Combined TMJ-orthognathic Surgeries - On Demand Access

TMJ disorders and dentofacial deformities often coexist. One could be the cause or effect of the other. Orthognathic surgeries when performed without management of an active TMJ disorder can create unfavorable outcomes or risk relapse of dentofacial deformities. Accurate diagnosis of a TMJ disorder and management is of great importance in patients with or without dentofacial deformities. Published survey studies show a significant number of OMSs do not perform TMJ surgeries as part of their practice, potentially resulting in the patient treated with only orthognathic surgery or referred to an academic medical center or another practitioner. Even where indicated, traditionally these conditions were treated with separate surgical encounters, increasing morbidity and risks to the patient. Recent data support combining these treatments in appropriate patients when indicated could reduce morbidity of two procedures or risks from an untreated TMJ disorder. Technological advances such as virtual surgical planning and 3D printing have created ways for these surgeries to be done with precision, reduced surgical time and positive outcomes. Combining these surgeries improves quality of care and patient convenience while decreasing risk from a second general anesthesia. Combined surgeries are not done as commonly as conventional orthognathic surgeries, and OMS trainees and practitioners may be unfamiliar with the intricacies of such combined surgeries. This 60-minute webinar will present indications, contraindications, planning, technique and risks/benefits/complications related to these combined TMJ-orthognathic surgeries.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Discuss indications with identification of patients who could benefit from a combined TMJ-orthognathic surgery. 
  2. Describe the steps in planning for a combined surgery. 
  3. Review the risks and benefits of the combined operation. 
  4. Identify the differences between a traditional orthognathic surgery and a combined surgery.

An Internet-based CDE/CME Activity
Original Release Date: March 16, 2022
Last Review Date: November 2, 2024
Expiration Date: November 2, 2027
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:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
4 Questions  |  1 attempt  |  0/4 points to pass
4 Questions  |  1 attempt  |  0/4 points to pass
Combined TMJ-orthognathic Surgeries
Open to view video.
Open to view video.
Post-Quiz
4 Questions  |  Unlimited attempts  |  3/4 points to pass
4 Questions  |  Unlimited attempts  |  3/4 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available