Controversial Takes in Jaw Surgery Part 1 | Down Fracture Podcast

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] The 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