ECPCA Craniofacial Orthodontics Course

Craniofacial Orthodontics: Basic Principles

PRELIMINARY PROGRAM

MODULE 1

DAY 1 – November 26, 2022 - 2:00 PM CET

Chair: Chris Laspos (Cyprus)

ORTHODONTICS IN CLEFT LIP AND PALATE FROM BIRTH TO ADULTHOOD
INTRODUCTION

Genetics and epidemiology, embryology, and development of CLP
Michele RubiniItaly – 15’

 

Prenatal diagnosis
Mariano Lanna – Italy - 10’

DAY 1 – November 26, 2022 - INFANT ORTHOPEDICS

INFANT ORTHOPEDICS

 

Latham appliance and other types of Infant orthopedics
Elcin Esenlik - Turkey – 10’

 

NAM: UCLP long term results in terms of growth and aesthetics
Barry Grayson - USA – 10’

 

NAM BCLP:  Smile House long term results in terms of growth and aesthetics
Maria Costanza MeazziniItaly – 10’

 

DISCUSSION - 15’

DAY 1 – November 26, 2022 -PRIMARY SURGERY IN CLEFT LIP AND PALATE

PRIMARY SURGERY IN CLEFT LIP AND PALATE

 

Unilateral Cleft Lip and Palate
Philip Chen - Taiwan – 10’

 

Bilateral Cleft Lip and Palate
David Chong - Australia – 10’

 

The Milano protocol
Luca AutelitanoItaly – 10’

DAY 1 – November 26, 2022 -SPEECH & ORTHODONTICS

SPEECH & ORTHODONTICS

 

The role of speech pathology in early infancy and childhood, coordination with the orthodontist, when?

Angela RezzonicoItaly – 15’

DAY 1 – November 26, 2022 -UNDERSTANDING GROWTH IN CLP

UNDERSTANDING GROWTH IN CLP

Monitoring Facial Growth and Results: Data Collection, Eurocleft and WHO
Peter MosseyUK – 15’

 

Hard and Soft tissue craniofacial development of Complex craniofacial Clefts
Gosla ReddyIndia – 15’

 

Craniofacial growth in CLP and effects of surgery: what do we really know?
Annelise Küseler - Denmark – 15’

 

DISCUSSION - 15’

DAY 2 – January 28, 2023 -ALVEOLAR SURGERY IN CLP: DIFFERENCES IN DIFFERENT PROTOCOLS

Chair: Piotr Fudalej (Switzerland)

 

ALVEOLAR SURGERY IN CLP: DIFFERENCES IN DIFFERENT PROTOCOLS

 

 

Secondary Alveolar Bone grafting, Ossification and growth
Hans Mark, Sara Ritzell – Sweden – 25’

 

Early bone grafting, indications and results
Jean Claude Talmant - France – 25’

 

Primary Periosteoplasty, indications timing and limits
Roberto Flores - USA – 15’

 

 

Early Secondary GAP, Ossification and growth
Luca Autelitano, Maria Costanza MeazziniItaly – 25’

 

DISCUSSION - 15’

DAY 2 – January 28, 2023- ORTHODONTICS IN THE DECIDUOUS/MIXED DENTITION: DOING ONLY WHAT IS NEEDED!

ORTHODONTICS IN THE DECIDUOUS/MIXED DENTITION: DOING ONLY WHAT IS NEEDED!

 

Transversal skeletal discrepancy in the cleft maxilla: Choice and effective handling of Maxillary Expansion appliances
OP Kharbanda - India – 10’

 

Geometry of Expansion, Symmetrical and Asymmetrical expansion
Maria Costanza MeazziniItaly – 10’

 

Early Expansion, Quad Helix Expander, for early bone grafting
Bruno Grollemund - France – 10’

 

Preparation for secondary bone grafting
Pradip Sheyte - USA – 15’

 

Expansion pre- secondary bone grafting: when and when not? Randomized studies
Puneet Batra - India – 15’

 

Class III treatment in the early mixed dentition: When not? When and how?
Maria Costanza Meazzini – Italy – 10’

 

DISCUSSION - 15’

DAY 3 – February 25, 2023 -ORTHODONTICS IN THE PERMANENT DENTITION

Chair: Akhter Husain (India)

ORTHODONTICS IN THE PERMANENT DENTITION

Non-surgical Treatment of Sagittal Maxillary Hypoplasia and class III in CLP patients:

 

  • New approaches to class III treatment and mandibular growth control with TADs
    Eric Liou - Taiwan – 20’
  • Long term results after Treatment with De Clerk bone anchors
    Daniela Garib - Brazil – 15’
  • Long term results with a modified Alt-Ramec technique with TADs
    Maria Costanza MeazziniItaly – 15’

Management of dental impaction in Clefts, the importance of 3D diagnosis
Cristina Incorvati - Italy – 10’

 

DISCUSSION - 15’

 

Management of missing lateral incisors: when should we close the space, when should we keep it?
Bert BraumannGermany – 15’

 

Management of missing lateral incisors : Biomechanical considerations
Susanna Botticelli - Denmark – 15’

Camouflage compensatory orthodontic treatment: indications, management, limits
Agneta Karsten - Sweden – 20’

 

Aligner therapy in cleft lip and palate orthodontics: advantages and disadvantages
Maria Costanza Meazzini, Chiara Tortora - Italy – 10’

 

The coordination between orthodontics and Prosthodontics and Aesthetic Dentistry in CLP
Carlo Aletti, Luca PavesiItaly – 15’

 

DISCUSSION - 15’

DAY 4 – March 25, 2023 -ORTHOGNATHIC SURGERY IN CLP: WHAT ARE THE DIFFERENCES IN CLP PATIENTS?

Chair: Marwa El-Kassaby (Egypt)

ORTHOGNATHIC SURGERY IN CLP: WHAT ARE THE DIFFERENCES IN CLP PATIENTS?

 

Distraction Osteogenesis in CLP patients. When, how and long term results
Alvaro Figueroa - USA – 15’

 

Orthognathic Surgery in CLP patients: Which parameters are decisive: the orthodontist point of view
Georges Herzog - Switzerland – 10’

 

Orthognathic surgery in CLP
Reha Kisnisci - Turkey – 10’

 

Orthognathic surgery in CLP: management of the lesser segment
Luca Autelitano - Italy– 10’

Orthognathic surgery in CLP: how to avoid velopharyngeal incompetence
Piet Haers - UK – 10’

 

Orthodontic-surgical coordination in early and late cleft orthognatic surgery. Long term follow-up
Arja Heliovaara - Finland – 15’

 

Aligner Therapy in cleft orthognathic surgery
Noah Cohen - Italy– 10’

DISCUSSION - 15’

DAY 4 – March 25, 2023 -ORTHODONTICS IN SPECIAL CASES: EXCEPTIONS TO THE RULE

ORTHODONTICS IN SPECIAL CASES:  EXCEPTIONS TO THE RULE

 

Premaxillary intrusion in BCLP
Maria Costanza MeazziniItaly – 15’

 

Pre grafting fistula closure in BCLP and UCLP
Cristina IncorvatiItaly – 10’

 

Orthodontics in OSAS or ENT problems
Maria Costanza MeazziniItaly – 10’

 

Handling severe hypodontia during growth: new trends
Agnes Bloch - France– 20’

 

DISCUSSION - 15’

DAY 5 – April 29, 2023 - MPORTANT CLINICAL QUESTIONS, WHICH UNFORTUNATELY HAVE NO EVIDENCE…

Chair: Aurelie Majourau-Bouriez(France)

Scientific Evidence in CLP treatment: what do we truly know?
Anne Marie Kuijpers-Jagtman - Holland – 25’

IMPORTANT CLINICAL QUESTIONS, WHICH UNFORTUNATELY HAVE NO EVIDENCE…

When is grafted bone enough for orthodontic tooth movement? Is there a way to be sure in patients with less than 100% ossification?
Mette Kuijpers - Holland – 10’

Laterally displaced premaxilla and central incisor covering the cleft area: What does the surgeon need before BG? How to coordinate orthodontics and surgery?
Valeria Battista - Italy – 10’

Maxillary Sutural maturation in CLP: is it any different?
Federica Corradi - Italy – 10’

When may orthodontic treatment improve hearing? In which patients? The point of view of the ENT surgeon
Liliana Colletti, Antonia Pisani - Italy – 10’

When is orthodontic treatment useful for speech and articulation?
Angela Rezzonico - Italy – 10’

DISCUSSION - 15’

DAY 5 – April 29, 2023 - USEFUL TECHNICAL-PRACTICAL SUGGESTIONS

USEFUL TECHNICAL-PRACTICAL SUGGESTIONS

 

Safe and easy impressions in neonates and Aligners for alveolar molding
Puneet Batra - India – 15’

 

How to construct a Grayson-Santiago NAM device, tricks, and traps
Pedro Santiago - USA – 15’

 

How to construct a NAM Milano-modified appliance or a Nasal Hook, tricks and traps
Noah Cohen - Italy – 15’

 

How to construct a Horizontal expander for closure of large soft tissue gaps pre-BG
Cristina Incorvati - Italy – 15’

 

How to construct a Double Hinge Palatal expander for the Alt-Ramec Technique
Fabio Carta, Maria Costanza Meazzini - Italy – 10’

 

DISCUSSION - 15’

MODULE 2

DAY 6 – May 27, 2023 -FIRST AND SECOND BRANCHIAL ARCH SYNDROMES:

Chair: Birte Melsen (Denmark)

FIRST AND SECOND BRANCHIAL ARCH SYNDROMES: Craniofacial Microsomia, Treacher-Collins Syndromes, Nager Syndrome and Other Syndromes

 

Genetics and Embryology and clinical features of I and II Branchial Arch syndromes

Donatella Milani - Italy – 15’

 

Craniofacial growth in I and II branchial arch syndromes:  growth in hemifacial (craniofacial) macrosomia, what is true, what is not.

Edwin Ongkosuwito - Holland – 20’

 

Occlusal plane in CFM type 1, 2 and 3 and long term follow up in Type 3 after early Costochondral grafting

Valeria Battista - Italy – 15’

 

Distraction Osteogenesis: rationale, timing, indication and long- term results

Arnaud Picard – France - 20’

 

DISCUSSION - 15’

 

Orthodontic Treatment during early childhood in CFM: If and when? Pseudo HFM: long term results and differential diagnosis

Maria Costanza Meazzini - Italy – 20’

 

Early surgery for breathing disorders: Treacher-Collins and Nager Syndrome and other mandibular hypoplasia Syndromes. Long term results

Fabio Mazzoleni - Italy – 15’

 

Transverse DO of the mandible in severe syndromic and non- syndromic mandibular hypoplasia

Nasser Nadjmi - Belgium – 15’

 

DISCUSSION - 15’

DAY 7 – June 24, 2023

Chair: Catherine Tomat (France)

 

Orthodontic Treatment in the mixed and permanent dentition: what to do and what not to do

Noah Cohen - Italy – 15’

 

Orthognathic surgery in CFM: classical approach

Luca Autelitano - Italy – 15’

 

Orthognathic surgery in CFM in combination with distraction osteogenesis

Fabio Mazzoleni - Italy – 15’

 

Orthognathic surgery in CFM: what is the orthodontist’s role?

Camila Caro - Canada – 10’

 

3D VSP (Virtual Surgical Planning)

Giorgio Novelli - Italy – 15’

 

DISCUSSION - 15’

 

Prosthetic replacement in severe hemifacial microsomia: when is it indicated?

Giovanni Gerbino - Italy – 15’

 

Ear reconstruction in CFM. What should the orthodontist know?

Corstiaan Breugem - Holland – 15’

 

Soft tissue management in CFM and in hemifacial atrophy: how much can we improve and how stable is it?

Giulia Rossetti - Italy – 15’

 

Psychological considerations in CFA: what is body image? How do people with visible difference be stigmatized? The psychosocial consequences.  what should clinicians say or not say in relation to psychosocial aspects when engaging with the patient

Martin Persson - Sweden – 20’

 

DISCUSSION - 15’

 

MODULE 3

DAY 8 – July 22, 2023

Chair: Cristina Grippaudo (Italy)

ORTHODONTICS IN CRANIOFACIAL SYNOSTOSES

 

Genetics and clinical features of Crouzon, Apert and Pfeiffer syndromes
Silvia Maitz - Italy – 15’

 

Craniofacial growth in craniofacial synostosis: what must an orthodontist absolutely know
Maria Costanza Meazzini - Italy – 20’

 

Cranial surgery
Carlo Giussani, Fabio Mazzoleni - Italy – 15’

 

Monobloc versus Cranioplasty and Le Fort III osteotomy: considerations
David Dunaway - UK – 15’

 

DISCUSSION - 15’

 

Le Fort III osteotomy, distraction and traditional: results and long term follow up
Fabio Mazzoleni, Mattia Moretti -  Italy – 25’

 

Orthodontics in craniofacial-synostoses: lessons to be learned

Keiji Moriyama - Japan – 20’

 

Orthodontics in craniofacial-synostoses: what not to do…and why

Maria Costanza Meazzini - Italy – 20’

 

Orthognathic surgery in craniofacial synostosis: planning and long- term results

Fabio Mazzoleni, Giorgio Novelli - Italy – 25’

 

DISCUSSION - 15’

MODULE 4

DAY 9 – September 23, 2023 - BECKWITH WIEDEMANN SYNDROME

Chair: Patrizia De Fabianis (Italy)

 

RARE CRANIOFACIAL SYNDROMES

 

BECKWITH WIEDEMANN SYNDROME

Genetics and clinical problems

Alessandro Mussa – Italy – 10’

 

Speech Therapy and diagnosis in BWS: Orthodontic implications

Angela Rezzonico - Italy– 15’

 

Orthodontics in BWS: why is it important to know the biology leading to the pathological growth

Chiara Tortora - Italy– 15’

 

Surgery in BWS: Glossectomy when and how?

Mario Ferrari - Italy– 10

DAY 9 – September 23, 2023 - ACHONDROPLASIA

ACHONDROPLASIA

 

Genetics and clinical problems

Angelo Selicorni – Italy – 10’

 

Neurosurgical problems

Carlo Giussani - Italy – 10’

 

Orthodontic treatment in achondroplasia

Martyn Cobourne - UK – 15’

 

Functional indications for orthopaedic treatment, long term follow-up

Maria Costanza Meazzini – Italy – 10’

 

Surgery: Distraction, SARPE and Orthognathic Surgery: when and why?

Fabio Mazzoleni – Italy – 10’

DAY 9 – September 23, 2023 - CLEIDOCRANIAL DISPLASIA

CLEIDOCRANIAL DISPLASIA

 

Genetics and clinical problems

Angela Peron – Italy – 10’

 

Orthodontics in CCD: complex orthodontics

Edwin Ongkosuvito - Holland – 15’

 

Orthognathic Surgery in CCD

Luca Autelitano, Fabio Mazzoleni, Giorgio Novelli – Italy - 10’

DAY 9 – September 23, 2023 - PIERRE ROBIN SEQUENCE

PIERRE ROBIN SEQUENCE

 

Diagnosis: what is a “true PRS”? Implications for treatment.

Bernd Koos - Germany – 10’

 

Role of the orthodontist in the management of the Tuebingen Baton Plate

Angelika Stellzig - Germany – 10’

 

Late results of palate repair, speech and cognitive development following baton plate treatment

Siegmar Reinert - Germany – 15’

 

DISCUSSION - 15’