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ePaper created 2017-03-17, 10:24:23 | version 1.38.0
“There is usually a huge lack of information about anatomy. The participants in this course may be students or practicing dentists. Perhaps they do not have enough experience of surgical treatments or they might have done their surgical training without su(cid:4)cient anatomical guidance. Learning more about anatomy is the right way to start.” one has been living there for years, but did not know enough of the city. A map will allow one to understand why it is better to go this way, move in this or that direction. The course is not aimed at any particular group based on their experience or age; we provide a map of anatomical surgery. Through this course, participants will gain more skills and confidence in moving inside the “city”, guided by the anatomical land- marks of their patients. Q: What would you say are the most import- ant aspects that make this course unique? A: There is a major diference between this and other courses in which cadavers are dissected. In anatomy, dissection is useful and important, but not for learning how to perform surgical procedures. Our course is an anatomical and surgical course. We demonstrate the most import- ant surgical procedures, for example a sinus lift augmentation, guided by the anatomy. We do not tell the participants how to perform a sinus lift, since the course is not about surgical techniques or which procedure should be used. Tech- nique and surgical procedure are mainly a matter of personal preference or back- ground. Our goal is to give participants, no matter the technique they use, informa- tion to avoid anatomical risks. For example, in placing an implant, we focus on the rel- evant anatomical structures to be consid- ered. That is the main issue. Surgical tech- niques may be diferent, but anatomy is the same all over the world. Furthermore, this is the only current noncommercial course. Companies pro- vide us with materials of course, but they are partners and supporters only. My col- leagues, professors of anatomy whom I teach with, and I are totally independent. We do not receive payments from any of the companies that provide materials and instru ments, allowing us to maintain our independence. We seek to share anatom- ical information, and this is not linked to products or materials as surgical proce- dures are. We have an association with 15 companies, the most significant in their field. The participants have access to all the materials and instruments they need, as well as the latest versions available on the market. The advantage for companies is that they can assist the participants who use their products and share the informa- tion about the course. Lastly, we work with fresh specimens, not fixed ones. If one uses a fixed specimen in performing anatomical procedures, some structures are lost. A fixed specimen is perfect for dissection where one only needs to see the anatomical structure that is the focus, but one needs to see the most important structures, the nerves and ar- teries, in performing any surgical proce- dure. The fresh specimens are frozen and kept at –80 °C and then thawed so that they are perfectly preserved and their an- atomical structures clearly recognizable. With our specimens, all the arteries have been injected with a special rubber (red resin) to retain the same dimensions and consistence of those of a living patient. Q: How is the course organized? How many people attend the course? A: We have ten workstations at which the twenty participants work in pairs. Every workstation has two tutors, one for ana- tomical questions and one for dental and surgical questions. Questions arise in both disciplines and I can answer the ones re- lated to surgery, but an anatomical spe- cialist answers questions on the anatomy. Anatomy is a very wide field and our tutors are full professors specialized in orofacial anatomy. Such topics as diagnosis, developing a treatment plan, biological assessment, guided surgery and using the materials available are covered during the teaching section. In the practical part, we perform surgical techniques to demonstrate the areas of risk, prevention and management of failures, and pain management in dentistry. Interview Anatomical Surgery issue 2017 — 35