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CME Info

Title of activity:  Fibula Teeth

Date and location of activity:  October 8, 2022 at the Hilton Fort Worth

This activity is jointly provided by Medical Education Resources (MER) and Fibula Teeth, LLC.

Target Audience

This activity has been designed to meet the educational needs of oral & maxillofacial surgeons, prosthodontists, and restorative dentists involved in the dental rehabilitation of patients requiring microvascular jaw reconstruction.  Otolaryngologists and plastic surgeons performing jaw reconstruction will also benefit from the multi-disciplinary approach to total jaw reconstruction.


Program Overview

Fibula Teeth is a one-day course structured for surgeons wishing to offer their patients immediate dental implants and/or teeth during major jaw reconstruction.  Surgeons already placing immediate implants can learn to design and place immediate teeth.  This course focuses on digital planning of fibulas and implants in a restorative position.  The technique utilizes virtual surgical planning and guided surgery.  While this course will mostly be utilized by implant surgeons, prosthodontists and microvascular surgeons will also benefit from understanding dental implant and restorative concepts.


Educational Objectives

After completing this activity, the participant should be better able to:


  • Become familiar with the indications and contraindications to immediate implant placement in fibula free flaps

  • Describe the surgical anatomy of the fibula and adjacent lower extremity vasculature

  • Discuss virtual surgical planning workflows of fibula free flaps for jaw reconstruction

  • Create a restoratively driven virtual surgical plan including dental implants for jaw reconstruction



Fayette C. Williams, DDS, MD, FACS

Director, Division of Maxillofacial Oncology & Reconstructive Surgery

John Peter Smith Hospital

Fort Worth, TX


Program Agenda

  • 7:30am Registration, breakfast

  • 8am-9:45 Lecture

  • 9:45-10am  Break

  • 10-12  Lecture

  • 12-1pm  Lunch

  • 1:00 – 2:45pm 3D design of dental prosthetics

  • 2:45-3pm Break and move to hands on lab

  • 3:00-5pm  Hands on lab

  • 5pm    Wrap up, final questions


  • Surgical anatomy of the fibula for the non-microvascular surgeon

  • Fibula harvest modifications for the microvascular surgeon for immediate dental implants

  • How to kill a fibula flap

  • Virtual surgical planning pearls and pitfalls

  • Orientation of the fibula bone, pedicle and skin paddle for jaw reconstruction

  • Optimal positioning and emergence of dental implants from the fibula

  • Flap inset of the fibula and skin paddle into the oral cavity

  • Literature review of dental implants in vascularized bone grafts

  • Immediate loading and digital planning of a provisional dental prosthesis for 3D printing

  • Usage of cutting guides for the fibula and jaws with guided dental implant placement

  • Coding and billing

  • Vestibuloplasty and secondary soft tissue procedures

  • Complications with immediate dental implants in fibulas







Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Medical Education Resources (MER) and Fibula Teeth, LLC. MER is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team

Interprofessional Continuing Education (IPCE)

This activity was planned by and for the healthcare team, and learners will receive 8 Interprofessional continuing Education (IPCE) credit for learning and change

Physician Credit

Medical Education Resources designates this live activity for a maximum of 8 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


American Dental Association Continuing Education Recognition Program (ADA CERP)

Medical Education Resources (MER) is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at


Medical Education Resources designates this activity for 8 continuing education credits.  Concerns or complaints about a CE provider may be directed to the provider, or to the Commission for Continuing Education Provider Recognition at


Disclosure of Conflicts of Interest

Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational activities. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a continuing education activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality activities that promote improvements or quality in health care and not the business interest of a commercial interest.


The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:


Fayette Williams DDS, MD, FACS:     Consultant for Stryker.


The content managers reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:


Fibula Teeth LLC:    No financial relationships to disclose.

Medical Education Resources:    No financial relationships to disclose.


Fee Information

Registration fee is $3200 per participant.


Evaluation & Certificates

A certificate will be issued upon completion of an evaluation survey. Credit must be claimed within 30 days of the course.  Place the following link in a browser, complete the evaluation survey and download the certificate.


If you have questions about the activity, please contact Medical Education Resources at 303-798-9685

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