
Combined TMJ and Orthognathic Surgery
-
You must log in to register
- Member - Free!
- Resident Member - Free!
- Allied Staff Member - Free!
- Professional Staff Nonmember - $100
- Other Nonmember - $100
Temporomandibular joint disorders (TMJD) and dentofacial deformities often co-exist. One could be the cause or effect of the other. Orthognathic surgeries performed without management of active TMJD can risk unfavorable outcomes. Accurate diagnosis of TMJD and management is critical in patients with dentofacial deformities. Published studies show a significant number of OMS do not perform TMJ surgeries as part of their practice that could result in patient being treated with only orthognathic surgery or being referred to another practitioner. Traditionally, these conditions were treated in separate surgical encounters that increased morbidity and risks to patients. Recent data supports combining these treatments in appropriate patients when indicated could reduce morbidity of two procedures or risks from an untreated TMJD. Technological advances such as virtual surgical planning/3D printing have created ways for these surgeries to be done with precision, reduced surgical time and good outcomes. Combining these surgeries improves quality of care and patient convenience while decreasing risk from second general anesthesia. Combined surgeries are not done as commonly as conventional orthognathic surgeries, and OMS trainees and practitioners may not be familiar with the intricacies. This course intends to present indications, contraindications, planning, technique, risks and benefits related to these combined TMJ-orthognathic surgeries.
Learning Objectives
At the conclusion of this program, participants should be able to:
- Discuss indications and identify patient who could benefit from a combined TMJ-orthognathic surgery.
- Describe the steps in planning/work-up for a combined surgery.
- Explain the differences between a traditional orthognathic surgery and a combined surgery.
Shravan K. Renapurkar, DMD, FACS
Associate Professor, Program Director
Virginia Commonwealth University
Richmond, Virginia
Disclosure: No relevant financial disclosures.
An Internet-based CDE/CME Activity
Original Release Date: September 12, 2022
Review Date: April 12, 2025
Expiration Date: April 12, 2028
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Shravan Renapurkar, DMD, FACS
Associate Professor, Program Director
Virginia Commonwealth University
Dr. Renapurkar is an Associate Professor and Director of the residency program in Department of Oral and Maxillofacial Surgery (OMFS) at Virginia Commonwealth University. He received Doctor in Dental Medicine (D.M.D) degree at Boston University. Prior to this, he completed a Bachelor of Dental Surgery degree at Government Dental College and Hospital, Hyderabad, India. He then completed a residency program in Oral and Maxillofacial Surgery at University of Minnesota followed by a fellowship in Pediatric Oral and Maxillofacial Surgery at Massachusetts General Hospital prior to joining VCU as a full-time faculty.
Dr. Renapurkar has published several peer reviewed articles, book chapters, as well as lectured at local study clubs, state and national professional meetings. He is a Diplomate of the American Board of Oral and Maxillofacial Surgery, a Fellow of the American Association of Oral and Maxillofacial Surgeons, American College of Surgeons and American Society of Temporomandibular Joint Surgeons. He has served as the past president of the Virginia Society of Oral and Maxillofacial Surgeons, member of AAOMS Committee on Research Planning and Technology Assessment and examiner in the American Board of Oral and Maxillofacial Surgery. He is involved with undergraduate and graduate OMFS education, and has been an active speaker at various local, regional, national events.
Disclosure(s): No financial relationships to disclose
Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).
AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680
The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Key:




