Maxillofacial Surgeons and Orthodontists
Dr. Aránzazu Senosiain (Orthodontist, Spain)
Dr. Alberto Canábez (Orthodontist, Spain)
Dr. Renato Cocconi (Orthodontist, Italy)
Dr. Elisabetta Grendene (Orthodontist, Italy)
Dr. Simonas Grybauskas (Oral & Maxillofacial Surgeon, Lithuania)
Dr. Michael Gunson (Oral & Maxillofacial Surgeon, USA)
Dr. Domingo Martín (Orthodontist, Spain)
Dr. Aránzazu Senosiain (Orthodontist, Spain)
Dr. Gwen Swennen (Oral & Maxillofacial Surgeon, Belgium)
Dr. Lorenzo Trevisiol (Oral & Maxillofacial Surgeon, Italy)
Session 1: 21st, 22nd and 23rd of February 2020
with Dr. Renato Cocconi and Dr. Gwen Swennen
INTRODUCTION AND DIAGNOSIS
• Aesthetic and Functional Treatment Goals
• Age and Treatment Opportunity
• Patient inclusion criteria for surgery
• Clinical Facial Analysis. How to transfer the clinical facial analysis to the software planning
• Necessary Records for Orthognathic Surgery, Frontal and Sagittal Analysis
- XR patient location/positioning in x-ray and photographies
- Cone beam, etc.
- Soft and Hard Tissue Cephalometry
PRE-SURGICAL ORTHODONTICS
• Pre-surgical Orthodontics:
- Dental Crowding. Bolton Analysis and D.O.D.
- Required Torque according to the plane in the pre-surgical orthodontics
- Decision making regarding brackets positioning and final solution
• Pre-surgical Orthodontics in sagittal problems
• Pre-surgical Orthodontics in vertical problems
• Pre-surgical Orthodontics in asymmetric patients
PRE-SURGICAL PLANNING
• Introduction to the cephalometric predictions
• Steps of a treatment prediction... Ortho-Orthognathic VTO, STO I...
- Upper incisor position as a therapeutic key
- Surgical movements influence in the vertical plane soft tissue
- Surgical movements influence in the sagittal plane soft tissue
- Transverse discrepancy and segments’ torque
- Teeth position influence in the plane changes
- Clinical decision making regarding the plane, cant, etc... Arnett
SURGICAL PROCEDURES - SURGICAL TECHNIQUES
• Le Fort Osteotomy
• Sagittal Split osteotomy
• Mentoplasty
• Procedures and techniques
• Osteogenic Distraction
• Complements
3D VIRTUAL DIAGNOSIS AND TREATMENT
• Imaging workflow for 3D virtual treatment planning of orthognathic surgery
• 3D virtual diagnosis of the orthognathic patient
• 3D virtual treatment planning of orthognathic surgery
• Clinical applications of 3D virtual treatment planning of orthognathic surgery in different types of maxillofacial deformity
Session II: 25th, 26th and 27th of November 2021
with Dr. Alberto Canábez and Dr. Michael Gunson
TEMPOROMANDIBULAR JOINT - THE ROLE OF TMJ AND MUSCULATURE
• TMJ and Surgical Orthodontics
• Map of Pain
• RMN in study of TMJ. How to interpret
• CBCT in study of TMJ. How to interpret
CONDYLAR STABILIZATION IN ORTHOGNATHIC SURGERY
• The importance of stable condylar position
• Management of active progressive condylar resorption
• Management of disc displacement
• Split therapy... when/why/how
- Pre-diagnosis splints by articular pathology
- Pre-surgical splint to stabilize condyles and ligaments
- Pre-surgical splint to diagnose the mandibular midline
SURGICAL TECHNIQUE IN TMJ PATIENTS. CONSIDERATIONS
SLEEP APNEA: DIAGNOSIS AND TREATMENT
• Diagnosis, definition and etiology of the OSAS (Obstructive Sleep Apnea Syndrome)
• Patients who are candidates for OSAS treatment through Orthognathic Surgery
• Relationship OSAS/TMJ
• Orthodontic management in OSAS patients. Clinical examples
Session III: 10th, 11th and 12th of March 2022
with Dr. Elisabetta Grendene and Dr. Lorenzo Trevisiol
BOW SEQUENCY
• Leveling the maxillary occlusal plane
• Maxilla in 1 or 2 planes - limitations and instructions
• Spee curve, class II cases with deep Spee curve
• Pre or post-surgical leveling
• How to straighten lingually inclined molars
• How to straighten mesially inclined molars
• How to correct the dental torque
• When is the extraction necessary and when it is not
- Worn and anatomically unfavorable teeth: their importance in pre-surgical orthodontics for a better post surgical stability
• Condylar hyperplasia as cause of facial asymmetries. Concept, Diagnosis and Management
• Leveling the mandibular occlusal plane in assymetric patients.
• Implants pre/post surgery
ORTHOGNATHIC SURGERY + 3D TECHNOLOGY
• Pre-surgical planning
• CAD-CAM Splints
SURGERY TECHNIQUE AND PLANIFICATION
• Surgical considerations in assymmetrical patients
• Multiplier effect of the occlusal plane cant in the mandibular plane level
• The effect of the change in the maxillary cant in the level of the BSSO gap
• Plate adaptation to the bone tissue. This is not a traumatological procedure
• Osteosynthesis means in Orthognathic Surgery
• Surgical techniques of the condyle settlement during the surgical procedure
• Necessary verifications during the surgical procedure
- Maxillar in centric
- Condyle in RC and jaw rotation
Session IV: 19th, 20th and 21st of May 2022
with Dr. Domingo Martín and Dr. Simonas Grybauskas
THE INTERDISCIPLINARY TEAM
• Periodontology in the orthodontical-surgical process: need and opportunity of pre-post orthodontic gingival grafting
• Prosthodontics in the altered dental anatomy recovery: dental size, grazed dental surfaces. Pre or post-surgical procedures
SURGERY FIRST - EARLY PRE-SURGICAL ORTHODONTICS
• Early diagnostic of a surgical solvable malocclusion
• The role of the Orthodontist in the TMJ, dental and periodontal tissue care
• Early Pre-surgical orthodontics in the maxillary hypoplasia
• Early Pre-surgical orthodontics in the jaw retrusion
• Early Pre-surgical orthodontics in the excessive vertical patterns
• Early Pre-surgical orthodontics in Class III and the skeletal asymmetries
POST SURGICAL TREATMENT AND CONCLUSION
• Immediate surgical post-operative
• Immediate orthodontic post-operative
• Post-surgery orthodontic goals
• Cases conclusions
3D VIRTUAL DIAGNOSIS AND TREATMENT
• 3D virtual diagnosis of the orthognathic patient
• 3D virtual treatment planning of orthognathic surgery
SURGERY FIRST. Why not?
Registration fee for the full course: 500€ (to be paid to confirm the registration)
Total price of the course: 8.500€
Payment method:
1st payment: 4.000€ (before the 20th of January 2020)
2nd payment: 4.000€ (before the 6th of April 2020)
Registrations on the first come first served basis
A minimum number of attendees required to start the course
Registration per session: 2500€ (with limited places)
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