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Orthognathic and TMJ surgery. Larry Wolford protocols
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Larry Wolford
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7 aulas (6h 1m)
5 CE Credits

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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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Aula 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.
Recommended for: Orthodontists, Oral and maxillofacial surgeons, General dentists.
Aula 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.
O curso inclui aulas:
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34m
Aula 1
Occlusal plane and orthognathic surgery
Larry WolfordMostrar programa de aula
0:01
Introduction and Lecture Overview
2:17
Anterior Mandibular Procedures: Chin Implants, Genioplasty, Subapical Osteotomy
9:18
Sagittal Split Osteotomy: Osteotomy Cuts and Inferior Border Saw
16:40
Sagittal Split: Splitting, Proximal Segment Management, Third Molars
22:34
Rigid Fixation, Trocar Screw Technique, Soft-Tissue Closure
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51m
Aula 2
Maxillary osteotomy. Improving nasal breathing
Larry WolfordMostrar programa de aula
0:01
TMJ Considerations in Orthognathic Surgery
1:09
Sagittal Split Osteotomy: Technique and Bone Removal
4:09
Relapse in Mandibular Prognathism: Condylar Hyperplasia & Third Molars
12:04
Nerve Monitoring and Protection in Sagittal Split Osteotomy
16:43
TMJ Outcomes and Condylar Resorption After Surgery
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42m
Aula 3
Surgery first approach. Surgical change of the occlusal plane
Larry WolfordMostrar programa de aula
0:01
Surgery-First Approach: Indications & Risks
5:25
Occlusal Plane: Definition and Measurement
11:00
Low-Angle Morphology and Clockwise Rotation
14:52
Clockwise Rotation: Surgical Effects and Case Outcomes
21:53
Stability of Counterclockwise Rotation: Role of the TMJ
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44m
Aula 4
TMJ surgery. Condylar hyperplasia
Larry WolfordMostrar programa de aula
0:01
Introduction and TMJ relationships
8:30
TMJ MRI and clinical diagnosis
17:30
Mitek disc-repositioning technique and indications
26:28
Condylar hyperplasia Type 1: high condylectomy and outcomes
35:32
Condylar hyperplasia Type 2 (osteochondroma): low condylectomy
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