INSIDE TRAUMA CENTER CARE STORIES FROM ORAL SURGEONS

Center for Oral Surgery & Dental Implants | grandrapidsoralsurgery.com 1
1
FALL 2021
4
•
New Patient
Chairs
• Welcome
Dr. Grinzinger!
5
Better Outcomes
for TMJ Disorder
Surgery
6
4 Reasons to
Prepare Now for
ICD Coding
8
• Fall CE Event
•
Dr. Julie Billups
Retires
FROM THE CENTER FOR ORAL SURGERY DENTAL IMPLANTS
COMMITTED TO
EXCELLENCE
Welcome to the second issue of our
clinical update newsletter! We hope you
find it helpful and invite you to suggest
any topics you’d like to see covered (just
give us a call to request).
We welcome referrals from colleagues and
invite you to speak to any of our surgeons
to discuss the needs of your patients.
Informal inquiries are welcome. We look
forward to hearing from you!
Warm regards,
Richard W. Panek, DDS
Emily J. Van Heukelom, DDS
Roseanna P. Noordhoek, DDS
Justin M. Pisano, DDS
Mark N. Grinzinger, DDS, MD
Our surgeons, from left: Justin M. Pisano, DDS,
Roseanna P. Noordhoek, DDS, Emily J. Van
Heukelom, DDS, Richard W. Panek, DDS, and
Mark N. Grinzinger, DDS, MD.
CONTINUED ON NEXT PAGE
Contact one of our surgeons at
616-361-7327.
OUR OFFICES
4349 Sawkaw Drive NE
Grand Rapids, MI 49525
158 Marcell Drive, Suite B
Rockford, MI 49341
What helped was prompt treatment
by several clinicians, including
Richard W. Panek, DDS, from the
Center for Oral Surgery and Dental
Implants (COSDI). This case wasn’t
typical—“a once-in-a-career injury
for an OMFS,” says Dr. Panek. But it
shows what the pros at COSDI must
be ready for during weeks on call at a
Level I trauma center.
Though Macleod is fine today,
trauma can create complications for
future dental treatment.
INSIDE TRAUMA
CENTER CARE
STORIES FROM ORAL SURGEONS
YOU COULDN’T CALL JOHN MACLEOD
lucky, exactly, that day in November
2016. Lucky would have been not
being shot in the face at all.
But with that large exception,
fortune was smiling on Macleod.
How else, after a 410-gauge shotgun
shell was fired at close range from a
.45-caliber pistol at his face, could
he be looking fine and speaking and
chewing normally today? Says the
40-year-old electrical lineman from
Lowell: “You can’t even tell I got shot.”
COS_Newsletter_Fall21_Final.indd 1
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PRACTICE INSIGHTS | FALL 2021
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2
INSIDE TRAUMA CENTER CARE
STORIES FROM ORAL SURGEONS
CONTINUED FROM PREVIOUS PAGE
A recent conversation with
Dr. Panek and two partners reveals
the breadth of their experience dealing
with trauma cases—experience they’re
happy to share. “If a patient with a prior
facial trauma presents in your office,
we’re happy to explain what procedures
the patient had done in the hospital
and, via video or an in-person chat,
we’re always ready to consult to make
a comprehensive treatment plan,” says
Emily J. Van Heukelom, DDS.
Such consultations can be very
important, explains Roseanna P.
Noordhoek, DDS: “A fracture in a joint
can, years later, lead to an increased
chance of arthritis. In addition, tooth
luxations and fractures can have
pulpal necrosis that doesn’t become
symptomatic until later, and some
occlusion problems will require
orthodontic evaluation and treatment.”
Permanent loss of sensation can
result from a trauma, the oral surgeon
adds, and there also may be fixation
hardware left over from treatment that
doesn’t show up on simple bite-wing
X-rays.
HE DIDN’T MEAN
TO SHOOT
Macleod was shot by a troubled family
friend afflicted by a toxic mix of alcohol,
drugs and resentment. The friend
intended only to wave his pistol and warn
Macleod and others off his property. But
as he quickly raised the gun, it went off.
“I know he didn’t mean to shoot me,”
says Macleod.
He was airlifted to Spectrum Health
Butterworth Hospital in Grand Rapids, a
Level I trauma center that draws cases
from all over West Michigan. There he
was given a tracheostomy to maintain his
airway, and a feeding tube was inserted
into his stomach.
“The bullet entered between the
chin and the lip and basically shattered
the mandible and the teeth in the
area,” says Dr. Panek. “Then it broke
into several pieces. One piece went
through the roof of his mouth into his
nose. Two came off and went into his
cheeks. The remainder went through his
tongue and stopped right at his spine.
Had it gone further, it probably would
have severed his spine at the C3 or C4
level, and he’d be paralyzed.” Dr. Panek
made a 12-centimenter incision under
the jaw and “de-gloved” it, pulling the
skin upward. Then he reassembled the
jaw using seven titanium plates and 28
titanium screws.
Macleod has his own way
of describing the oral surgeon’s
achievement. “They handed Dr. Panek
a Ziploc bag full of bones and teeth,” he
says, “and he put it back together like a
jigsaw puzzle.”
The doctors who first stabilized the
patient made all this other work possible,
as both Macleod and Dr. Panek stress.
A spinal surgeon removed the bullet
fragment near the spine, and a head-
and-neck surgeon extracted the one from
his nose. But when that surgeon saw the
facial trauma left for Dr. Panek, he said:
“Looks like you got the worst of it.”
A year later, Dr. Panek removed
some of the plates and screws along
with additional bullet fragments. He
also placed implants on which a
prosthodontist secured a prosthesis.
Today, Macleod’s scarring is limited to an
inconspicuous semicircle under the chin.
COSDI’s oral surgeons “are kind
of a bridge between medicine and
dentistry,” says Dr. Panek. Having
completed a rigorous four- to six-year
surgical residency beyond dental school,
they’re among 13 oral surgeons in West
Michigan who take turns on call at the
Level 1 trauma center. Starting at 6 p.m.
Monday and round the clock for a full
week, the surgeon on call must respond
within 20 minutes and if necessary be at
the hospital within an hour.
“We come in and cover all facial
trauma services,” says Dr. Noordhoek,
“and handle any other pathology or
infections for patients admitted to the
hospital for other medical reasons.”
The oral surgeons also advocate for
their emergency patients, helping to
assure a smooth transition back to their
regular dentist if they have one—or to
find one if they don’t.
8/31/21 10:56 AM

Center for Oral Surgery Dental Implants | grandrapidsoralsurgery.com 3
3
ACCIDENT IN AN
APPLE ORCHARD
In June 2019, Timothy Emmons of Sparta,
53, a corporate pilot, was driving an ATV in
his apple orchard when he collided with a
wire trellis tied to an apple tree. Summaries
of his injury include a terrifying word: He
was, in effect, partially decapitated.
Emmons was driven to the hospital
by his girlfriend—she didn’t wait for an
ambulance—and taken straight to the O.R.
After doctors gave him a tracheostomy and
closed his neck wound, Dr. Noordhoek
removed fragments of his broken right
mandible to prevent infection or bone
necrosis. But there were so many small
fragments that would have lost blood
supply if plates and screws were used
that she had to wire Emmons’s jaw shut
with arch-bars for six weeks while he took
nutrition through a feeding tube in his
nose. That, Dr. Noordhoek explains, is “our
way of putting a cast on.”
“It was uncomfortable having my jaw
wired shut,” says Emmons. “But it healed
back, no problem.”
Because of the fracture, Dr. Noordhoek
eventually removed tooth #31 and replaced
it with an implant. Today Emmons is
grateful that he didn’t lose any taste or
smell and can bite normally. There’s some
loss of sensation in the skin over part of his
jaw, he says, but “most of the time I don’t
even notice that.”
EQUIPMENT FAIL
ON THE SLOPES
Downhill ski racer Georgette Sake,
now 16, of Cadillac was hitting a slope
February 24, 2021, after a competition
at Caberfae Peaks. Suddenly, the
binding came loose on one ski. Trying to
proceed on the other, she collided with a
tree—and the impact broke her helmet,
a POC-brand racing model of recent
construction. She also broke an arm and
suffered internal injuries.
“Georgette was doing things right,”
says Dr. Van Heukelom. “She was
wearing a quality helmet. She was
skilled enough to be skiing where
she was. But she had an equipment
malfunction.” Again, there’s a bright
side. “Having the appropriate helmet
probably saved her life,” says the oral
surgeon. “It certainly saved her from a
devastating brain injury.”
Georgette was transported to Helen
DeVos Children’s Hospital. As the
surgeon’s notes report, she suffered “a
severely comminuted and displaced
fracture of her left mandibular angle and
body, a minimally displaced fracture of
the right mandibular parasymphysis,
as well as multiple fractures of the left
maxillary sinus and floor of the orbit.”
She’s responded well to treatment,
which stabilized bone to allow healing
and aligned the teeth. Some pain has
developed around tooth #18, but that’s
no surprise. “That molar was deeply
embedded in the fracture segments,
and I used it short-term to help stabilize
things, knowing that it wasn’t going to
be a good tooth for her long-term,”
Dr. Van Heukelom explains. Soon, she
plans to extract that molar and remove
one of the adjoining plates. After
letting the bone grow stronger for a few
months, she’ll address a wisdom tooth
that was displaced by the injury.
Georgette’s case shows how
trauma can create continuing dental
issues. “Some of her lower front teeth
have been displaced,” says Dr. Van
Heukelom. “They’ll probably be fine for
years. But when she’s in her 40s or
50s, they may start to fail. Knowing
that she has this trauma history might
influence a dentist’s decision whether
to use neighboring teeth to create a
bridge or go with dental implants or
other choices.”
Thus, it’s imperative to have the best
possible records on a patient’s history,
including any traumas. And when a
dental patient has suffered trauma,
it can be valuable to consult with the
surgeons at COSDI—even if they weren’t
the ones who treated the trauma.
Meanwhile, for these patients,
gratitude extends into personal
admiration. Says Macleod of Dr. Panek:
“He’s one of the greatest guys I’ve ever
met in my life. He deserves an award.”
Emmons is equally enthusiastic
about the “fantastic job” done by
Dr. Noordhoek. “She’s a saint!” he says.
And Georgette’s mom, Andrea Sake,
when asked about Dr. Van Heukelom,
responds: “Oh, my gosh! We love her!”
8/31/21 10:56 AM

4
4
3 CHEERS FOR THE CHAIRS—
A LESSON IN ERGONOMICS
RICHARD W. PANEK, DDS, could have
scoured the globe for a new oral
surgeon for the Center for Oral Surgery
and Dental Implants (COSDI) and not
found a better-qualified candidate than
the kid who grew up next door.
Grand Rapids resident Mark
N. Grinzinger, DDS, MD, 32, who
joined the practice this summer, was
Dr. Panek’s next-door neighbor in
Rockford for years. As a sophomore at
Rockford High he “job-shadowed” Dr.
Panek for a day—and quickly dropped
ideas of becoming a pilot to aim at an
oral surgery career instead.
“He was a really smart kid from
a great family,” says Dr. Panek. “I
could tell he had good hands. He liked
building models—not just plastic ones
YOU DON’T BUY NEW PATIENT CHAIRS
every day, and neither do the oral
surgeons at our office. The practice’s
current chairs were acquired in 1994,
just before we all started using a novel
thing called email. It’s time to start
replacing them, so the practice is
investing in ergonomic patient chairs
from German manufacturer Brumaba.
The new chairs accommodate
bariatric patients up to 660 pounds,
while the old ones had a 330-pound
limit. They also cradle a patient’s head
and neck more effectively, assuring
greater comfort for those with limited
neck mobility. For administering
anesthesia, this improved support
helps patients maintain “what we call
a ‘sniffing’ position, with the airway
open,” as Emily J. Van Heukelom,
DDS, explains.
The surgeons will benefit too.
“Plenty of studies show the long-term
detrimental issues of ergonomics for
dentists and surgeons, including our
high rate of career-ending disability,”
says Dr. Van Heukelom. The new
chairs help in two principal ways:
The contour of the shoulder
support is tapered so that the surgeon
can move in closer and needn’t reach
as far—and therefore doesn’t have to
maintain an awkward position.
In addition, the chairs can tilt from
side to side like a banking airplane,
so that the surgeon can keep his or
her neck and torso upright for less
cumulative strain.
View a video of the new chairs at
www.bit.ly/COSDIchair, or stop by our
Grand Rapids office to check them out!
AN OLD FRIEND BECOMES
A NEW COLLEAGUE
you assemble, but airplanes made with
balsa wood and paper.”
A 2011 Michigan State graduate,
Dr. Grinzinger finished at the University
of Michigan School of Dentistry (where
Justin M. Pisano, DDS, another
member of the COSDI team, was a
classmate and friend) in 2015. Then
came more training, with an MD at
Wayne State’s medical school followed
by a residency in oral and maxillofacial
surgery in Detroit’s Ascension St. John
Hospital system.
Dr. Grinzinger will practice full
scope oral surgical procedures, see
patients at our Rockford and Grand
Rapids locations and be on staff at
Spectrum Hospital.
Dr. Grinzinger, who will marry fiancée
Andrea Adams in October, lauds the
“family feeling” he finds at COSDI. He
plans to welcome his patients like old
friends and neighbors. In many cases,
that’s exactly what they’ll be.
brumaba.com
8/31/21 10:56 AM

5
PAIN AND RESTRICTED JAW function
due to temporomandibular joint
(TMJ) disorders make it difficult for
patients to eat and speak, leading
to significantly reduced quality of
life. Usually caused by degenerative
changes or mechanical disturbances,
TMJ disorders are most common in
middle-aged women.
In about 10% of cases, conservative
therapy, such as a bite split, physical
therapy, a soft diet and NSAIDS, aren’t
enough to relieve pain and improve
function of the TMJ. “If a patient has
tried conservative therapy for a minimum
of three months and has had no or
minimal improvement, I recommend
a consultation with an oral surgeon,”
says Justin M. Pisano, DDS, an oral
surgeon at the Center for Oral Surgery and
Dental Implants.
One of a few TMJ surgeons in West
Michigan and the surrounding area,
Dr. Pisano completed a fellowship focused
on TMJ surgery with one of the foremost
TMJ surgeons in the world: George
Dimitroulis, MDSc, FDSRCS, FFDRCS.
Dr. Dimitroulis is senior consultant
maxillofacial surgeon at St. Vincent’s
Hospital in Melbourne, Australia.
Predictable Surgical Outcomes
Indications for surgery include limited
mouth opening, jaw locking and
osteoarthritis of the TMJ. When a
thorough evaluation shows that surgery is
indicated, minimally invasive techniques
and other advances in surgery and
biomaterials enable Dr. Pisano to safely
and effectively restore, repair or remove
damaged or diseased TMJ tissue.
“TMJ disorder surgery has evolved
a lot in the last 20 years,” says
Dr. Pisano. “Today, we’re able to address
disturbances in the TMJ surgically with
excellent predictability and outcomes.”
He uses TMJ Surgical Classification to
determine which procedure is appropriate
for each patient.
Minimally invasive techniques can
help relieve pain and restore TMJ
function in most cases. Arthroscopy and
arthrocentesis, some of the most
common procedures performed by
Dr. Pisano, are both minimally invasive.
These procedures break up adhesions in
the TMJ that limit movement and lavage
the joint with fluid to remove inflammatory
cytokines and fibrous debris. Studies
show that arthroscopy and arthrocentesis
are both effective.1,2
Discectomy and disc repositioning, a
common procedure for TMJ disorders,
can reposition or remove a damaged
disc. These procedures can significantly
reduce pain and improve function.
In one study, 82% of the 17
discectomy patients followed had
significantly improved function and
reduced pain, measured as clinically
symptom-free or only small dysfunction.3
Total joint replacement is reserved
for extreme cases. When this is the only
surgical solution, Dr. Pisano designs a
customized prosthesis for the patient,
guided by 3-D reconstructions of CT
scans. “More than 20 years of data
demonstrate the success of TMJ
replacement,” says Dr. Pisano.
A study of 56 patients at a median
of 21 years after undergoing a TMJ
replacement found that the prosthesis
continued to function well.4
Patients
reported considerably less TMJ pain,
improved jaw function and ability to eat
solid food, and improved quality of life.
REFERENCES
1.
Dimitroulis G. A review of 56 cases of chronic
closed lock treated with temporomandibular joint
arthroscopy. J Oral Maxillofac Surg. 2002;60:519–
524.
2.
Holmlund AB, Gynther GW, Axelsson S. Efficacy
of arthroscopic lysis and lavage in patients
with chronic locking of the temporomandibular
joint. Int J Oral Maxillofac Surg. 1994;23:262–
265.
3.
Miloro M, McKnight M, Han MD, Markiewicz
MR. Discectomy without replacement improves
function in patients with internal derangement of
the temporomandibular joint. J Craniomaxillofac
Surg. 2017 Sep;45(9):1425-1431. doi: 10.1016/j.
jcms.2017.07.003. Epub 2017 Jul 17.
4.
Wolford LM, Mercuri LG, Schneiderman ED,
Movahed R, Allen W. Twenty-year follow-up
study on a patient-fitted temporomandibular
joint prosthesis: the Techmedica/TMJ
Concepts device. J Oral Maxillofac Surg.
2015 May;73(5):952-60. doi: 10.1016/j.
joms.2014.10.032.
Temporomandibular
joints, arthritis and
dislocated articular disc.
BETTER OUTCOMES FOR
TMJ DISORDER SURGERY
For more information about surgical
treatment of TMJ disorders at the Center
for Oral Surgery and Dental Implants,
CALL 616-361-7327.
8/31/21 10:56 AM

6
6
there’s a separate code for ‘trauma from
bite by a turtle—second occurrence.’
Somebody’s extremely slow in getting out
of the way of that turtle!”
SEEKING DATA TO
DRIVE DECISIONS
But diagnosis codes can’t be laughed
away. They’re part of healthcare’s effort
to use data to become more cost-
effective, and while medical doctors were
affected first, that bell tolls for dentists
too. ICD-10-CM codes are likely to be
required by dental payers before long,
and in mastering their use you can’t
afford to be turtle-slow.
4 REASONS TO PREPARE
NOW FOR ICD CODING
form and the HIPAA standard electronic
claim for ICD codes, but, except for use
with some state Medicaid plans and for
specific surgical procedures, they’re not
required by dental payers—yet.
ICD codes’ current incarnation—the
ICD-10-CM (for “clinical modification”)—
is the HIPAA standard maintained by
the federal government that became
effective in 2015, and it was a whopping
change. While the predecessor ICD-9-CM
had 13,000 different codes, ICD-10-CM
boasts 68,000.
“ICD-10 is extremely robust,” explains
Dr. Smiley. “For example, there’s a code
for ‘trauma from bite by a turtle.’ Then
IS YOUR PRACTICE READY for widespread
ICD-10 diagnosis coding? If not, says
Grand Rapids dentist Chris Smiley, DDS,
a past chairman of the ADA Council on
Dental Benefit Programs and current
editor of the Journal of the Michigan
Dental Association, it’s time to get ready.
You know CDT codes, which
identify procedures for patient record-
keeping and claims submission. ICD
codes designate a diagnosis, not the
service provided. The letters stand for
International Classification of Diseases,
and these codes are promulgated by
the World Health Organization. There’s
a place on the standard ADA claim
8/31/21 10:56 AM

7
“They’re coming,” says Dr. Smiley.
“It behooves dentists and dental office
billing staffers to start becoming familiar
with them.”
ICD-10-CM codes comprise a letter
followed by two numerals, a period, then
a varying number of further numerals
(and sometimes letters). They can be
tricky. Code K08.1, “complete loss of
teeth,” for example, is followed on the
list by 32 other complete-loss-of-teeth
codes broken down by cause, including
four classes each of trauma, periodontal
disease and caries.
To make sense of all this, Dr. Smiley
swears by a volume called CDT Coding
Companion: Training Guide for the Dental
Team published by the ADA, which can
be ordered from the member service
center (800-621-8099) or online at ada.
org. In it, CDT codes are “cross-walked”
to appropriate ICD-10-CM codes.
Additionally, CDT 2020 and CDT 2021
provide pertinent instructional detail
found in Section 3, “Diagnoses for Dental
Diseases and Conditions.”
Your office likely already reports
ICD-10-CM codes when billing medical
insurers for treating conditions that
bridge dentistry and general medicine.
For example, for dental airway appliances
used to treat sleep apnea; cone-beam/
CAT scan imaging; and dental repairs
needed in treating auto-accident injuries.
Samantha Hanes, business assistant
supervisor at the Center for Oral Surgery
and Dental Implants in Grand Rapids
and Rockford, spends half her work
day coding—and for oral surgery that
includes ICD-10-CM. Her tip: “Make
sure the doctors’ notes support the
diagnosis code you choose.” To help her
code diagnoses effectively—correctly
identifying, say, an underlying condition
that could have implications later in
treatment—she relies on three tools:
•
Coding software from Salt Lake City-
based Optum360 (optum360.com)
•
A personal crib sheet of codes that
come up most often
• Coding workshops put on by the
Michigan Dental Association
(MDA). To view the MDA’s current
CE offerings, visit www.bit.ly/
MDA_CE or call 517-372-9070 and
ask for the Continuing Education
Department.
“All payers are different,” says
Dr. Smiley. “Seemingly, some
administrators just look at the submitted
services and the patient and provider
information to process a claim. Others
may synthesize all of the information on
the claim form to build a profile to assess
a provider’s effectiveness and/or measure
the plan’s success at assuring access
to care, utilization of services and cost
containment.”
What can practices do to prepare for
the ICD era? For one thing, take Hanes’s
hint and keep good treatment notes.
By now, most practices have invested
in chairside clinical software that makes
it easier to record clinical information
in detail. (If you haven’t yet, Eaglesoft,
Dentrix and Epic are brands to check out,
says Dr. Smiley.) But whether you click or
scribble, you need to document detailed
diagnosis information. For instance,
says Dr. Smiley: “The hygienist should
record what type of periodontal disease
a patient has—type 1, 2 or 3—when
care is provided to treat those conditions.
Clinical notes should build a history there
from past encounters with the patient to
support treatment decisions.”
No one’s suggesting you deputize a
staffer to memorize the 68,000 ICD-10-
CM codes. “But he or she should know
where to find them,” suggests Dr. Smiley.
Again, a great resource is CDT manual
Section 3, which presents a subset of
some 750 ICD codes that are likely to be
most relevant to the patient conditions
encountered by dentists in practice.
HOW ICD CODES
CAN HELP YOU
It’s not clear when payers will begin
requiring dentists to enter ICD-10-CM
codes—it may depend on what new
health reform legislation follows the
election. But there are four reasons
it could be smart to use these codes
starting today:
1.
They could reduce the need to file an
appeal should a payer come back to
you on a claim asking for information
about why a service was needed.
2.
They could protect you by
documenting patients’ status. A
2013 journal article noted that such
coding “could potentially provide
private practitioners with beneficial
information about the overall health
status of patients in their practice.”
For example: Suppose a payer’s
data shows that your fillings fail at a
higher-than-average rate. Information
that ICD-10-CM codes provide could
prove that those patients have a
greater level of risk or rate of decay.
3.
They could garner some patients
an enhanced level of benefits. For
patients with specific medical
diagnoses, some dental plans
provide added benefits. For example,
they may cover additional cleanings
and periodontal services for
expectant mothers and patients with
diabetes. Reporting an appropriate
diagnosis code will allow for more
complete documentation of your
patients.
4.
They’re the future. Reporting ICD
codes may well be a way to reduce
the need for claim attachments and
supporting narratives, making the
submission process more efficient.
Says Dr. Smiley: “A dental office is
going to be able to better serve the
future needs of its patients (and
get paid doing it) if it knows how to
appropriately apply diagnosis coding
with their claims submissions. The
time to learn is now!”
8/31/21 10:56 AM

PLEASE HELP US WISH Julie B. Billups, DDS,
a happy retirement! Dr. Billups has been with
the Center for Oral Surgery and Dental Implants
for 27 years. She was only the second female
resident in the history of the University of
Michigan’s prestigious OMS program and has
had the longest practicing career of any female
in the specialty in our state to date.
Julie will definitely not sit idle in retirement,
as she has been pursuing and growing her
successful, award-winning jewelry business,
Silverfish Designs. Make sure to stop by her
website shopsilverfish.com or any number of
local art galleries to see her work.
Congratulations and good luck, Julie!
A FOND
FAREWELL:
JULIE BILLUPS, DDS
4349 Sawkaw Drive NE
Grand Rapids, MI 49525
PRESENTED BY
FALL CONTINUING
EDUCATION EVENT
4 AGD CONTINUING EDUCATION CREDIT HOURS
DATE: October 22, 2021
TIME: 7:45 a.m. to 12 p.m.
LOCATION: Frederik Meijer Gardens
RSVP
events@grandrapidsoralsurgery.com
616-361-7327
Register early to save your seat!
All doctors and auxiliary staff invited.
DR. JUSTIN PISANO
The Role of Surgery
in Temporomandibular
Joint Disorders
MS. JANIS SPILIADIS
The Implant Is Restored,
Now What?
FEATURING KEYNOTE PRESENTERS:
8/31/21 10:56 AM

INSIDE TRAUMA CENTER CARE STORIES FROM ORAL SURGEONS

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