I'm an Oral Surgeon. Surgery Is Almost Never My First Answer episode artwork

EPISODE · Jun 4, 2026 · 11 MIN

I'm an Oral Surgeon. Surgery Is Almost Never My First Answer

from Face Forward with Dr. Tim Betita: Answers about Oral and Facial Surgery · host Tim

📌 Schedule a consultation: https://www.niguelcoastoralsurgery.com/contact-our-oral-surgeons-dana-point-ca/I am a dentist, a physician, and a surgeon. I trained for over a decade to operate on patients with the most severe cases. And I'm going to tell you right now that surgery is never where I start.If you've been told you need something removed, something replaced, or something reconstructed, and you're not sure whether that's actually true, this video is for you. After treating thousands of patients and training other surgeons in the procedures I use, I started seeing a pattern in the cases that went wrong. It almost never had to do with surgical skill. It had to do with doing too much.⏱️ TIMESTAMPS0:49 You've been told you need something done: here's what to know first1:05 What I found: the outcomes that fell short weren't from poor surgery1:26 Point 1: A referral to a surgeon is not a prescription for surgery3:31 Point 2: Removing bone you didn't have to remove is a permanent 6:24 Point 3: Three questions that tell you everything about your surgeon7:45 Point 4: The patients who get the best outcomes show up differently8:59 Point 5: What to do before you walk into a surgeon's office10:50 Second opinions, specialists, and what "not a candidate" usually means❓ QUESTIONS ANSWEREDQ: If my dentist referred me to an oral surgeon, does that mean I definitely need surgery?A: No. A surgical consultation is a diagnosis appointment, not a surgery approval. The first job is to figure out what is actually going on and what the right next step is for your specific case. Some patients who arrive ready for surgery have options they were never told about. Slow down, ask questions, and make sure the diagnosis is clear before agreeing to anything.Q: Why do some practices remove so much bone during full arch implant surgery?A: A thicker dental bridge requires more clearance, so bone gets removed to make space. Patients are told this is just part of the process. But bone is living tissue, it gives your face shape, supports how you chew, and determines what options you have years from now. When you take bone that didn't need to go, you cannot put it back. The surgical philosophy I use is to find the strong, healthy bone that still exists, plan precisely around it using 3D imaging, and take nothing that doesn't have to go.Q: What are the three questions I should ask any surgeon before agreeing to a procedure?A: First: what is the most conservative option here and what would have to be true for that to work for my situation? Second: how much bone gets removed in this procedure and does it have to be that much? Third: if I need something revisited in ten years, what am I working with? A surgeon who is thinking about you will answer all three directly. If the answers are vague or the questions get dismissed, that is useful information too.📱 RESOURCESWebsite: https://www.niguelcoastoralsurgery.com/ https://dentalimplantsgps.com/Instagram: https://www.instagram.com/dentalimplantsgps/Facebook: https://www.facebook.com/dentalimplantsgpsTikTok: https://www.tiktok.com/@dentalimplantsgpsYoutube: https://www.youtube.com/channel/UCza50nmI16PXpDVHOmphB6w/🔔 Subscribe to this podcast for weekly episodes on jaw pain, full arch dental implants, and what to actually expect when oral surgery is on the table. If you've been dismissed, misdiagnosed, or told to just live with it, you're in the right place.ABOUT DR. TIM BETITA: Dr. Tim Betita is a board-certified oral and maxillofacial surgeon, licensed dentist, and physician. He holds a DDS from the University of the Pacific and an MD from UT Health San Antonio. After treating thousands of full arch implant and TMJ patients across Southern California, he now trains other surgeons in the minimally invasive techniques he has pioneered. His approach: find strong bone, build around it, and protect what doesn't need to go.#OralSurgeon #DentalImplants #TMJ #FullArchImplants #JawPain

📌 Schedule a consultation: https://www.niguelcoastoralsurgery.com/contact-our-oral-surgeons-dana-point-ca/ I am a dentist, a physician, and a surgeon. I trained for over a decade to operate on patients with the most severe cases. And I'm going to tell you right now that surgery is never where I start. If you've been told you need something removed, something replaced, or something reconstructed, and you're not sure whether that's actually true, this video is for you. After treating t...

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I'm an Oral Surgeon. Surgery Is Almost Never My First Answer

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This episode is 11 minutes long.

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This episode was published on June 4, 2026.

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📌 Schedule a consultation: https://www.niguelcoastoralsurgery.com/contact-our-oral-surgeons-dana-point-ca/I am a dentist, a physician, and a surgeon. I trained for over a decade to operate on patients with the most severe cases. And I'm going to...

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