DAY 1: 29.11.2024

1 – INITIAL EXAMINATION:

Listening patients’ complaints

Aesthetic and functional criteria for indication of orthognathic surgery

Communication with the orthognathic surgery patient

2 – ARNETT’s FAB CONCEPT

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.

3 – ORTHODONTIC PREPARATION PRIOR TO ORTHOGNATHIC SURGERY

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

4 – ANALYSIS OF THE CASE BEFORE THE SURGERY

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

TMJ considerations

Preoperative splint therapy: When-How-Why?

Construction and application stages of stabilization splints

6 – SURGICAL PLANNING

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 : 30.11.2024

7 – SPECIAL CONSIDERATIONS: FACIAL ASYMMETRIES

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?

8 – CONSIDERATIONS IN THE OPERATING ROOM (Tips and tricks)

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

9 – ORTHODONTIC and SURGICAL FOLLOW UP

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

Fixed and removable retention devices: Which and Why?

Causes of relapse

11 – CASE PRESENTATIONS and PANEL: Q/A