetics).
The lecturer will guide you through each stage of treatment (instruments, protocols, postoperative period, complications) of pathologies such as:
Condylar hyperplasia
Reactive arthritis
Injuries
Tumors
TMJ ankylosis
Craniofacial deformities
Upper airway obstruction and sleep apnea.

Curriculum

Lesson 1. Occlusal plane and orthognathic surgery

  • Chin surgery: bone and alloplastic augmentation
  • The technique of chin surgery
  • Mandibular subapical osteotomy: indications and methods
  • Mandibular sagittal split osteotomy: tools, advantages and modification of the technique
  • Relapses of the mandible position after orthognathic surgery: causes.

Lesson 2. Maxillary osteotomy. Improving nasal breathing

  • Orthognathic surgery and TMJ problems
  • Posterior displacement of the lower jaw
  • Third molars: the timing of extraction before orthognathic surgery
  • Methods of prevention of postoperative complications
  • Distraction mandibular osteogenesis: indications and techniques
  • Virtual surgical planning (VSP) of surgeries
  • Maxillary osteotomy: technical aspects
  • Surgical maxillary expansion
  • Methods of improving nasal breathing during orthognathic surgery
  • Patient management in the postoperative period.

Lesson 3. Surgery first approach. Surgical change of the occlusal plane

  • Surgery first before orthodontic treatment:
  • Indications
  • Contraindications
  • Risks.
  • Occlusal plane: definition
  • Change of the occlusal plane
  • Indications for surgical change of the occlusal plane
  • Advantages of clockwise rotating of the maxilla-mandibular complex
  • Counter-clockwise rotation of the maxilla-mandibular complex: functional and aesthetic changes.

Lesson 4. TMJ surgery. Condylar hyperplasia

  • Evaluation of the state of the TMJ: main criteria
  • Anterior displacement of the articular disk
  • Mitek Mini anchor technique: indications
  • TMJ pathologies leading to condyle growth:
  • Condylar hyperplasia type 1 (1A and 1B)
  • Condylar hyperplasia type 2 (osteochondroma).
  • Protocol for the treatment of type 1 condylar hyperplasia
  • Protocol for the treatment of type 2 condylar hyperplasia
  • Clinical cases.

Lesson 5. Total TMJ prosthetics. Reactive arthritis

  • The space-opening technique for disk repositioning with Mitek anchor (Dallas procedure)
  • Causes of progressive condyle resorption in growing and adult patients
  • Adolescent internal condylar resorption (AICR): pathophysiology and treatment methods
  • Total TMJ prosthetics: indications and surgical technique
  • Virtual surgical planning of treatment
  • Reactive arthritis: causes, MRI diagnostics and treatment tactics
  • Clinical cases.

Lesson 6. Trauma, tumors, ankylosis. Craniofacial deformities

  • Trauma: causes, MRI diagnostics and treatment tactics
  • Tumors: causes, MRI diagnostics and treatment tactics
  • Ankylosis: causes, MRI diagnostics and treatment tactics
  • Craniofacial deformities: surgical tactics
  • Hemifacial microsomia: treatment protocol
  • Treacher Collins syndrome: treatment protocol
  • Juvenile idiopathic osteoarthritis: treatment protocol
  • Connective tissue diseases and autoimmune disorders
  • Сlinical cases.

Lesson 7. Diagnosis and Management of Upper Airway Obstruction and Sleep Apnea

  • Obstructive sleep apnea syndrome: classification, symptoms and diagnosis
  • Zones and effects of upper airway obstruction: nose, mouth, oropharyngeal region
  • Cephalometric factors of obstructive sleep apnea
  • Appliances for the treatment of sleep apnea: an overview
  • Surgical treatment of upper airway obstruction
  • Removal of nasal conchae: radiological assessment and indications
  • Adenoid tissue hypertrophy: surgical tactics
  • Modified UPPP technique
  • Macroglossia: glossotomy technique
  • Posterior respiratory space: ways to increase
  • Counter-clockwise rotation of the maxilla-mandibular complex for the treatment of sleep apnea
  • TMJ pathologies associated with sleep apnea
  • Orthognathic surgery and additional manipulations for the treatment of upper airway obstruction and sleep apnea.
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