Orthognathic and TMJ surgery. Larry Wolford Protocols

Orthognathic and TMJ surgery. Larry Wolford Protocols is organized by OHI-S.

Total Lecture Time: 6h 1 min

Description:
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.

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.

Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists. 

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. 

Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.

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.

Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.

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.

Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.

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.

Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.

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
– ?linical cases.

Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.

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.

Recommended for: Orthodontist, Oral and Maxillofacial Surgeons, Prosthetist, Gnathologist, General Dentist.