Dr. Steven Sullivan (DDS, FACS, FACD), current professor and Chair of Oral and Maxillofacial Surgery at the University of Oklahoma, with 5,000+ double jaw and TMJ surgeries, on why he refuses custom plates. Mandible-first sequencing, condylar seating, segmental LeFort, chimp lip, MIOS, genioplasty design, and his 90-90-90-10-10 rule for vetting your own surgical plan.
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TIMESTAMPS
00:00:00 Intro
00:03:11 Who Is Dr. Steven Sullivan
00:03:56 Maxilla First or Mandible First?
00:05:06 Wire Fixation to Rigid Fixation
00:09:51 What “Seating the Condyle” Means
00:13:10 Why VSP Can’t Predict Condyle Position
00:16:35 The Custom Plate Workflow Explained
00:19:14 Sullivan’s Splint Workflow
00:20:29 Custom Plates Aren’t More Accurate
00:21:39 “It Makes an Inadequate Surgeon Adequate”
00:23:05 The Upper Lip Drape Problem
00:25:55 When the Bite Doesn’t Come Together
00:29:30 Condylar Resorption Explained
00:32:24 Plan Around the Incisor, Execute Around the Joint
00:34:48 Is Non-Custom Surgery Obsolete?
00:35:47 Why Jaw Surgery Isn’t a Rolex
00:39:49 The Economics of Jaw Surgery
00:41:42 How Insurance Nearly Killed Jaw Surgery
00:45:44 DRGs and Economic Credentialing
00:52:39 The 60-Minute Double Jaw Surgery
00:56:06 “I Save 2.5 Hours on a Jaw Surgery”
00:58:02 Why 90% of His LeForts Are Segmental
01:05:23 Over-Advancing the Maxilla
01:10:11 Airway Volume: 3.5% Per Millimeter
01:13:04 The Traditional LeFort and the Wolford Step
01:17:40 Why He Calls MIOS Nonsense
01:21:17 Steroids, Speed, and Recovery
01:23:18 The Sullivan LeFort Cut
01:30:43 Jaw Surgery and the Soft Palate
01:33:06 Genioplasty and Custom Plates
01:38:51 Treatment Planning: Garbage In, Garbage Out
01:40:06 Reading Your Own Lateral Ceph
01:45:24 Advancement Without Chimp Lip
01:47:25 The 90-90-90-10-10 Rule
01:49:16 When You Need a Total Joint Replacement
01:53:17 Inverted L vs Inverted Z
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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.
