Bryan Bell, DDS, MD

 Bryan Bell, DDS, MD

R. Bryan Bell, DDS, MD 

Friday, April 9, 2010
 
1. 9 am – 12 pm
Recommended for: Dentists, Hygienists, Assistants
ODA Course
3 CE Credits
 
2. 9 am - 5 pm
with guest speaker, Dr. Kevin Arce
Recommended for: Dentists, Assistants
OSSO Course
6 CE Credits 
 
 
 
1. Current Management of Oral/Head and Neck Tumors in Adults and Children
 
The practicing dentist and his staff are often the first to identify a benign or malignant tumor of the mouth, jaw, throat or face and such early diagnosis can lead to an improved outcome for their patient. New developments in imaging including CT, MRI and PET scanning offer a greater opportunity for accurate diagnosis and more specific treatment than existed in the past. Surgical resection is often much less radical and is frequently combined with postoperative chemo-radiotherapy. Modern reconstruction of oral and orofacial defects often involves microvascular free-flaps imported from other areas of the body to restore structural and esthetic elements of the jaws and face. Children pose a unique set of challenges for the ablative oncologic surgeon as well as for the reconstructive surgeon. It behooves the dentist and his staff to understand not only the diagnostic considerations involving these tumors but also the overall process of cancer evaluation and treatment to provide optimal dental care to their patients.
 
 
2. Accelerated Orthognathic Surgery and Increased Orthodontic Efficiency: A Paradigm Shift in the Management of Dentofacial Deformities
 
Excessive health care costs and long treatment times have caused many dentofacial deformity patients to go untreated or to undergo significant compromises in the correction of their skeletal malocclusion. Recent technological advances have influenced the present and future treatment of virtually all orthognathic surgery and orthodontic patients. This session will focus on efficient and rapid orthodontic and surgical techniques supplemented by adjunctive corticotomies and osteotomies, temporary anchoring devices as well as office-based orthognathic surgery. In addition, the new and evolving role of integrated 3-dimensional patient analysis with fusion of clinical, radiographic, and model information, virtual 3-D computer planning, and the use of virtual splints will be reviewed in a case based fashion. 
 
The following subjects will be discussed in detail:
  • The role and application of 3D patient analysis and treatment
  • Various surgical techniques to facilitate rapid orthodontics
  • The role of temporary anchoring devices
  • Office-based or outpatient general anesthesia and orthognathic surgery
 
Note: The first hour of this course will be presented by Dr. Kevin Arce. Dr. Arce will provide attendees with an update on Bisphosphonate-Related Osteonecrosis of the Jaws. Please click here to view Dr. Arce's bio and photo.
 
Bisphosphonates are used for control of skeletal related events in osteoporosis and oncology patients. Since the initial reports of non-healing exposed bone in patients on bisphosphonate therapy, there have been multiple publications in the scientific literature about the pathophysiology of this process and guidelines as to how to best manage patients on these medications. This one hour lecture will provide the audience with an update on bisphosphonate-related osteonecrosis of the jaws, its epidemiology, risk factors, current treatment strategies and the implications it has for dentoalveolar surgery.

Educated in the European tradition of Cranio-maxillofacial surgery, Dr. Bryan Bell holds a dental degree from Creighton University and a medical degree from the University of North Carolina at Chapel Hill. His Oral and Maxillofacial Surgery residency was completed at The University of North Carolina at Chapel Hill and he subsequently completed specialized fellowships in head and neck surgical oncology, as well as craniomaxillofacial trauma at Legacy Emanuel Hospital and Health Center in Portland, Oregon. Dr. Bell practices in Portland, Oregon where his clinical and research interests are focused upon head and neck oncologic (cancer) surgery, orthognathic and reconstructive jaw surgery, facial reconstructive surgery following trauma or tumor ablation, and alveolar bone graft reconstruction in preparation for dental implant-supported prosthetic rehabilitation. His work has been published in more than 70 peer-reviewed journal articles and textbook chapters.