Combined TMJ-orthognathic Surgeries

Combined TMJ-orthognathic Surgeries is organized by American Association of Oral and Maxillofacial Surgeons (AAOMS).

Release Date: March 16, 2022
Expiration Date: November 02, 2027

Description:
TMJ disorders and dentofacial deformities often coexist. One could be the cause or effect of the other. Orthognathic surgeries when performed without management of an active TMJ disorder can create unfavorable outcomes or risk relapse of dentofacial deformities. Accurate diagnosis of a TMJ disorder and management is of great importance in patients with or without dentofacial deformities. Published survey studies show a significant number of OMSs do not perform TMJ surgeries as part of their practice, potentially resulting in the patient treated with only orthognathic surgery or referred to an academic medical center or another practitioner. Even where indicated, traditionally these conditions were treated with separate surgical encounters, increasing morbidity and risks to the patient. Recent data support combining these treatments in appropriate patients when indicated could reduce morbidity of two procedures or risks from an untreated TMJ disorder. Technological advances such as virtual surgical planning and 3D printing have created ways for these surgeries to be done with precision, reduced surgical time and positive outcomes. Combining these surgeries improves quality of care and patient convenience while decreasing risk from a second general anesthesia. Combined surgeries are not done as commonly as conventional orthognathic surgeries, and OMS trainees and practitioners may be unfamiliar with the intricacies of such combined surgeries. This 60-minute webinar will present indications, contraindications, planning, technique and risks/benefits/complications related to these combined TMJ-orthognathic surgeries.

Learning Objectives:
At the conclusion of this program, participants should be able to:

• Discuss indications with identification of patients who could benefit from a combined TMJ-orthognathic surgery. 
• Describe the steps in planning for a combined surgery. 
• Review the risks and benefits of the combined operation. 
• Identify the differences between a traditional orthognathic surgery and a combined surgery.