1.
You are sitting next to Halle Berry on an airplane and she keeps clicking. You determine that it is her TMJ. She wants you to explain the anatomy of the TMJ and why this happens. What can she do about it?
Reference(s):
De Rossi, S. S., Greenberg, M. S., Liu, F., & Steinkeler, A. (2014). Temporomandibular disorders: evaluation and management. The Medical Clinics of North America, 98(6), 1353–1384.
2.
You overhear this conversation from the next row. Put in your two cents worth on the medical therapy of this problem.
3.
You happen to be on the same flight and want to impress Ms. Berry with your knowledge and surgical expertise. Discuss the surgical indications for TMJ disorders. What procedures are available and do they work?
Reference(s):
Al-Riyami, S., Cunningham, S. J., & Moles, D. R. (2009). Orthognathic treatment and temporomandibular disorders: a systematic review. Part 2. Signs and symptoms and meta-analyses. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 136(5), 626.e1-16, discussion 626-7.
4.
You are called up to the GI lab. During an upper endoscopy procedure, the patient developed an acute TMJ lock. What should he do? What happened to him anatomically? The jaw cannot be reduced despite sedation…any suggestions?
5.
Discuss common cephalometric measurements and what they tell you.
Reference(s):
Hurst, C. A., Eppley, B. L., Havlik, R. J., & Sadove, A. M. (2007). Surgical cephalometrics: applications and developments. Plastic and Reconstructive Surgery, 120(6), 92e–104e.
6.
Tell us what Frankfort’s horizontal and the aesthetic line of Ricketts are and name all the points on the included diagram. If your SNA is increased, what does that mean? If your SNB is increased, does this mean that you are immensely intelligent?
7.
Make a table: symptoms, signs, occlusions, treatment, and cephalometric analysis of Long Face syndrome, Maxillary horizontal deficiency, Mandibular horizontal excess, Mandibular horizontal deficiency.
8.
Tell us how to surgically do the following operation-what complications might you expect? LeFort I, Le Fort III and saggital split
9.
What soft tissue response do you expect from skeletal changes?
10.
Tell us about distraction osteogenesis? Does it work? What are the expected complications?
Reference(s):
Flores, R. L., Tholpady, S. S., Sati, S., Fairbanks, G., Socas, J., Choi, M., & Havlik, R. J. (2014). The surgical correction of Pierre Robin sequence: mandibular distraction osteogenesis versus tongue-lip adhesion. Plastic and Reconstructive Surgery, 133(6), 1433–1439.