#109 – Dr. Steven Sullivan – “Custom Plates Make an Inadequate Surgeon Adequate”

Dr. Steven Sullivan (DDS, FACS, FACD), current professor and Chair of Oral and Maxillofacial Surgery at the University of Oklahoma, with 5,000+ double jaw and TMJ surgeries, on why he refuses custom plates. Mandible-first sequencing, condylar seating, segmental LeFort, chimp lip, MIOS, genioplasty design, and his 90-90-90-10-10 rule for vetting your own surgical plan.Book a 1:1 Coaching Call with Ronhttps://jawhacks.com/coaching/Get the JawHacks Field Guidehttps://field-guide.jawhacks.com/Join the JawHacks Newsletterhttps://jawhacks.com/newsletter/TIMESTAMPS00:00:00 Intro00:03:11 Who Is Dr. Steven Sullivan00:03:56 Maxilla First or Mandible First?00:05:06 Wire Fixation to Rigid Fixation00:09:51 What "Seating the Condyle" Means00:13:10 Why VSP Can't Predict Condyle Position00:16:35 The Custom Plate Workflow Explained00:19:14 Sullivan's Splint Workflow00:20:29 Custom Plates Aren't More Accurate00:21:39 "It Makes an Inadequate Surgeon Adequate"00:23:05 The Upper Lip Drape Problem00:25:55 When the Bite Doesn't Come Together00:29:30 Condylar Resorption Explained00:32:24 Plan Around the Incisor, Execute Around the Joint00:34:48 Is Non-Custom Surgery Obsolete?00:35:47 Why Jaw Surgery Isn't a Rolex00:39:49 The Economics of Jaw Surgery00:41:42 How Insurance Nearly Killed Jaw Surgery00:45:44 DRGs and Economic Credentialing00:52:39 The 60-Minute Double Jaw Surgery00:56:06 "I Save 2.5 Hours on a Jaw Surgery"00:58:02 Why 90% of His LeForts Are Segmental01:05:23 Over-Advancing the Maxilla01:10:11 Airway Volume: 3.5% Per Millimeter01:13:04 The Traditional LeFort and the Wolford Step01:17:40 Why He Calls MIOS Nonsense01:21:17 Steroids, Speed, and Recovery01:23:18 The Sullivan LeFort Cut01:30:43 Jaw Surgery and the Soft Palate01:33:06 Genioplasty and Custom Plates01:38:51 Treatment Planning: Garbage In, Garbage Out01:40:06 Reading Your Own Lateral Ceph01:45:24 Advancement Without Chimp Lip01:47:25 The 90-90-90-10-10 Rule01:49:16 When You Need a Total Joint Replacement01:53:17 Inverted L vs Inverted ZCONNECT WITH GUESThttps://profilesofs.com/steven-sullivan/DISCLAIMERNO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.