I Thought my Next Patient was a Simple Orthognathic Consult: Comprehensive Management of the Adult Patient with Dentofacial Deformity, OSA/SDB, and TMJ DJD

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.

Learning Objectives

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

  1. Identify patients who might be at risk of a combination of DFD, TMJ DJD and SDB. 
  2. Manage patients with a combination of DFD, TMJ DJD and SDB/OSA. 
  3. Describe and utilize enhanced recovery techniques for patients having complex maxillofacial bony reconstruction.

Christopher F. Viozzi, DDS, MD
Consultant and Assistant Professor of Surgery
Mayo Clinic
Rochester, Minnesota
Disclosure: No financial disclosures.

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

Christopher F. Viozzi, DDS, MD

Consultant and Assistant Professor of Surgery

Mayo Clinic

Position and Academic RankConsultant in Surgery, Oral and Maxillofacial Surgery, Pediatric and Adolescent MedicineAssistant Professor of Surgery - Mayo Clinic College of MedicineEducationDoctor of Medicine 1996Medical College of PennsylvaniaDoctor of Dental Surgery 1991Northwestern UniversityBachelor of Science in Mechanical Engineering 1985Penn State UniversityResidency/Fellowship TrainingOral and Maxillofacial Surgery Integrated Residency 1993-1999Allegheny General HospitalPittsburgh, PAGeneral Surgery 1996-1998Allegheny General HospitalPittsburgh, PAGeneral Practice Residency in Dentistry 1993University of MarylandBaltimore, MarylandClinical Practice and Research Areas of InterestSurgery for Obstructive Sleep ApneaTMJ Joint Replacement SurgeryVirtual Surgical PlanningOral and Maxillofacial Surgery EducationOutpatient Anesthesia

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
I Thought my Next Patient was a Simple Orthognathic Consult: Comprehensive Management of the Adult Patient with Dentofacial Deformity, OSA/SDB, and TMJ DJD
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