Nerve Testing and Preoperative Evaluation - On Demand Access

Sensory disturbances to the peripheral branches of the trigeminal nerve can be a debilitating disruption to patients, leading to problems with speech and mastication, food and liquid incompetence as well as difficulty with daily activities. Trigeminal nerve injuries may arise from a number of causes in oral and maxillofacial surgery. The most common cause results from the removal of impacted third molars. Other causes include orthognathic surgery, endodontic surgery, implant placement, fractures, pre-prosthetic surgery and treatment of maxillofacial pathology. This 60-minute webinar will review relevant neural anatomy, etiologies of nerve injuries and testing procedures to monitor and document nerve injuries and their timing for optimal outcomes.

Learning Objectives

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

  1. Describe neural anatomy as applied to nerve injuries. 
  2. Review the different mechanisms of trigeminal nerve injuries. 
  3. Use testing modalities to evaluate, document and monitor progression of nerve injuries. 

An Internet-based CDE/CME Activity
Original Release Date: June 16, 2021
Expiration Date: June 16, 2024
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Vincent B. Ziccardi, DDS, MD, FACS

Professor and Chair

Rutgers University School of Dental Medicine

Dr Ziccardi attended college at New York University where he received a Bachelor’s degree in Chemistry. From there, he attended Columbia University and earned his dental degree. Upon graduation from Columbia, he was accepted into the integrated MD/Oral and Maxillofacial Surgery residency training program at the University of Pittsburgh where he earned his MD degree and certificate in oral and maxillofacial surgery. It was during this time working with faculty in both the oral and maxillofacial surgery and Neurosurgery departments that he gained interest and experience in the management of trigeminal nerve injuries.Upon completion of training, Dr Ziccardi took a position as Assistant Professor at Mount Sinai Medical Center in New York City. He worked at this institution until taking a position at his current institution at Rutgers School of Dental Medicine in 1997. While working in New Jersey, he was initially made residency program director in 1998 and ultimately Chair of the department and Chief of Dental Medicine at University Hospital in 2002. He is presently tenured Professor at the University and holds a co-terminus position in the Division of Plastic Surgery.During his career, areas of clinical interest and research have included trigeminal nerve microsurgery, cleft lip and palate reconstruction, complex maxillofacial trauma and reconstructive surgery. Dr. Ziccardi is extensively published and nationally recognized expert in trigeminal nerve microsurgery and speaker within this subject matter. He continues to serve as Chair and Chief of Service within University Hospital and Associate Dean of Hospital Affairs as well as the Director of the Craniofacial Center at University Hospital.

Disclosure(s): Axogen, Inc: Consultant (Ongoing)

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
Nerve Testing and Preoperative Evaluation
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  3/5 points to pass
5 Questions  |  Unlimited attempts  |  3/5 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available