Journey to Facial Harmony: Collaboration between orthodontist and surgeon

DAY 1: Friday 9:00-10:30

1- INITIAL EXAMINATION: Korkmaz – Octavio

• Listening patients’ complaints
• Aesthetic and functional criteria for indication of orthognathic surgery
• Communication with the orthognathic surgery patient

2- ARNETT’s FAB CONCEPT : Octavio

• Considerations in the isolated occlusion planning
• Traditional Cephalometrics vs. Facially Driven Protocol
• Soft Tissue Cephalometric Analysis (STCA)
• Decision making process based in airway and face.

Coffee Break – 10:30-11:00

2. Session – 11:00-12:30

3- ORTHODONTIC PREPARATION PRIOR TO ORTHOGNATHIC SURGERY:  Korkmaz

• Principles of a good orthodontic setup
  • Transversal: Arch width and curve of Wilson
  • Sagittal: Inclination and position of incisors
  • Vertical: Curve of Spee and canting
• Midlines
• Evaluation of arch length discrepancy – Bolton
• Decision of teeth extraction
• Selection of brackets and other attachments
• Evaluation of preoperative orthodontic preparation
• Application of surgical archwires
• Preoperative orthodontics with using clear aligners

Lunch – 12:30-13:303. Session – 13:30-15:00

4- ANALYSIS OF THE CASE BEFORE THE SURGERY:  Octavio

• Importance and determination of natural head position
• Radiological examinations
• Clinical analysis
• Mirror Test
• Facial Markers
• Bite Registration
• CBCT Quality Control
• Understanding Patient’s expectations

5- APPROACH TO SURGICAL PATIENTS WITH TMJ PROBLEMS:  Korkmaz

• TMJ considerations
• Preoperative splint therapy: When-How-Why? 
• Construction and application stages of stabilization splints

Coffee Break – 15:00-15:30

4. Session – 15:30-17:00

6- SURGICAL PLANNING:  Korkmaz – Octavio

• How to be precise in the Head Volume Orientation
• Planning the surgical sequence: Mandible First vs. Maxilla First Sequence
• Multi-piece Le Fort I: When-How-Why?
• Three-dimensional virtual planning – Digital workflow
• Features of surgical splints

DAY:2- Saturday – 9:00-10:30

7- SPECIAL CONSIDERATIONS: FACIAL ASYMMETRIES: Octavio

• Biological Symmetry vs. Geometric Symmetry
• Hard Tissues Analysis vs. Soft Tissues Response
• Facial Flow Concept: is it reasonable in surgical patients?
• Clinical Analysis and facial midline in asymmetries
• 3D Software requirements for precision in facial asymmetries
• Forced Symmetry Protocol
• Concomitant pathologies of the condyle – how to proceed?

Coffee Break – 10:30-11:00

2. session – 11:00-12:30

8- CONSIDERATIONS IN THE OPERATING ROOM (Tips and tricks) Octavio

• What should we take to the operating room?
• Sagittal Split of the mandible: design and how to be safe
• Passive checking of the mandibular position
• Multi Segmented Le Fort I: design and how to be safe
• Simultaneous transverse expansion – how to be stable?
• Soft tissue management

Lunch – 12:30-13:30

3. Session – 13:30-15:00

9-  ORTHODONTIC and SURGICAL FOLLOW UP : Korkmaz

• Postoperative patient regimen
• Decision for intermaxillary fixation
• Protocol of post-op elastics: When-How-Why?
• Orthodontic finishing protocol
• Ensuring functional occlusion

10- STABILIZATION AND RETENTION:  Korkmaz

• Fixed and removable retention devices: Which and Why?
• Causes of relapse

Coffee Break 15:00:15:30

4. Session: 15:30-17:00

11- CASE PRESENTATIONS and PANEL: Q/A Korkmaz – Octavio

Dr. Korkmaz SAYINSU

• Graduate,  University of Marmara, Faculty of Dentistry
• PhD in Orthodontics, University of Marmara, Faculty of Dentistry
• Associate Professor of Orthodontics, University of Yeditepe  (2000-2009)
• Graduate, The Roth/ Williams International Center of Functional Occlusion, 2 years course (2008-2010)
• Professor and Head of Orthodontic Department in University of Altinbas
• Private practice limited to orthodontics and TMD in Istanbul (Turkey)
• Lecturer in FACE Courses