Oral Maxillofac Surg Clin North Am
· 2026 Feb · PMID 40962567
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Imaging anatomy of the orbit and skull base can seem daunting at first glance. Navigating the many skull base foramina, compartments, and variants can be challenging without an in-depth knowledge of the structures themse...Imaging anatomy of the orbit and skull base can seem daunting at first glance. Navigating the many skull base foramina, compartments, and variants can be challenging without an in-depth knowledge of the structures themselves. This article will give a detailed review of the normal anatomy of the skull base and orbit, as well as important variants when considering procedural interventions in the orbit or skull base.
Oral Maxillofac Surg Clin North Am
· 2026 Feb · PMID 40957841
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The suprahyoid neck encompasses fascia-bound spaces between the skull base and the hyoid bone. These spaces are readily identified on cross-sectional imaging, and they can be used to generate an anatomically based differ...The suprahyoid neck encompasses fascia-bound spaces between the skull base and the hyoid bone. These spaces are readily identified on cross-sectional imaging, and they can be used to generate an anatomically based differential diagnosis of deep neck lesions based on their space of origin. This article reviews the imaging anatomy of the suprahyoid neck spaces as defined by the deep cervical fascia and illustrates pathology involved in each individual space.
Oral Maxillofac Surg Clin North Am
· 2026 Feb · PMID 40947313
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A comprehensive understanding of the anatomic structures of the nasal cavity and paranasal sinuses is paramount for the diagnosis of pathologic processes, the planning of endoscopic surgical procedures, and the implement...A comprehensive understanding of the anatomic structures of the nasal cavity and paranasal sinuses is paramount for the diagnosis of pathologic processes, the planning of endoscopic surgical procedures, and the implementation of neuronavigation techniques during specific interventions. It is imperative for otolaryngologists, maxillofacial surgeons, and head and neck surgeons to recognize these variations, as certain anatomic variations have been observed to predispose patients to sinonasal pathologies due to obstruction of the drainage pathways. These variations can also affect the rate of complications and the success of endoscopic surgery.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40947312
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Expanded scope practice, as a subspeciality or blended with core oral and maxillofacial surgery, are increasingly available and attractive practice models. One of the benefits to the surgeon and their community (academic...Expanded scope practice, as a subspeciality or blended with core oral and maxillofacial surgery, are increasingly available and attractive practice models. One of the benefits to the surgeon and their community (academic or private) is the outsized impact for the specialty and upon the patients treated. This article assists in identifying the value proposition for expanded scope surgeons in academic and private practice. A correct understanding of these principles prepares individuals seeking to enter such practices and facilitates the negotiation of resources necessary to create thriving sustainable careers in expanded scope surgery.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40947311
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Few models in modern oral and maxillofacial surgery practice rival the efficiency of a single site with multiple surgeons. This article illustrates the many advantages and challenges of this practice setting, highlightin...Few models in modern oral and maxillofacial surgery practice rival the efficiency of a single site with multiple surgeons. This article illustrates the many advantages and challenges of this practice setting, highlighting differences seen from other types of practices. Keys to success include equality in decision-making, fair compensation minimizing competition yet rewarding productivity, and efficient scheduling with minimal variation among the doctors. Creating a systems-based approach to minimize errors, consistently provide high staff and patient satisfaction and allowing each doctor an opportunity to pursue interests outside the office are the hallmarks of an independent setting that fosters collaboration and success.
Bitonti DA, Havard D, Jenzer AC
… +1 more, Trey Labella CA
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40935729
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This article explores the advantages, structure, and challenges of a military career in oral and maxillofacial surgery (OMS), contrasting it with traditional private practice paths. It outlines educational routes into mi...This article explores the advantages, structure, and challenges of a military career in oral and maxillofacial surgery (OMS), contrasting it with traditional private practice paths. It outlines educational routes into military OMS, including scholarships and direct accession, and highlights the 12 military OMS residency programs that offer comprehensive training. The text emphasizes personal growth, leadership development, and a broad scope of professional opportunities in the military, while acknowledging challenges like relocation and deployments. Testimonies from current and former military oral and maxillofacial surgeons reveal high preparedness for both academic and private sector careers, with many valuing the training, camaraderie, and purpose gained from military service.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40930899
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Practicing within an academic dental school environment offers many advantages for the oral and maxillofacial surgeon. In the dental school setting, surgeons typically work concomitantly in university hospitals or teachi...Practicing within an academic dental school environment offers many advantages for the oral and maxillofacial surgeon. In the dental school setting, surgeons typically work concomitantly in university hospitals or teaching institutions, where their roles extend beyond clinical care to include teaching, research, and mentoring. Academic surgeons often manage complex or rare surgical cases and contribute to the advancement of the field through scholarly publications and participation in academic conferences. Across academic medical centers, novel practice models are being utilized to fairly compensate surgeons and specialists. Multiple contemporary models are highlighted in this article.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40912954
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Oral and maxillofacial surgeons at research-intensive (Carnegie R1) institutions increasingly operate inside complex, consolidated academic health systems that demand leaders fluent in both operative realities and multib...Oral and maxillofacial surgeons at research-intensive (Carnegie R1) institutions increasingly operate inside complex, consolidated academic health systems that demand leaders fluent in both operative realities and multibillion-dollar enterprise economics. This article provides a pragmatic roadmap for surgeons who intend to transition from high-volume operator to senior executive (eg, chief medical officer, system president, provost, or similar). Drawing on current models of mission-aligned funds flow, the author demonstrates how transparent blends of productivity incentives, protected teaching/research blocks, quality holdbacks, and small innovation pools can strengthen retention, extramural funding growth, and trust when the underlying formulas are openly shared.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40912953
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Hospital-medical school practices and their training programs exist in a unique environment with a focus rooted in the medical, or maxillofacial aspects of oral and maxillofacial surgery (OMS). This environment focuses o...Hospital-medical school practices and their training programs exist in a unique environment with a focus rooted in the medical, or maxillofacial aspects of oral and maxillofacial surgery (OMS). This environment focuses on major maxillofacial surgical cases. The teaching role of the academic oral and maxillofacial surgeon is rooted in direct OMS resident training, rotating otolaryngology and plastic surgery resident training, as well as a minor role in medical student training. Dental student teaching and clinic proctoring requirements are replaced with research responsibilities. There is a tendency towards an interdisciplinary approach to didactics, research, and direct patient care.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40849203
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Over the last 6 years, the oral surgery space has seen the entry of management services organizations backed by private equity groups. The consolidation models common in medical specialties such as dermatology and ophtha...Over the last 6 years, the oral surgery space has seen the entry of management services organizations backed by private equity groups. The consolidation models common in medical specialties such as dermatology and ophthalmology are being deployed to aggregate practices into large national or regional groups. In exchange for giving up a portion of their revenue, the surgeon gets potentially expert practice management and operation. Additionally, as most groups encourage surgeon equity ownership, there is a large potential passive financial reward as the equity appreciates toward an exit.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40835557
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Aspen Dental, supported by Aspen Dental Management, Inc (ADMI), was founded over 25 years ago to expand access to quality dental care across the United States ADMI provides nonclinical support to over 1200 independent de...Aspen Dental, supported by Aspen Dental Management, Inc (ADMI), was founded over 25 years ago to expand access to quality dental care across the United States ADMI provides nonclinical support to over 1200 independent dental practices, allowing clinicians to focus solely on patient care. This model enhances access to specialized services through operational efficiency and flexible financial options. ADMI also emphasizes continuing education via The Aspen Group (TAG) University and hands-on training at TAG Oral Care Center for Excellence. With top-tier compensation and clinical autonomy, Aspen Dental fosters a patient-centered, innovative environment for delivering advanced oral health care.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40835556
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Academic oral and maxillofacial surgery careers remain under constant threat due to the challenges, which are primarily financial in nature, associated with faculty recruitment and retention. Extramural private practice...Academic oral and maxillofacial surgery careers remain under constant threat due to the challenges, which are primarily financial in nature, associated with faculty recruitment and retention. Extramural private practice combined with academics is a potent antidote in resolving this challenge. This model benefits both the surgeon and the institution by increasing surgeon income, reducing institutional cost, and dramatically improving department revenue. Given the large disparities between private practice and academic practice income combined with the massive increase in resident educational loan indebtedness, this model has the widest appeal to young surgeons wanting an academic career.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40835555
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The Department of Veterans Affairs (VA) has a deep-rooted history dating back to the Civil War, evolving into a comprehensive system including the Veterans Health Administration (VHA). The VHA is now one of the world's l...The Department of Veterans Affairs (VA) has a deep-rooted history dating back to the Civil War, evolving into a comprehensive system including the Veterans Health Administration (VHA). The VHA is now one of the world's largest health care providers and key training grounds for US medical professionals. Its dental program serves nearly 600,000 Veterans, emphasizing oral and maxillofacial surgery. VA employment offers numerous benefits, including competitive pay, full coverage for surgical procedures, reduced administrative burdens, federal benefits, and loan forgiveness eligibility. Serving in the VA provides both personal fulfillment and professional growth through continued education and leadership opportunities.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40835554
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This article explores the dynamics of multilocation group practices in oral and maxillofacial surgery (OMS), highlighting the advantages, challenges, and structural considerations involved. It highlights enterprise and p...This article explores the dynamics of multilocation group practices in oral and maxillofacial surgery (OMS), highlighting the advantages, challenges, and structural considerations involved. It highlights enterprise and personal goodwill as critical value components and addresses how multiple locations can increase visibility, reputation, and branding opportunities. It also details equity tracks, buy-in/buyout mechanisms, and the impact of noncompete clauses. Cultural consistency across locations, leadership roles, and staffing models are emphasized to sustain operational effectiveness. While the model offers growth and stability, it also demands strong governance and shared mission to succeed. Ultimately, a team-centered, patient-first approach is critical for long-term success.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40819964
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Integrating oral and maxillofacial surgery (OMS) services into other specialty divisions or surgical departments can be viewed with skepticism, or even derision, by some OMS providers. However, these would be isolated ex...Integrating oral and maxillofacial surgery (OMS) services into other specialty divisions or surgical departments can be viewed with skepticism, or even derision, by some OMS providers. However, these would be isolated experiences with outlying institutional cultures explaining that perspective. Instead, the argument can be made for a rewarding practice pattern that affords the OMS provider to specialize in areas of critical need and personal interest, highlighting the training, expertise and scope of practice for this specialty.
Oral Maxillofac Surg Clin North Am
· 2025 Nov · PMID 40819963
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To be a sole proprietor is to succeed or fail based on one's singular merits. Certainly, a previous owner can share his/her experience during a finite period, a paid consultant or advisor will lend specific advice, but t...To be a sole proprietor is to succeed or fail based on one's singular merits. Certainly, a previous owner can share his/her experience during a finite period, a paid consultant or advisor will lend specific advice, but the solo practitioner's training, intuition, trial and error become the primary impetus. Therefore, a solo oral and maxillofacial surgery (OMS) practice aligns best with an entrepreneurial spirit in constant pursuit for optimal efficiency and value. Those practitioners who are discouraged by necessary business acumen and would prefer only a clinically focused role should not pursue a solo practice.
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40442006
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Patient-specific custom facial cosmetic implants can provide improved augmentation and contours and can be produced via virtual surgical planning 3 dimensional (3D) planning and wax prototypes created on stereolithograph...Patient-specific custom facial cosmetic implants can provide improved augmentation and contours and can be produced via virtual surgical planning 3 dimensional (3D) planning and wax prototypes created on stereolithographic models. These implants can be made from solid silicone, 3D-printed titanium, and high-density porous polyethylene. Patient-specific custom facial cosmetic implants can have indications for special situations such as retreatment cases and immediate implant exchanges and can be used for zygomatic, mandibular angle, and chin augmentation. Internal fixation of these implants prevents implant migration and displacement. Heterotopic bone formation within implant capsule and bone ingrowth into 3D-printed titanium can occur.