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109 Results
Reconstruction of orbital fractures is a complex area of maxillofacial surgery. The purpose of this session is to discuss unconventional techniques to add to the oral and maxillofacial surgeon's armamentarium so that the surgeon can be better-equipped to tackle challenging defects. In addition to an introductory review of the traditional approaches, the use of technological adjuncts such as computer planning, custom guides, custom hardware, intraoperative CT and navigation will be covered. Adoption of transantral approaches and how to incorporate that into treatment algorithms also will be reviewed. Code: ODAM22SS55
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The field of nerve reconstruction continues to experience technological advancements that lead to improved patient care and surgical outcomes. This session will explore the recent developments in diagnosis and management of both iatrogenic and ablative nerve defects of the trigeminal and facial nerves. Code: ODAM22GP5a
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First conceptualized by W.T. Green in the 1970s, the advent of tissue engineering was a significant milestone in the field of medicine and surgery. What started as proof-of-concept studies in preclinical models has transitioned to clinically applicable regenerative strategies for maxillofacial reconstruction in patients. Tissue-engineered bone grafts have made the reconstruction of defects of the oral and maxillofacial region predictable and reliable without the need for harvesting autogenous bone. The focus of this session will be on the two fields where the most significant advancements have occurred, craniofacial bone and sensory nerves. Multiple long-term clinical studies have demonstrated tissue-engineered bone grafts and allogeneic nerve reconstruction are equivalent or even superior to autogenous grafts. The "bench" part of this session will introduce and discuss the science regarding bone and nerve repair and regeneration. The "bedside" session will focus on key concepts for the successful clinical application of tissue engineering science to bone and nerve repair. This session will briefly discuss preoperative workup, preparation, and procedural options for patients with tumors, post-resection defects, and traumatic defects. Focus areas will include surgical technique, postoperative care and the management of complications. Code: ODAM22SS47
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Oral and maxillofacial surgeons will commonly see adult patients who simultaneously present with dentofacial deformities, TMJ DJD and sleep-disordered breathing. Interestingly, these patients frequently have nearly uniform clinical and radiographic findings, making identification of this "phenotypical" patient straightforward. Unfortunately, they are usually not referred with such a definitive package of diagnoses nor rarely with a thoughtful plan for management. However, identification of these patients is crucial to permit proper management and prevent morbidity and potential mortality. Combined treatment of these entangled problems can predictably be accomplished with a thoughtful virtual and clinical surgical treatment plan. This course will present multiple such patients, and review their workup, surgical planning and treatments – including enhanced recovery protocols – to establish a cohesive approach to their overall management. Code: ODAM22SS09
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Medication-Related Osteonecrosis of the Jaws (MRONJ) is an enigmatic pathologic entity of equivocal etiology and pathophysiology. Once considered a complication directly attributable to bisphosphonate medications, the OMS specialty now recognizes the association of other medication classifications including the RANKL inhibitors, antiangiogenic agents and several traditional chemotherapeutic agents. In addition, the patient's medical comorbidity – including the existence of cancer, metastatic disease, diabetes, obstructive lung disease and social habits such as smoking – are recognized as contributors to the development of this wound-healing dilemma, most often initiated by a traumatic incident such as a tooth extraction. The introduction and timing of conservative therapy of this disease continues to be discussed as well as the role and success of surgical resection of the focus of osteonecrosis. Moreover, strategies to prevent MRONJ in patients exposed to antiresorptive and antiangiogenic therapy must be discussed to reduce the morbidity experienced by patients treated with these medications. In the final analysis, MRONJ is preventable, resectable and reconstructable in a very predictable fashion. This presentation will review these concepts while narrowing the educational gap and reducing the fear experienced by medical and dental professionals in their treatment of patients who require medications associated with this pathologic process. Code: ODAM22SS02
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A fast-paced session with 10-minute clinical presentations on things these practitioners have discovered worked well in their practices. Code: ODAM22SS12
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The residual cleft dental gap in the skeletally mature patient is often challenging to reconstruct. This session will review treatment options for management of the cleft dental gap in the skeletally mature patient. Treatment options that will be discussed include bone graft reconstruction of the cleft maxilla/alveolus with cuspid substitution or dental implant placement, modified maxillary osteotomy for closure of the cleft dental gap as well as prosthetic options. The various pros and cons of the aforementioned techniques will be described. The challenges of dental implant placement in the cleft population also will be discussed. Code: ODAM22SS07
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Patients often present with dental failure of teeth and restorations, or failure of previously placed implants. The approach demonstrated in this presentation focuses on a standard set of diagnostic material, followed by the development of a treatment plan that will include removal of disease, grafting hard and soft tissue, development of the final restorative plan and placement of implants in locations prescribed by the final plan. This is done using digital information, virtual planning and navigation methods to optimize accuracy and precision. The first surgery is often aimed at eliminating disease and includes removal of teeth or implants with debridement and, as necessary, hard- and soft-tissue grafting. Often these patients require additional grafting to obtain satisfactory tissue volume and quality. Implants are placed navigated in a position prescribed by a virtual tooth setup. Multiple cases will be presented. Code: ODAM22SS24
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Dental practitioners and oral surgeons play a vital role in the early identification of oral cancerous lesions and should understand the workup and management of oral cancer. In this presentation, current trends for diagnosis, workup and management of oral cavity cancer will be discussed as well as areas of ongoing controversy in oral cancer management. The impact of quality of life and innovation on the surgical treatment of oral cancer will be considered. Code: ODAM22SS27
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Very few topics generate as much perpetual debate on how to interrogate and surgically manage the N0 neck in the field of head and neck oncology. Over a century of clinical experience, retrospective studies and a small number of clinical trials have helped elucidate general principles for management. Yet many questions remain to be answered, particularly as OMSs attempt to move toward narrowing the gap between under treatment and over treatment. During this 60-minute webinar, participants will review the current evidence regarding surgical management, where knowledge gaps remain and the latest research efforts to fill those gaps. Preoperative imaging and tests to elucidate the clinical status of the lymph nodes will be discussed in addition the roles for observation, sentinel lymph node biopsy and elective neck dissection for the cN0 neck – all based on the latest evidence. Code: WCE220810R
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