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.

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