Maxillomandibular advancement (MMA) surgery is highly effective in curing moderate to severe obstructive sleep apnea (OSA). But how does that surgery impact a patient's facial profile? Are we inadvertently beating people with an ugly stick in the name of better breathing? On this episode of Dentist Brain Candy, I cover two thought-provoking articles from recent editions of the Journal of Oral and Maxillofacial Surgery, sharing the findings from a study on the impact of MMA surgery for OSA on facial profile esthetics. I also discuss a paper identifying the trends in work relative value units (or RVUs) among oral and maxillofacial surgeons participating in Medicare from 2013 to 2017. Listen in to understand why I find the RVU system so frustrating and learn why the free market is a far better way of determining reimbursement rates for a given dental procedure. Key Takeaways How the physician fee schedule based on relative value units or RVUs came to be Why I find the RVU system incredibly frustrating and offensive Why so few maxillofacial surgeons participate in the Medicare system How a recent study uncovered an increase in productivity of OMSs and a decrease in the number of Medicare patients served by OMSs in the period from 2013 to 2017 Why the free market is a far better way of determining reimbursement rates for a given dental procedure than the RVU system The high success rate of maxillomandibular advancement (MMA) surgery in curing obstructive sleep apnea (OSA) How a recent study found that MMA surgery for OSA does not have a negative impact on facial profile esthetics Why I'm an advocate of building wealth through cashflowing real estate How I earn cashflow from owning a portion of the building my practice occupies Connect with Dr. Bryan McLelland Dentist Brain Candy Dentist Brain Candy on Facebook Dentist Brain Candy on YouTube Dentist Brain Candy Podcast Dentist Brain Candy App Dentist Brain Candy Continuing Education About Dr. Bryan McLelland Dr. Jawbreaker on YouTube Email [email protected] Call (509) 922-2273 Resources Liberty Oral Surgery February Event Nobel Biocare 'Trends in Work Relative Value Unit Production in Oral and Maxillofacial Surgery' in the Journal of Oral and Maxillofacial Surgery Omnibus Budget Reconciliation Act of 1989 American Medical Association RVS Update Committee 'Evaluation of Facial Profile Esthetics After Maxillomandibular Advancement Surgery for the Treatment of Obstructive Sleep Apnea' in the Journal of Oral and Maxillofacial Surgery Chris Salazar on DBC S2EP3 Arsenal Capital

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