Dr. Jay Neugarten is an oral and maxillofacial with around 3,500 jaw surgeries behind him, 100% custom since 2019. In this episode, he answers Dr. Steven Sullivan's case against custom plates, covering condylar seating, the digital surgical disconnect, and why he uses four plates instead of one. Plus MARPE complications, expansion vs advancement for the airway, and why he does more revision jaw surgery today than ever.
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TIMESTAMPS
00:00:00 - Intro
00:00:55 - 4 jaw surgeries a week, and a practice gone international
00:03:58 - Sleep, the 8 hour rule and why oxygen matters more than hours
00:10:56 - What CBCT and sleep studies can and cannot tell you about the airway
00:19:13 - Why jaw surgery is an art, movement limits and the bullseye problem
00:22:02 - The simulated video patients see, and how soft tissue is predicted
00:27:31 - Airway versus aesthetics and the patients who struggle with the change
00:33:41 - Revision jaw surgery and why it is never the plate
00:37:15 - Why so few surgeons actually do orthognathic surgery
00:44:03 - Looksmaxxing, Reddit and orthodontic camouflage
00:46:16 - MARPE, SARPE and the complications he has to repair
00:52:43 - SFOT and the real limits of segmental expansion
00:59:48 - Wanting MARPE for nasal breathing, and why surgery does not flip a switch
01:04:44 - Expansion or advancement, what actually opens the nasal airway
01:12:16 - The MARPE smile, the soft palate and the revision LeFort
01:17:01 - Hypermobility, EDS and what it changes about recovery
01:22:32 - Inside NYCOMS, 3,500 jaw surgeries and the speed question
01:30:20 - From stone models to Gen 3 custom titanium
01:33:12 - Guides, plates and splints, where custom workflows go wrong
01:43:22 - Answering Dr. Sullivan on custom plates and condylar seating
01:55:14 - Accepting the debate and the mandible fudge nobody admits
02:02:22 - Plate companies, titanium and why plate removal is worse than you think
02:12:33 - Segmental maxilla and correcting asymmetry with custom plates
02:19:02 - Aligner based surgery, Botox and bite force monitoring
02:22:39 - Clenching, splints and morning headaches
02:28:57 - Wrapping up and what is coming in part 2
CONNECT WITH GUEST
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DISCLAIMER
NO MEDICAL OR DENTAL ADVICE. Ronald Ead and JAWHACKS, LLC, dba JawHacks (collectively, "we") does not give medical advice. We are not licensed medical professionals. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition.
