M632: CT-Guided Surgery Versus Conventional Surgery: Pros and Cons

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  • train the members of your staff to be knowledgeable,effective team members in the management of emergen-cies. We will review how to store and organize youremergency medications, intubation supplies, intrave-nous drip supplies, etc in your crash cart for instantretrieval. Plans for virtually fool proof labeling andorganization for all itemsfrom drugs to batterieswillbe discussed. Tips will be provided on how to effectivelyuse your office computer to help provide firstrateteaching materials for your entire office staff.

    Actual clinical and legal case examples will be utilizedto demonstrate fatal outcomes associated with insuffi-cient office organization and emergency drills. In addi-tion, videos of emergency drills will illustrate how tomaximize the teaching potential of the drills. The pro-gram will benefit, and is appropriate for, surgeons, man-agment, and staff.

    References

    Office Anesthesia Evaluation Manual, The American Association ofOral and Maxillofacial Surgeons. 6th Edition, 2000

    Medical Emergencies In The Dental Office, Stanley F. Malameds, 5th

    Edition, Mosby 20002000 Handbook of Emergency Cardiovascular Care, American Heart

    Association, 2000

    M632CT-Guided Surgery Versus ConventionalSurgery: Pros and ConsEdmond Bedrossian, DDS, San Francisco, CA

    The growing interest for flapless surgery in conjunc-tion with immediate loading of the edentulous patientshas led to the development of software programs whichallow for treatment planning, fabrication of a surgicaltemplate, as well as the production of a prosthesis whichcan be secured to the patient immediately following theplacement of the implants. This presentation will helpthe implant team understand the steps required for treat-ment planning as well as the fabrication of the provi-sional, immediateload prosthesis once the surgical tem-plate has been produced from the stereolithographicmodel. The fact that the prosthesis is connected to theimplants immediately following the surgical procedureleaves no room for error. It is imperative that the oraland maxillofacial surgeon, the restorative dentist and thelaboratory technician be aware of each others abilitiesand limitations. Understanding each others responsibil-ities will lead to a more predictable outcome, minimizeerrors, and allow for correction of minor discrepanciesduring the execution of this treatment concept.

    Immediate loading of the edentulous patient may alsobe predictably executed using chair side conversiontechniques immediately following the installation of theimplants. Treatment of certain clinical conditions includ-

    ing patients who have existing full complement of nonrestorable teeth or existing implants with peri implanti-tis are better managed using chair side conversion tech-nique. This presentation will compare and contrast an-alogue versus computer assisted protocols for the im-mediate loading of the edentulous patient.

    References

    van Steenberghe D, Naert I, Andersson M, Bajnovic I, Van Cleynen-breugel J, Suetens P, A custom template and definitive prosthesisallowing immediate implant loading in the maxilla: a clinical report, IntJ Oral Maxillofac Implants 2002;17:63-70

    Marchack CB, An immediately loaded CAD/CAM-guided definitiveprosthesis: A clinical report. J Prosthet Dentistry 2005. 93:8-12

    Verstreken K, Van Clynenbreugel J, Marchal G, Naert I, Suetens P,van Steenberghe D, Computerassisted planning of oral implant sur-gery. A threedimensional approach. Int J Oral Maxillofac implants1996;11:806-10

    Bedrossian E. Immediate stabilization at stage II of Zygomatic im-plants: Rationale and technique. Int J Oral Maxillofac implants 2000;15:10-14

    M633Tibia Bone Graft in the OR and in theOfficeGeorge M. Kushner, DMD, MD, Louisville, KYBrian Alpert, DDS, Louisville, KY

    The oral and maxillofacial surgeon faces many recon-structive challenges in contemporary practice. Recon-struction of the bony maxillofacial skeleton is frequentlyrequired for trauma, pathology, implant site preparationand a host of other clinical scenarios. The gold stan-dard in bony reconstruction is autogenous grafting.Several sites, including the calvarium, iliac crest, tibiaand the mandible itself are currently popular in clini-cians hands. Each site has its own advantage and dis-advantages or limitations must be evaluated for eachpatient.

    We feel the tibia bone graft site is very versatile,technically easy to perform and has a low complicationrate. The amount of bone that can be harvested is usuallymore than adequate. Additionally, this procedure caneasily be adapted to use in the office. We will present thetechnical aspects of this surgical procedure and show itsuse in a variety of surgical cases. Lastly, we will discussthe University of Louisville experience and our compli-cations with the tibia bone graft.

    References

    Catone GA, Reimer BL, McNeir D, Ray R: Tibial autogenous cancel-lous bone as an alternative donor site in maxillofacial surgery: a pre-liminary report. J Oral Maxillofac Surg 1992 Dec; 50:1258-63

    Alt V, Nawab A, Seligson D: Bone grafting from the proximal tibia.J Trauma 1999 Sep;47:555-7

    Besly W, Ward Booth P: Technique for harvesting tibial cancellousbone modified for use in children. Br J Oral Maxillofac Surg 1999Apr;37:129-33

    Surgical Mini-Lectures

    74 AAOMS 2007