Saturday, August 2, 2014

Surgical Management of Obstructive Sleep Apnea, AACP 2014





Speaker: Reza Movahed DMD
Topic: Surgical Management of Obstructive Sleep Apnea

Time: 8:00 to 9:00 August 2nd 2014

Attendees will leave this session better able to recognize common facial morphology associated with OSA, to evaluate and diagnose airway obstruction, to understand the common surgical modalities for treatment of OSA, to be aware of TMJ pathologies and their importance in OSA, and to understand the value of counter-clockwise rotation in MMA procedures.

Tuesday, July 8, 2014

Maxillomandibular advancement in management of obstructive sleep apnea

Advancement of maxilla and mandible in a counterclockwise rotation to increase the posterior airway space (PAS). The posterior airway space improved from 3.2 mm (pre surgery) to 13 mm (postsurgery).


POSTSURGERY


PRESURGERY

PRE AND POSTSURGERY SOFT TISSUE SIMULATION

Saturday, September 28, 2013

Protocol for Concomitant Temporomandibular Joint Custom-Fitted Total Joint Reconstruction and Orthognathic Surgery



Protocol for Concomitant Temporomandibular Joint Custom-Fitted
Total Joint Reconstruction and Orthognathic Surgery Utilizing
Computer-Assisted Surgical Simulation
Reza Movahed, DMD, Marcus Teschke, DMD, MD, and Larry M. Wolford, DMD

Clinicians who address temporomandibular joint (TMJ) pathology and dentofacial deformities surgically can performthe surgery in 1 stage or 2 separate stages. The 2-stage approach requires the patient to undergo 2 separate operations and anesthesia, significantly prolonging the overall treatment. However, performing
concomitant TMJ and orthognathic surgery (CTOS) in these cases requires careful treatment planning and surgical proficiency in the 2 surgical areas. This article presents a new treatment protocol for the application of computer-assisted surgical simulation in CTOS cases requiring reconstruction with patient-fitted
total joint prostheses. The traditional and new CTOS protocols are described and compared. The new CTOS protocol helps decrease Q3 the preoperative workup time and increase the accuracy of model surgery.
2013 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg-:1-6, 2013

Management of Temporomandibular Joint Ankylosis with TMJ Patient-Fitted Total Joint Prosthesis and Autogenous Fat Grafts: Retrospective Review of 31 cases and Outcome Assessment.


   



Management of Temporomandibular Joint Ankylosis with TMJ Patient-Fitted Total Joint Prosthesis and Autogenous Fat Grafts: Retrospective Review of 31 cases and Outcome Assessment.
Larry Wolford DMD, Reza Movahed DMD, Marcus Teschke DMD MD, Drew Havard DMD

The TMJ ankylosis is a debilitating condition which interferes with patients ability to masticate, speak, maintain good oral hygiene, and carry on normal life.

The purpose of this retrospective study is to evaluate treatment outcomes of patients with TMJ ankylosis treated with TMJ Concepts patient-fitted total joint prostheses and autogenous fat grafts relative to subjective and objective outcomes as well as prevention of re-ankylosis 

Monday, March 4, 2013

AMERICAN SOCIETY OF TMJ SURGEONS MEETING 2013


TEMPOROMANDIBULAR JOINT ANKYLOSIS: RETROSPECTIVE REVIEW OF 34 CASES AND TREATMENT PROTOCOL FOR CHILDREN AND ADULTS
SPEAKER: REZA MOVAHED D.M.D
MARCH 8TH, 2013
SCOTTSDALE ARIZONA

Saturday, September 1, 2012

Hypertrophic Turbinates: Prevalence, Surgical Indications and Outcomes in Orthognathic Surgery Patients


Thursday, September 13, 2012: 2:50 PM
Speaker:  Reza Movahed, DMD Dallas, TX, USA
Will Allen, DMD Dallas, TX, USA
Carlos Morales-Ryan, DDS Dallas, TX, USA
Larry M. Wolford, DMD Dallas, TX, USA

Purpose: Evaluate the prevalence of hypertrophic turbinates in orthognathic surgery patients; establish a possible trend for specific patient skeletal profile; and report outcomes of partial turbinectomies and LeFort I osteotomy.
Patients and Methods: Records of 591 consecutive patients who had maxillary orthognathic surgery from a single private practice were retrospectively evaluated. 
Results: Hypertrophic turbinates were present in 236 of 591 patients (39.9%). All 236 patients presented with moderate to severe hypertrophic turbinates and partial nasal airway obstruction. Sex distribution was 136 females (57.6%) and 100 males (42.4%). Mean age was 28 years (13 to 58). Bilateral partial inferior nasal turbinectomies were performed simultaneously with LeFort I osteotomies, resecting 2/3 to 3/4 of each turbinate. The most common postoperative sequelae was mild increased bleeding from the turbinate surgical sites immediately post-surgery as compared to orthognathic patients without turbinectomies. No other known complications occurred.
Conclusions: Careful presurgical evaluation, not only of the skeletal deformity, but also of functional airway problems is important. In this study, there was a high prevalence of hypertrophic turbinates in patients with A-P hypoplastic maxilla and mandible with high occlusal plane angle. Partial inferior turbinectomies is a safe and predictable procedure that can be easily performed in conjunction with LeFort I osteotomies.