Standing firmly somewhere between the worst and best jaw surgery podcasts of all time, we bring you Down Fracture, A Podcast for Talkin' Jaws. Down Fracture is intended for Oral & Maxillofacial Surgeons and other healthcare professionals interested in learning about jaw surgery. Topics will include Orthognathic surgery, TMJ surgery, Obstructive Sleep Apnea Surgery, and more. This podcast is hosted by Drs. Bobek and Wasson whose practices are limited to Orthognathic, TMJ, and OSA Surgery.

Down Fracture- A Podcast for Talkin' Jaws
Claim This Podcastby Drs. Wasson and Bobek
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Podcast Overview
Standing firmly somewhere between the worst and best jaw surgery podcasts of all time, we bring you Down Fracture, A Podcast for Talkin' Jaws. Down Fracture is intended for Oral & Maxillofacial Surgeons and other healthcare professionals interested in learning about jaw surgery. Topics will include Orthognathic surgery, TMJ surgery, Obstructive Sleep Apnea Surgery, and more. This podcast is hosted by Drs. Bobek and Wasson whose practices are limited to Orthognathic, TMJ, and OSA Surgery.
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Publishing Since
11/4/2024
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Recent Episodes

July 21, 2026
Simplicity in Treatment Planning for Jaw Surgery | When Does Adding Complexity Actually Help?
<p>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.</p><p><br></p><p>Topics covered in this episode:</p><p>- How virtual surgical planning has opened up new possibilities for complexity, and whether that is always a good thing</p><p>- Single-piece vs segmental maxilla: when segmenting adds real value and when it adds risk without proportional benefit</p><p>- Single jaw vs double jaw surgery: how to weigh small gains against added complications, particularly nerve risk in younger patients</p><p>- How training environment shapes a surgeon's default approach to planning, and how that evolves over a career</p><p>- The role of the orthodontist in shaping surgical complexity and how communication between surgeon and orthodontist influences the final plan</p><p>- Involving patients in treatment planning and how patient priorities should influence surgical decision-making</p><p>- Why some of the highest-volume experienced surgeons tend toward simpler plans and what that signals</p><p>- Complexity relative to experience: what feels advanced in one practice is routine in another</p><p>- The online patient community and how internet-driven expectations around speed, custom hardware, and outcomes affect real clinical conversations</p><p>- Mandibular midline osteotomy, genioplasty, and other procedures that vary widely in how routinely they are incorporated</p><p><br></p><p>📬 Questions or topic suggestions: downfracturedpodcast@gmail.com</p><p><br></p><p>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.</p>

July 14, 2026
Red Flags, Fads, and How To Know What to Actually Trust in Jaw Surgery
<p>In this episode, Dr. Bobek and Dr. Wasson revisit the topic of gimmicks and misleading claims in oral and maxillofacial surgery, this time through the lens of how to identify snake oil in practice, whether you are a patient trying to navigate options or a clinician trying to stay grounded.</p><p><br></p><p>Topics covered in this episode:</p><p>* What snake oil actually means in a modern surgical context and how it differs from well-intentioned but unsupported practice</p><p>* The difference between inadvertent misinformation and deliberate misrepresentation</p><p>* How marketing and internet presence can create the appearance of expertise that may not reflect clinical reality</p><p>* Red flags practitioners can use to identify questionable techniques or products: lack of transparency, absence from specialty conferences, claims of universal success, and vague reproducibility</p><p>* Stem cell injections, expansion devices, mewing, and other interventions discussed through a skepticism lens* How AI is changing the way patients find subspecialists and evaluate treatment options</p><p>* Arthrocentesis as a first-line TMJ treatment: where it fits and where it does not</p><p>* The role of networking with colleagues in maintaining healthy clinical skepticism</p><p><br></p><p>📬 Questions or topic suggestions: downfracturedpodcast@gmail.com</p><p><br></p><p>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.</p>

July 7, 2026
What Patients And Practitioners Should Know About Jaw Surgery At The Hospital
<p>In this episode, Dr. Bobek and Dr. Wasson discuss what patients and practitioners should actually know about having surgery at the hospital, including some things that might be counterintuitive.</p><p><br></p><p>Topics covered in this episode:</p><p>- How hospital culture around jaw surgery varies dramatically between institutions and even between different areas of the same building</p><p>- The history of orthognathic surgery at the hospital, from ICU admissions and blood transfusions to the current outpatient era</p><p>- Why access to more resources does not automatically mean better care for routine jaw surgery cases</p><p>- Staff turnover, familiarity gaps, and what happens when the team has never seen a jaw surgery patient before</p><p>- Fragmented post-operative care: medication timing, oral intake, mouth care, and why the patient experience often suffers</p><p>- How anxiety in unfamiliar staff transmits directly to patients and families</p><p>- Hospital policies, committee structures, and why it can be nearly impossible to change things even when something clearly does not make sense</p><p>- Equipment and implant contracts: why you may not get the plating system you trained with</p><p>- Hidden cost drivers: OR time overruns, implant costs buried in facility bills, and what patients never see on their EOB</p><p>- When the hospital genuinely is the right place to be, and what clinical scenarios warrant higher acuity care</p><p>- What patients can do to advocate for themselves and why getting out sooner is usually better</p><p><br></p><p>📬 Questions or topic suggestions: downfracturedpodcast@gmail.com</p><p><br></p><p>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.</p>
84 total episodes available
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Dr Omar Kholaki
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- What is Down Fracture- A Podcast for Talkin' Jaws?
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