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

Page: https://stenobird.com/podcast/jawhacks-7095416/91-dr-reza-movahed-tmj-stability-determines-your-jaw-surgery-success
Text version: https://stenobird.com/podcast/jawhacks-7095416/91-dr-reza-movahed-tmj-stability-determines-your-jaw-surgery-success.md
Podcast: [JawHacks](https://stenobird.com/podcast/jawhacks-7095416)
Published: 2025-10-27T13:00:00+00:00
Episode link: http://jawhacks.local/episode/91-reza-movehed
Audio file: https://episodes.captivate.fm/episode/58f4a48a-462e-4a72-91f5-c6a5cf819eef.mp3
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JSON: https://stenobird.com/v1/public/podcasts/jawhacks-7095416/episodes/91-dr-reza-movahed-tmj-stability-determines-your-jaw-surgery-success
Duration seconds: 12860

## Resource

 In this episode, I reconnect with Dr. Reza Movahed, an oral and maxillofacial surgeon based in St. Louis, MO, 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) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ 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 Su…

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## Transcript

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