#91 – Dr. Reza Movahed – TMJ Stability Determines Your Jaw Surgery Success

In this episode, I reconnect with Dr. Reza Movahed, an oral and maxillofacial surgeon based in Dallas, Texas, who performs 90 to 100 total TMJ joint replacement surgeries per year, ranking among the most experienced joint surgeons worldwide. He shares his personal journey through three jaw surgeries that transformed his approach to patient care and surgical planning. We discuss idiopathic condylar resorption (ICR), why certain patients are at higher risk for double jaw surgery failure, and when total joint replacement becomes essential. Dr. Movahed details his bone grafting methods, collaboration with top orthodontists, and how counterclockwise rotation with joint replacement achieves superior esthetic and functional results. He also highlights his MCO mandibular expansion device, the role of DISE in planning, and long-term joint data proving decades of success.

Contact Dr. Reza Movahed

https://www.instagram.com/movahedoms

https://movahedoms.com/

1:1 Coaching with Ron — Now Inside The Joint

https://jawhacks.com/coaching

JawHacks Newsletter (Substack)

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And More on the Website

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Timestamps

00:00:00 - Introduction

00:05:00 - What Is Total TMJ Joint Replacement Surgery?

00:11:42 - The Joint as Your Foundation: ICR Explained

00:15:35 - Which Patients Are at High Risk for Relapse

00:22:25 - Dr. Movahed's Personal Story: Three Jaw Surgeries for OSA

00:30:46 - Why Most Surgeons Avoid Joint Surgery

00:33:39 - Case Study: Two Failed Double Jaw Surgeries

00:40:03 - Grafting Techniques: Using the Patient's Own Bone

00:46:12 - Extreme Reconstruction: Goldenhar Syndrome Case

00:55:31 - Esthetics and Function: PEEK Implants and Facial Harmony

01:02:14 - Segmental Surgery and Counterclockwise Rotation

01:10:51 - The Critical Orthodontist-Surgeon Relationship

01:20:28 - Custom Plating and Locking Screw Technology

01:30:02 - Post-Op Protocol: Nutrition, Steroids, and Minimal Swelling

01:38:34 - History of Jaw Surgery: Dr. Wolford's Legacy

01:46:25 - The Art of Surgical Planning: Precision and Collaboration

01:54:31 - Why Counterclockwise Rotation Was Revolutionary

02:05:01 - DISE: Predicting Surgical Outcomes with Sleep Endoscopy

02:18:45 - Surgical Planning: Frankfurt Horizontal and Neck Posture

02:26:30 - Joint Longevity: 38 Years of Data and Minimal Wear

02:40:30 - Virtual Surgical Planning: From CT Scan to Custom Joint

02:51:24 - MCO Device: Patent-Pending Mandibular Expansion

03:03:29 - Patient Collaboration: Avoiding Surgical Planning Mistakes

03:20:18 - Maxillomandibular Expansion Before MMA Surgery

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. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You...