In this episode, Dr. Bobek and Dr. Wasson discuss the tension between simple and complex surgical treatment planning in orthognathic surgery, including how their thinking has evolved with experience and what the right balance looks like in practice.

Topics covered in this episode:

- How virtual surgical planning has opened up new possibilities for complexity, and whether that is always a good thing

- Single-piece vs segmental maxilla: when segmenting adds real value and when it adds risk without proportional benefit

- Single jaw vs double jaw surgery: how to weigh small gains against added complications, particularly nerve risk in younger patients

- How training environment shapes a surgeon's default approach to planning, and how that evolves over a career

- The role of the orthodontist in shaping surgical complexity and how communication between surgeon and orthodontist influences the final plan

- Involving patients in treatment planning and how patient priorities should influence surgical decision-making

- Why some of the highest-volume experienced surgeons tend toward simpler plans and what that signals

- Complexity relative to experience: what feels advanced in one practice is routine in another

- The online patient community and how internet-driven expectations around speed, custom hardware, and outcomes affect real clinical conversations

- Mandibular midline osteotomy, genioplasty, and other procedures that vary widely in how routinely they are incorporated

📬 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.