TMJ Surgery Explained: Arthrocentesis, Fat Grafts & Custom Joint Replacements | Dr. Brian Shah

Why do some orthognathic surgery patients relapse years later? Oral and maxillofacial surgeon Dr. Brian Shah of the Piper Clinic found the answer in the TMJ. He walks through every TMJ surgery option, from arthrocentesis to custom total joint replacement, and what general dentists should look for on a CT scan.

In this episode:

- The relapse patients that led him from Chicago to the Piper Clinic

- Is a bad bite the cause of TMJ problems, or the result?

- Reading a CT scan: condyle size, shape and joint space

- Arthrocentesis, arthroscopy, disc removal with fat grafts, and total joint replacement

- How custom TMJ replacements are designed

- Why finding the superior joint space is harder than it looks

- Disc repair in children, and whether it can restore growth

- Why "conservative" vs "radical" is the wrong way to think about surgery

Plus 2022 dental news: an ADA honorary membership for North Carolina's Prissy Allen, falling enrollment in hygiene and assisting programs, and a JADA study on opioid prescribing after dental surgery.

Dr. Brian Shah is an oral and maxillofacial surgeon and physician who leads surgery at the Piper Clinic in St. Petersburg, Florida. He earned his dental degree at The Ohio State University and his MD and oral surgery training at Harvard, is board certified by the American Board of Oral and Maxillofacial Surgery, and has practiced at Yale and in private practice in Chicago.

🙌 Special shout out to Q-Optics for making this episode possible!

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