Everyday Oral Surgery

Simplified Orthognathic Treatment Planning Approach (with Dr. Patrick Wong)


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Contrary to popular belief, you don’t need decades of experience to master orthognathic surgery planning. With advancements in virtual surgical planning (VSP) and streamlined treatment approaches, even early-career surgeons can achieve precise, efficient results! Today, we are joined by Dr. Patrick Wong, Assistant Professor in the Department of Surgery at UT Southwestern Medical Center and an OMS specializing in orthognathic surgery, facial trauma surgery, and cleft and craniofacial surgery. In this episode, Dr. Wong shares insights into his simplified orthognathic treatment planning technique for residents, detailing the step-by-step process for executing these complex surgeries. He explains why the Steiner method for cephalometric analysis may fall short in modern practice and highlights his preferred facial projection reference methods for optimal outcomes. We also explore four critical factors to consider when rotating the maxillofacial complex, emphasize the importance of ethnic-specific planning in contemporary procedures, and hear practical advice for preparing for VSP. Additionally, Dr. Wong walks us through his own VSP sequence and wraps up with his favorite books, shows, tools, and more!

Key Points From This Episode:

  • A brief overview of Dr. Wong’s training and his current practice setup.
  • Insight into his simplified orthognathic treatment planning technique for residents.
  • The step-by-step process for planning and executing orthognathic surgeries.
  • Why the Steiner method for cephalometric analysis falls short in modern practice.
  • Dr. Wong’s preferred facial projection reference methods for optimal outcomes.
  • Four factors to consider when rotating the maxillofacial complex.
  • The emphasis on ethnic-specific planning in contemporary orthognathic procedures.
  • How to use the 90-90-10-10 rule to achieve the best aesthetic results.
  • Advice to help residents prepare for virtual surgical planning (VSP).
  • Benefits of VSP for planning complex surgical procedures.
  • A look at Dr. Wong’s VSP sequence, from bite planning to soft tissue overlay.
  • Recommended books, shows, non-OMS habits, and more in the rapid-fire section!

Links Mentioned in Today’s Episode:

Dr. Patrick Wong on LinkedIn — https://www.linkedin.com/in/patrick-wong-29ab14239/

Dr. Patrick Wong on Instagram — https://www.instagram.com/dr.patrickewong/

Dr. Patrick Wong Email — [email protected]

UT Southwestern Medical Center — https://utswmed.org/

‘Barcelona line. A multicentre validation study of a facial projection reference in orthognathic surgery’ — https://pubmed.ncbi.nlm.nih.gov/36609073/

Can't Hurt Mehttps://www.amazon.com/dp/1544512287

Ego is the Enemyhttps://www.amazon.com/dp/1781257027/

True Detectivehttps://www.hbo.com/true-detective

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [email protected]

Dr. Grant Stucki Phone — 720-44

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Everyday Oral SurgeryBy Grant Stucki - oral and maxillofacial surgeon

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