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    Jaw in a Day - An instructional course in maxillo-mandibular reconstruction and dental rehabilitation

    Royal Australasian College of Surgeons (RACS)
    east melbourne, australia
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    Event description

    About this event

    Join an esteemed local and international faculty for this full day course, combining a comprehensive didactic and hand on workshop program. 

    Course Convenor

    Dr Felix Sim - Maxillofacial Surgeon, Melbourne, Australia

    Faculty

    Dr Ashish Patel - Maxillofacial Surgeon, Portland, USA

    Dr Richard Barton - Plastic Surgeon, Melbourne, Australia

    Dr Tim Manzie - Maxillofacial Surgeon, Sydney, Australia

    Dr Gordon Burt - Maxillofacial Prosthodontist, Melbourne, Australia

    Dr Chen Chen - Maxillofacial Prosthodontist, Los Angeles, USA


    Intended Audience

    The course is intended for Oral & Maxillofacial Surgeons, Head and Neck Surgeons, ENT surgeons, Plastic Surgeons and Prosthodontists. The ideal combination will be a surgeon and prosthodontist. Even if you don't plan on placing immediate teeth, you will learn virtual planning with immediate guided implants for later restoration.

    Observer places are available for supporting clinical staff and allied health professionals who wish to attend the lectures and observe the hands-on workshop.

    This course does not teach non-microvascular surgeons how to harvest free flaps and non-dentally trained clinicians how to place dental implants.


    Course Summary

    This one-day course will have didactic presentations in the morning followed by a hands-on lab experience in the afternoon which will involve participants placing implants on a printed fibula model followed by osteotomy of the fibula with cutting guides and assembling the prosthesis to create the “Jaw in a Day”. Once assembly is complete, the neomandible construct with teeth will be inset onto a resected mandibular model.


    Course Outline

    • Surgical anatomy of the fibula for the (non-microvascular) implant surgeon
    • Evolution of and literature review of dental implants in vascularized bone grafts
    • Data acquisition requirements for workup
    • Virtual surgical planning workflow and modification for JIAD
    • Designing and using cutting guides for the jaws and fibula with guided dental implant placement
    • Designing and using biomodels for assembly of the neomandible construct and dental prosthesis
    • Orientation of the fibula bone, pedicle and skin paddle for jaw reconstruction
    • Fibula harvest modifications for the microvascular surgeon for immediate dental implants
    • Prosthodontic planning: Abutment selection, occlusal planning, immediate load
    • Flap inset of the fibula and skin paddle into the oral cavity
    • Complications with immediate dental implants and dental prosthesis in fibulas


    Hands on Lab

    • Placement of fibula cutting/implant guide
    • Guided placement of dental implants in a 3D printed fibula model
    • Perform guided fibula osteotomies to shape the bone
    • Plate the shaped fibula to the mandible defect with dental implants in a restorable position
    • Attach a 3D printed dental prosthesis to the temporary copings on the fibula/implant construct.
    • Inset of neomandible construct on a resected mandibular model


    Course concludes at 5pm and is followed by drinks and canapes

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