How I Do It Session: Reconstruction

A fast-paced session with 10-minute clinical presentations on things these practitioners have discovered worked well in their practices.

Learning Objectives

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

  1. Discuss the science behind bone grafts and tissue-engineering grafts. 
  2. Describe patient specific plates (PSPs) design, splint design and surgical techniques related to Lefort 1 Osteotomies. 
  3. Review a contemporary algorithm for contemporary mandibular reconstruction. 
  4. Explain towel clip reduction of zygomatic arch fractures.  
  5. Identify strategies for diagnosis, risk assessment, prevention and management of ORN. 

James C. Melville, DDS, FACS
Associate Professor of Oral and Maxillofacial Surgery
Bernard & Gloria Pepper Katz Department of Oral & Maxillofacial Surgery, Oral & Head and Neck Oncology and Microvascular Reconstructive Surgery University of Texas Health Science Center at Houston
Houston, Texas
Disclosure: AxoGen Inc (Individual(s) Involved: Self): Consultant/Advisory Board; Integra LifeSciences (Individual(s) Involved: Self): Consultant/Advisory Board; Johnson & Johnson (Individual(s) Involved: Self): Consultant/Advisory Board; Proteocyte Diagnostics (Individual(s) Involved: Self): Consultant/Advisory Board

Mark E. Wong, DDS, FACS, FACD
Professor, Chairman and Program Director
Bernard & Gloria Pepper Katz Department of Oral & Maxillofacial Surgery
Houston, Texas
Disclosure: Stemodontics (Individual(s) Involved: Self): Consultant/Advisory Board

Michael D. Turner, DDS, MD, FACS
Chief and Associate Professor
Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai
New York, New York
Disclosure: Nothing to disclose.

Michael R. Markiewicz, DDS, MD, MPH, FRCD(C), FACS
Professor and Chair
University at Buffalo
Buffalo, New York
Disclosure: AxoGen Inc (Individual(s) Involved: Self): Consultant/Advisory Board

Eric J. Dierks, DMD, MD, FRCS(Ed), FACS
Clinical Professor
Oregon Health and Science University
Portland, Oregon
Disclosure: Nothing to disclose.

Kenneth E. Fleisher, DDS, FACS
Clinical Associate Professor
Department of Oral and Maxillofacial Surgery, New York University Langone Medical Center and Bellevue Hospital Center
New York, New York
Disclosure: Nothing to disclose.

An Internet-based CDE/CME Activity
Original Release Date: September 17, 2022
Expiration Date: September 17, 2025
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Eric J. Dierks, DMD, MD, FRCSED, FACS

Emeritus Professor

Oregon Health and Science University

Dr. Eric Dierks is a graduate in both medicine and dentistry from the University of Louisville. His OMFS residency was done at the Christiana Medical Center of Delaware, and his ENT residency was completed at the University of Texas Southwestern Medical Center at Dallas. He is board-certified in both specialties. Dr. Dierks has practiced within the Head and Neck Institute in Portland, Oregon where his academically-affiliated practice consisted of head and neck oncologic surgery and associated reconstruction, craniomaxillofacial trauma, as well as traditional oral surgery. Along with his excellent partners, he created a fellowship in Head and Neck Oncologic and Reconstructive Surgery in 1992 and a second fellowship in Advanced Craniomaxillofacial and Trauma Surgery in 2001, and has seen many of his former fellows go on to leadership roles both nationally and internationally. Dr. Dierks has trained almost 100 residents and fellows and has over 140 publications and book chapters in his areas of interest. For over 30 years he has been and adjunct faculty member at OHSU and was recently honored with the designation of Emeritus Professor of Oral and Maxillofacial Surgery at Oregon Health and Science University.

Disclosure(s): Proteocyte AI, Toronto: Clinical Advisory Panel (Ongoing)

James C. Melville, DDS, FACS

Associate Professor

University of Texas Health Science Center at Houston

James C. Melville, DDS, FACS, is an Associate Professor in the Department of Oral and Maxillofacial Surgery at the University of Texas Health Science Center at Houston UTHealth and specializes in Oral, Head & Neck Oncology, and Microvascular Reconstructive Surgery. He graduated from the University of Michigan School of Dentistry in Ann Arbor, Michigan, in 2005 and completed a General Practice Residency at the University of California San Francisco in 2006. He completed a residency in oral and maxillofacial surgery in 2012, followed by fellowships in oral, head, and neck oncology and microvascular reconstructive surgery at the University of Miami/Jackson Memorial Hospital. He was appointed to the UTH OMFS internship director in 2017.

Dr. Melville was awarded the Faculty Educator Development Award (FEDA) in 2019 by the American Association of Oral & Maxillofacial Surgeons (AAOMS). An award given to promising young academic surgeons. He was awarded the AAOMS Advocacy Challenge Coin by the AAOMS Board of Trustees and AAOMS Committee on Government Affairs in 2020. AAOMS designed its own Challenge Coin to recognize oral and maxillofacial surgeons who have made significant advocacy contributions on behalf of the Association. The AAOMS Challenge Coin is awarded to those elite few who transcend the efforts of their colleagues to further the specialty through advocacy. Dr. Melville serves as the Vice-President of the Oral & Maxillofacial Section of the American Association for Dental, Oral, and Craniofacial Research (AADOCR) / International Association of Dental Researchers (IADR) and will be become the President in 2023. He was appointed the Vice President of the AAOMS Clinical Interest Group (CIG) in Neurologic Disorders 2021. He also serves on the International Academy of Oral Oncology (IAOO) as a scientific committee member for its 2022 conference.

Dr. Melville is a diplomate and examiner of the American Board of Oral and Maxillofacial Surgery and a fellow of the American Association of Oral and Maxillofacial Surgeons, the American Academy of Craniomaxillofacial Surgeons, American College of Oral & Maxillofacial Surgeons, and the American College of Surgeons. He has been an invited visiting professor and lecturer at over 15 academic institutions including Case Western University, Columbia University, Harvard/MGH, Emory University, Johns Hopkins University, University of Michigan, UOP/ Stanford University UCLA, USC, and UCLA.

He has written a Springer textbook on maxillofacial reconstruction and contributed to 25 chapters in textbooks concerning oral and maxillofacial surgery, oncology, maxillofacial reconstruction, microvascular reconstruction, and tissue engineering. In addition, he is the author of more than 40 articles in peer-reviewed journals. He is a reviewer for the Journal of Oral and Maxillofacial Surgery (JOMS), Triple OOOO Journal, Journal of Cranio-Maxillofacial Surgery, Journal of Tissue Engineering, PLOS ONE, Bioengineering & Translational Medicine (Wiley), Journal of Biomedical Materials Research, Experimental Dermatology, Japanese Dental Science Review, and of Journal of American Dental Association (JADA).

Disclosure(s): AxoGen, Inc.: Consultant (Ongoing); Proteocyte AI, Toronto: Consultant (Ongoing)

Mark E. Wong, DDS, FACS, FACD

Professor, Chairman and Program Director, Bernard & Gloria Pepper Katz Department of Oral & Maxillofacial Surgery Houston, Texas

Mark Wong, DDS, FACS, FACD, is a professor and chair of the Bernard and Gloria Pepper Katz Department of Oral and Maxillofacial Surgery at The University of Texas Health Science Center at Houston (UTHealth) School of Dentistry, where he also serves as Director of Residency Training. In addition, he is on the faculty of McGovern Medical School at UTHealth in the Department of Surgery's Oral and Maxillofacial Division.

Dr. Wong is a diplomate of the American Board of Oral and Maxillofacial Surgery and a fellow of both the American College of Dentistry and the American College of Surgeons. He is a past president of the ABOMS, American Academy of Craniomaxillofacial Surgeons, and the International Board for the Certification of Specialists in Oral and Maxillofacial Surgery.

His clinical and research interests are focused on reconstructive surgery, tissue engineering of bone, and the biomechanical characterization and regeneration of the temporomandibular joint. His research is funded by the National Institutes of Health and the U.S. Department of Defense.

Dr. Wong holds the Dr. Bernard and Gloria P. Katz Endowed Chair in Oral and Maxillofacial Surgery.

Disclosures: Stemodontics (Individual(s) Involved: Self): Consultant/Advisory Board

Michael D. Turner, DDS, MD, FACS

Chief and Associate Professor

Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai

Dr. Michael Turner is the Chief of Oral and Maxillofacial Surgery at The Mount Sinai Hospital and the program director of the Mount Sinai/Jacobi/Einstein Residency in Oral and Maxillofacial Surgery. He received his dental degree from the University of Maryland, followed by a preliminary certificate of Oral and Maxillofacial from the Johns Hopkins University School of Medicine. He graduated from the SUNY Stony Brook School of Medicine, after which he completed residency training at Long Island Jewish Medical Center. He completed a Master of Science in clinical research and translational medicine from the New York University School of Medicine. A diplomate of the American Board of Oral and Maxillofacial Surgery, a fellow of the American College of Surgeons and an active member of the American Association of Oral and Maxillofacial Surgery, Dr. Turner is an expert in maxillofacial reconstructive surgery and orthognathic surgery and is considered an international expert on minimally invasive salivary gland surgery. He has authored and co-authored 33 peer reviewed journal articles and 13 book chapters. He is on the board of directors of the Brooklyn Queens Chapter of the American College of Surgeons and the New York State Society of Oral and Maxillofacial Surgery and is the Vice-Chair of the Section of Dentistry and Oral Health of the New York Academy of Medicine. He currently serves on the editorial board of the Journal of Oral and Maxillofacial Surgery and the ADEA Journal of Dental Education

Disclosures: No relevant financial disclosures.

Michael R. Markiewicz, DDS, MD, MPH, FACD, FAAP, FACS

Professor and Chair

University of Buffalo

Dr. Markiewicz is Professor and Chair of the Department of Oral and Maxillofacial Surgery at the University of Buffalo, and adjunct Professor in the Departments of Neurosurgery and Surgery at the Jacob’s School of Medicine and Biomedical Science. He is an attending Head and Neck and Reconstructive Surgeon and Roswell Park Cancer Center, and is Co-director of the Cleft and Craniofacial Team, at the Craniofacial Center of Western New York. Dr. Markiewicz earned his Dental Degree at the University at Buffalo, and Medical Degree at Oregon Health and Science University where he also completed his General Surgery and Oral and Maxillofacial Surgery training. He obtained a Master’s of Public Health from Harvard University with a concentration in Biostatistics and Epidemiology, and completed a Fellowship in Clinical Investigation at The Massachusetts General Hospital, Boston Massachusetts. Dr. Markiewicz completed a fellowship in Pediatric Cleft and Craniomaxillofacial Surgery, at the Arnold Palmer Hospital for Children, in Orlando Florida. To complete his surgical training, he completed a fellowship in Head and Neck Oncologic and Microvascular Reconstructive Surgery in the Division of Head and Neck Surgery, at the University of Florida, College of Medicine, in Jacksonville Florida. Dr. Markiewicz’s clinical and research interests are dedicated to the management of Cleft and Craniofacial anomalies in Children and Adults, the treatment of Head and Neck Cancer, and the reconstruction of Congenital and Acquired Defects in Children and Adults.

Disclosure(s): Axogen: Consultant (Ongoing); Synthes: Consultant (Ongoing)

Kenneth E. Fleisher, DDS

Clinical Professor

NYU Dentistry

Dr. Fleisher is a Clinical Professor in the Department of Oral and Maxillofacial Surgery at the New York University College of Dentistry and an attending surgeon at the Bellevue Hospital Center and New York University Langone Medical Center in the department of Plastic Surgery. He participates in the didactic and clinical training of dental students, international dentists and postgraduate oral and maxillofacial surgery residents. Dr. Fleisher’s is committed to scholarship and teaching, and he is the recipient of the AAOMS Faculty Educator Development Award. Dr. Fleisher is recognized by NYU Dentistry, NYU Langone Medical Center, and Bellevue Hospital for his clinical expertise in managing patients with Medication-Related Osteonecrosis of the Jaw and Osteoradionecrosis.

Disclosures: No relevant financial disclosures. 

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
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
How I Do It Session: Reconstruction - NEED
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available