Course No: OS11-09 Fri., Sat.: 16 CDE Credits / Sun.: 6 CDE Credits
Office Oral and Maxillofacial Surgery
For the General Practitioner “Demystified”
Friday, November 6 & Saturday, November 7, 2009
Sunday, November 8, 2009 (Optional - 1/2 Day)
Location: Faculty of Dentistry,
124 Edward Street, Toronto, ON
Sunday Course is limited to 10 people
Dr. Howard Holmes
Participating Staff:
Dr. Cameron Clokie
Dr. Daisy Chemaly
Dr. Robert Eng
Dr. George Sandor
Residents Graduate OMFS Program, University of Toronto
Course Synopsis
Oral & Maxillofacial Surgeons typically engage in and represent the community standard in certain areas for facial trauma, facial deformity correction, cancer surgery, reconstructive facial surgery, cosmetic facial surgery, temporomandibular joint management and surgery, head and neck infections and the management of other pathologies. However, the most fundamental, and important aspect of our practices remains the provision of dentoalveolar surgery. Extracting teeth, draining abscesses, removing roots, performing biopsies and placing implants is the cornerstone of our specialty. We also consider these skills to be at the cornerstone of practice for the general practitioner.
Typically, referral to an Oral & Maxillofacial Surgeon is based on a number of issues which typically include, time requirements, anesthetic concerns, medical issues, degree of difficulty, requirement of other medical services for patients, and often times due to fear or a poor past experience in treating certain scenarios. In some instances it is not unusual for practitioners to completely eliminate even the simplest extractions from their practice due to practice preferences or the business of the practice.
This course is intended for those who have shied away from performing surgical procedures due to previous difficulties or fears, but also for those who enjoy surgery but find that they need to strengthen certain areas and it is hoped that this intensive, and focused course can clear up any misconceptions and alleviate any fears that you may have. We encourage dialogue with your instructors and hope that you can pick up some “tricks” along the way.
Basically we hope to demonstrate how with proper diagnosis, treatment planning and the execution of proper basic skills that you will be able to consistently obtain better results, that will satisfy your patients and make your practices more complete.
Learning Objectives
At the end of the course, participants should be able to know:
- When and when not remove a tooth
- What are the some of the important medical issues and how can they be managed in office?
- How can I manage anesthetic problems?
- What radiographs are needed (and required) to make an adequate diagnosis and what is becoming the standard for certain circumstances?
- What is the evidence supporting the removal of impacted teeth, and the use of antibiotics and analgesics?
- What are the critical principles that produce excellent surgery?
- What flaps to use in what situations
- What sutures to use and why
- How to approach impacted teeth
- How to drain an abscess and the antibiotics required
- How and when to do a biopsy
- What are the most common post-operative complications and how are they handled?
- When and how to apply “Ridge Preservation” in anticipation of dental implants.
These objectives will be dealt with by reviewing and refreshing the basic surgical concepts that are essential not only for simple surgical techniques, but also for advanced and more elaborate procedures. Through case presentations, hands-on animal laboratory exercises and video surgeries, the participant will receive a wide spectrum of approaches that should increase the confidence to tackle what at times may seem insurmountable obstacles. The essential components of the program will be covered over a two day period. For the first time an additional optional half day will be provided to a limited number of participants during which simulated surgical procedures will be performed using surgical simulator models. There will be an additional fee for this component.
| Day One | Day Two | ||
|---|---|---|---|
| 8:00 - 9:00am | Breakfast and Registration | 8:00 - 9:00am | Breakfast and Registration |
| 9:00 - 9:15am | Welcome and Introduction | 9:00 - 9:15am | Introduction and instrument check |
| 9:15 - 9:40am | Preoperative Evaluation | 9:15 - 9:30am | Drills |
| 9:40 - 10:00am | Anesthesia and Radiographs | 9:30 - 10:15am | Flap design and suturing |
| 10:00 - 10:30am | Management of selective medical issues | 10:15 - 10:30am | Bone Removal and root elevation |
| 10:30 - 10:45am | Break | 10:30 - 10:45am | Break |
| 10:45- 11:10am | Flap Techniques and Sutures | 10:45 - 11:30am | Laboratory Exercise |
| 11:10 - 11:45am | Surgical Removal of Teeth and use of “Peritomes’ | 11:30 - 11:45am | Biopsy Exercise |
| 11:45- 12:15pm | Biopsy Techniques | 11:45-12:00noon | I & D Exercise |
| 12:15 - 1:30pm | Lunch | 12:00 - 1:00pm | Lunch |
| 1:30 - 2:30pm | Case One (Impacted teeth) and Discussion | 1:00 - 2:30pm | Case One (Impacted teeth) and Discussion |
| 2:30 - 3:00pm | Case Two (Biopsy) and Discussion | 2:30 - 4:00pm | Post-operative care and Complications |
| 3:00 - 4:00pm | Ridge Preservation | 4:00 - 5:00pm | Audience Cases and Discussion |
| 4:00 - 5:00pm | Audience Cases and Discussion | ||
| End of Day One | Evaluation & End of Course |
| Day Three | |
|---|---|
| 8:00 - 9:00am | Breakfast and Registration |
| 9:00 - 9:15am | Welcome and review of simulator |
| 9:15 - 9:40am | Removal of teeth and suturing with simulator |
| 9:40 - 10:30am | Forceps extraction with simulator |
| 10:30 - 11:00 | Flap and suturing with simulator |
| 11: 00 - 1:00pm | Removal of Impacted teeth |
| 1:00pm- 1:30pm | Final discussion and End of Day Three |
Tuition*
(includes continental breakfast, networking lunch, and afternoon refreshments)
| Prior to October 23, 2009 | After October 23, 2009 | |
|---|---|---|
| Dentists - Friday & Saturday: | $1500 | $1700 |
| Dentists - Sunday: | Additional $500 | Additional $500 |
| Dental Team Members: | $350 | $350 |
There may be an additional charge for the purchase of materials that are required to complete the hands-on component of this course.
Course Time: Friday and Saturday 9:00 am - 5:00 pm, Sunday: 9:00 am - 1:30 pm
*Register at the same time for 2 or more courses and receive a 10% discount on each course.
Biographies
Dr. Howard Holmes, DDS, Dip OMFS, FICD
- Assistant Head Div of OMFS, University of Toronto
- Director of Undergraduate OMFS Teaching, University of Toronto
- Surgical Director Graduate Surgical Orthognathic Surgery Program, Un. of Toronto
Dr. Cameron Clokie, DDS, PhD, Dip ABOMS, FRCDSC, FICD
- Director of Graduate OMFS Training Program, University of Toronto
- Director of Research, Div. of OMFS, Un of Toronto
Dr. Daisy Chemaly, DMD, MSC, FRCDC
- Associate in Dentistry, Div. of OMFS, University of Toronto
Dr. Robert Eng, BSC, DMD. FRCDC
- Associate in Dentistry, Div. of OMFS, University of Toronto
- Visiting Lecturer, Tufts University, Div. of OMFS
Dr. George Sandor, MD, DDS, PhD, FRCDC, FRCSC, FACS
- Head of Oral and Maxillofacial Surgery, University of Toronto,
- Coordinator of Pediatric Oral and Maxillofacial Surgery, The Hospital for Sick Children and Bloorview Kids Rehab, Canada.
- Professor of Tissue Engineering, Regea Institute for Regenerative Medicine, University of Tampere, Tampere, Finland.
- Dosent in Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland.
- Chairman, Canadian Section of the ITI.
Residents Graduate OMFS Program, University of Toronto
