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Artwork for Down Fracture- A Podcast for Talkin' Jaws

Down Fracture- A Podcast for Talkin' Jaws

Drs. Wasson and Bobek
Orthognathic Surgery
Jaw Surgery
TMJ Surgery
Surgical Techniques
Oral and Maxillofacial Surgery
Maxillary Expansion
Obstructive Sleep Apnea
TMJ Replacement
Orthodontics
Condylar Resorption
3D Planning
Maxillofacial Surgery
Sleep Apnea
Non-Unions
TMJ
Patient Care
Inferior Alveolar Nerve
Hardware Failure
Joint Replacement
Mandibular Midline Osteotomy

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... more

PublishesWeeklyEpisodes93Founded2 years ago
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Education

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Artwork for Down Fracture- A Podcast for Talkin' Jaws

Latest Episodes

In this episode, Dr. Bobek and Dr. Wasson talk about the decision not to operate. They start from the AAOMS indications paper updated in 2025, which both find useful as a reference point and limited in practice, and spend most of the episode on the j... more

In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Zubad Newaz, an orthodontist whose airway-focused practice runs across offices in New York, Vermont, and Florida, with a large share of patients treated at a distance. He completed a radiolo... more

In this episode, Dr. Bobek and Dr. Wasson talk about what a surgeon owes a patient during a consultation. They cover the position you are put in when a patient arrives with a treatment plan you disagree with, how to say so without undermining the ref... more

In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Shahid Aziz, an academic oral and maxillofacial surgeon in New Jersey. Dr. Aziz spent twenty years on full-time faculty at Rutgers and now leads the development of an oral surgery department... more

In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Suzie Bergman, DDS, FTMJF, a general dentist in Vancouver, Washington, Adjunct Associate Professor at Pacific Northwest University School of Dental Medicine, Fellow of the TMJ Foundation, an... more

In this episode, Dr. Bobek and Dr. Wasson take on a question both of them hear regularly in consultation: whether patients should undergo maxillary expansion (MARPE, MSE, DOME, EASE) before maxillomandibular advancement for obstructive sleep apnea. T... more

In this episode, Dr. Bobek and Dr. Wasson talk about how surgeons evaluate themselves when an outcome is not what they planned. They cover where critical appraisal stops being useful and starts being punishment, why both of them are harder on themsel... more

In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Gary Bouloux, chair of oral and maxillofacial surgery at Emory University. Dr. Bouloux chaired the AAOMS special committee that produced the 2024 TMJ management guidelines, and he represente... more

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Recent Guests

Zubad Newaz
Orthodontist with radiology residency training whose airway-focused practice serves patients across multiple locations
Episode: Airway Orthodontics and Coordinating Care Remotely With Dr. Zubad Newaz
Shahid Aziz
Academic oral surgeon based in New Jersey; founder of Smile Bangladesh
Hackensack Meridian Health; Rutgers University
Episode: Building a Career Around Global Jaw Surgery With Dr. Shahid Aziz | Down Fracture Podcast
Suzie Bergman
Dentist with life history focused on TMJ care
TMJ care practitioner, author, educator
Episode: Why TMD Patients Fall Through the Cracks with Dr. Suzie Bergman | Down Fracture Podcast
Gary Bouloux
Professor and TMJ expert from Emory University
Emory University
Episode: Rewriting the TMJ Treatment Algorithm With Dr. Gary Bouloux | Down Fracture Podcast
Angie Murphy
Consultant at Murphy Healthcare Consultants, focused on AAAHC accreditation for oral surgery practices
Murphy Healthcare Consultants
Episode: AAAHC Accreditation for Oral Surgery Offices With Angie Murphy
Moe Hakim
TMJ surgeon with focus on endoscopic TMJ procedures and fellowship leadership
International Center for TMJ and Jaw Surgery
Episode: Arthroscopy, Open Joint Surgery, And Other TMJ Myths With Dr. Moe Hakim
Lou Mercuri
Guest who helped design and implement TMJ prosthetic devices
TMJ Concepts / orthopedic research (as discussed in episode)
Episode: TMJ Total Joint Prosthetic Design and Complications with Dr. Mercuri
Michael Olson
Otolaryngologist with Sleep Surgery focus
Mayo Clinic
Episode: Bridging the Gap Between ENT and Jaw Surgery for Sleep Apnea with Dr. Michael Olson
Max Lucero
Anesthesiologist with extensive pediatric and maxillofacial anesthesia experience
University/Seattle area (as described in podcast)
Episode: Anesthesia in Jaw Surgery with Dr. Max Lucero

Hosts

Dr. Sam Bobek
Co-host of Down Fracture Podcast; physician specializing in orthognathic, TMJ, and OSA surgery
Dr. Michael Wasson
Host of Down Fracture; physician specializing in orthognathic, TMJ, and OSA surgery
Dr. Bobek
Hosts of Down Fracture Podcast

Talking Points

Recent interactions between the hosts and their guests.

Airway Orthodontics and Coordinating Care Remotely With Dr. Zubad Newaz
Q: If patients need both expansion and MMA, who should have expansion first, and who should have it during jaw surgery?
Newaz says treatment order depends partly on whether the surgeon will address transverse deficiency during surgery. He favors preoperative expansion when a surgeon does not account for nasal breathing or plans only single-piece surgery. Severe sleep apnea may make proceeding directly to jaw surgery more urgent, while expansion after MMA remains possible but can be less predictable.
Airway Orthodontics and Coordinating Care Remotely With Dr. Zubad Newaz
Q: How are you presenting expansion versus jaw surgery to patients or navigating that in your practice?
Newaz presents treatment as tiers: orthodontic tooth movement, skeletal expansion, and jaw surgery. He explains what each can and cannot address, educates patients about their anatomy and options, and commonly revisits the possibility of surgery six to twelve months into expansion treatment.
Why TMD Patients Fall Through the Cracks with Dr. Suzie Bergman | Down Fracture Podcast
Q: Who should be the quarterback for TMD care?
Panelists debate whether primary care, dentistry, or a dedicated multidisciplinary team should coordinate care, with emphasis on early appropriate referrals and avoiding a prolonged, non-diagnostic journey.
Building a Career Around Global Jaw Surgery With Dr. Shahid Aziz | Down Fracture Podcast
Q: How did you get the global surgery initiative started?
I trained under Steve Roser, traveled to South America with him, and realized a need in Bangladesh for cleft and orthognathic work, which over years grew into a full-fledged program with multiple missions, collaborations, and a dedicated training focus.
Rewriting the TMJ Treatment Algorithm With Dr. Gary Bouloux | Down Fracture Podcast
Q: What does the current guideline say about the role of arthrocentesis vs. open procedures?
Guidelines emphasize starting with non-surgical or minimally invasive options like arthrocentesis and arthroscopy, with open surgery or TMJ replacement considered when those fail or are inappropriate.

Audience Metrics

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

This show targets Oral & Maxillofacial Surgeons and healthcare professionals interested in jaw surgery, TMJ treatment, and sleep-apnea–related procedures. Across episodes, the discussion weaves together clinical practice, surgical techniques (orthognathic and TMJ procedures), regulatory and accreditation considerations, hospital workflows, and the evolving role of imaging and planning technologies. Notable threads include shifting toward less invasive TMJ treatments, the integration of multidisciplinary care (ENT, sleep medicine, orthodontics), debates about surgical timing (surgery-first vs traditional planning), and practical insights on device design, infections, and accreditation pathways. The format tends to mix expert guests with in-d... more

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These podcasts share a similar audience with this podcast:

1. Everyday Oral Surgery
2. Oral-Maxillofacial Surgery Insights
3. AAOMS On the Go
4. Money Meets Medicine
5. White Coat Investor Podcast

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this podcast launched 2 years ago and published 93 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on this podcast?

Recent guests on this podcast include:

1. Zubad Newaz
2. Shahid Aziz
3. Suzie Bergman
4. Gary Bouloux
5. Angie Murphy
6. Moe Hakim
7. Lou Mercuri
8. Michael Olson

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