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Complex Maxillofacial Reconstruction & Rehabilitation: Long Term Success Through Advanced Digital Planning

Friday, April 14

9 AM - Noon

3 CDE Credits – DDS, DH, DA

About the Course

The art and science of reconstruction of the mandible and maxilla has rapidly progressed due to the advent of virtual surgery. The development of computer-aided, three-dimensional planning along with computer-fabricated surgical splints and cutting guides now allow for a prosthetically-driven, occlusally-based rehabilitation in combination with unprecedented precision in surgical reconstruction of form and function. The culmination of technology employed in an active multidisciplinary team setting has resulted in the ability to deliver an implant-supported prosthetic rehabilitation for the mandibular or maxillary resection patient during a single reconstructive surgical episode. This presentation reviews the evolution of the collaborative effort of our team of an oral and maxillofacial surgeon, a microvascular plastic surgeon and a maxillofacial prosthodontist in optimizing the outcomes in our reconstruction patients. We will begin with a discussion of optimal methods for immediate implant reconstruction of the maxilla and mandible and expand to complex maxillofacial reconstruction. The current state of zygomatic implants will also be presented.

This session will enable participants to:
- Understand the benefits of an integrated team approach for addressing complex maxillofacial reconstruction
- See the important role of digital technology in planning and executing complex maxillofacial reconstructions
- Understand the value of immediate implant reconstruction of the maxilla and mandible for rehabilitation of dental function


Lawrence Brecht, D.D.S.

Dr. Lawrence Brecht is currently the Director of Maxillofacial Prosthetics at Lenox Hill Hospital, Long Island Jewish Medical Center and North Shore University Hospital of the Northwell Health System, the largest hospital system in New York State. In addition, he serves as the Director of Maxillofacial Prosthetics in the Postgraduate Prosthodontic Program of NYU College of Dentistry, where he is an adjunct associate clinical professor of Prosthodontics. Dr. Brecht also has the privilege of an appointment in the Department of Head & Neck Surgery at MD Anderson Cancer Center of The University of Texas. Prior to its dissolution in 2015, Dr. Brecht was the Director of Dental Services at the Institute of Reconstructive Plastic Surgery at NYU Langone Medical Center with appointments at NYU School of Medicine in the Department of Plastic Surgery and the Department of Otolaryngology/Head & Neck Surgery. Dr. Brecht maintains a private practice in Manhattan limited to maxillofacial prosthetics and prosthodontics. He has authored numerous articles and book chapters on the maxillofacial reconstruction and oral rehabilitation of patients with cancer or craniofacial anomalies. He is one of the developers Nasoalveolar Molding (NAM) for early care of infants with clefts. In addition, he is part of the team that developed the “Jaw-in-a-Day” (JIAD) technique for immediate reconstruction of the maxilla or mandible with microvascular composite flaps along with immediate implants and prosthetic rehabilitation. Dr. Brecht serves as the president of The Maxillofacial Foundation as well as the NextGenFace Foundation.

Conflict of Interest: Consultant at Straumann USA, LLC and MirrorMe3D

Lawrence Brecht, D.D.S.
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