EPISODE · Jun 3, 2026 · 52 MIN
Controversial Takes in Jaw Surgery | Part 1
from Down Fracture- A Podcast for Talkin' Jaws · host Drs. Wasson and Bobek
In this episode, Dr. Bobek and Dr. Wasson try something a little different, taking turns presenting hot takes and arguing opposite sides. The discussion surfaces useful clinical nuance along the way.Topics covered in this episode:- Aligners vs traditional braces for surgical orthognathic cases: bracket safety in the OR, setup efficiency, post-op relapse, and whether provider comfort is driving the preference for braces- Sagittal split osteotomy cut depth: whether 3D imaging and known nerve position justifies taking saw cuts deeper than just through cortex, and where that might prevent bad splits- Mandible fixation after BSSO: the case for always using a plate and positional screws together, hardware removal rates, and how each host approaches fixation based on movement size and bone quality- Transmucosal pterygomaxillary disjunction vs traditional technique: where the approach came from, the theoretical benefits, and whether the concerns about blood supply and mucosal tears hold up in practice📬 Questions or topic suggestions: [email protected] Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.#OrthognathicSurgery #JawSurgery #OMFS #OralSurgery #AlignersVsBraces #DownFracturePodcast #TalkingJaws #BSSO #SagittalSplit #ClearAligners #SurgicalOrthodontics #MedicalPodcast #DentalPodcast #JawSurgeryDebate #HotTakes
What this episode covers
In this episode, Dr. Bobek and Dr. Wasson try something a little different, taking turns presenting hot takes and arguing opposite sides. The discussion surfaces useful clinical nuance along the way.Topics covered in this episode:- Aligners vs traditional braces for surgical orthognathic cases: bracket safety in the OR, setup efficiency, post-op relapse, and whether provider comfort is driving the preference for braces- Sagittal split osteotomy cut depth: whether 3D imaging and known nerve position justifies taking saw cuts deeper than just through cortex, and where that might prevent bad splits- Mandible fixation after BSSO: the case for always using a plate and positional screws together, hardware removal rates, and how each host approaches fixation based on movement size and bone quality- Transmucosal pterygomaxillary disjunction vs traditional technique: where the approach came from, the theoretical benefits, and whether the concerns about blood supply and mucosal tears hold up in practice📬 Questions or topic suggestions: [email protected] Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.#OrthognathicSurgery #JawSurgery #OMFS #OralSurgery #AlignersVsBraces #DownFracturePodcast #TalkingJaws #BSSO #SagittalSplit #ClearAligners #SurgicalOrthodontics #MedicalPodcast #DentalPodcast #JawSurgeryDebate #HotTakes
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Controversial Takes in Jaw Surgery | Part 1
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