Movahed OMS

Movahed OMS Movahed OMS is an oral and maxillofacial surgery practice with two locations in St. Louis, Missouri and Walnut Creek, California.

This patient’s case involved progressive condylar resorption, with roughly 60% of both mandibular condyles lost. The dam...
09/14/2026

This patient’s case involved progressive condylar resorption, with roughly 60% of both mandibular condyles lost. The damage affected more than the joints. His bite, airway, facial balance, and long-term skeletal stability all had to be considered together.
Using virtual surgical planning, Dr. Movahed planned a 9.5° counterclockwise rotation and 6.6 mm of segmental expansion. Nick underwent a Le Fort I osteotomy, bilateral total joint replacement with fat grafting, and genioglossus advancement.
At five months post-op, his minimum airway cross-sectional area increased from 43 mm² to 185 mm², a 4.3x increase, while total airway volume increased from 9.2 cm³ to 11.6 cm³.
For complex cases like this, the goal is not to treat one structure in isolation. It is to create a plan where function, airway, bite, and facial balance all work together.

08/24/2026

The Best Ideas Don't Respect Specialty Boundaries.

Your next breakthrough may come from someone outside your specialty.

The future of airway-aware care belongs to clinicians willing to think beyond traditional boundaries.

At Winds of Change, oral surgeons, orthodontists, restorative dentists, pediatric dentists, ENTs, sleep physicians, myofunctional therapists, physical therapists and other leaders come together to challenge assumptions, share perspectives and learn from one another.

Our experience is that the best patient outcomes come from collaborative treatment approaches that respect perspectives from multiple specialties.

Join us April 15–17, 2027, at the Claremont Resort & Club in Berkeley, California, for three days of interdisciplinary learning, meaningful conversation and a special Friday evening with Breath author James Nestor.

Attendance is limited 200 people. Guests of attendees welcome at Nestor event.
Register NOW at
https://windsofchangeconference.net/

08/19/2026

The Best Ideas Don't Respect Specialty Boundaries.

Your next breakthrough may come from someone outside your specialty.

The future of airway-aware care belongs to clinicians willing to think beyond traditional boundaries.

At Winds of Change, oral surgeons, orthodontists, restorative dentists, pediatric dentists, ENTs, sleep physicians, myofunctional therapists, physical therapists and other leaders come together to challenge assumptions, share perspectives and learn from one another.

Our experience is that the best patient outcomes come from collaborative treatment approaches that respect perspectives from multiple specialties.

Join us April 15–17, 2027, at the Claremont Resort & Club in Berkeley, California, for three days of interdisciplinary learning, meaningful conversation and a special Friday evening with Breath author James Nestor.

Attendance is limited 200 people. Guests of attendees welcome at Nestor event.
Register NOW at https://windsofchangeconference.net/

08/17/2026

Erin came to Movahed OMS at 51. More than a year before her consult, her jaw started hurting when she yawned. Her left hip had been replaced. Her left thumb had required surgery, a trapeziectomy. She had osteoarthritis for over five years. She had recently been diagnosed with rheumatoid arthritis. Both were now in her jaw.

Her pain level was 7 out of 10 and her jaw was barely functioning. She had stopped eating anything sticky, crunchy, or that required a hard bite. Left-side pain caused tinnitus, ear and throat soreness. Jaw pain woke her at night.
Osteoarthritis is degenerative. Mechanical wear breaks down cartilage and bone. Rheumatoid arthritis is autoimmune. The body attacks its own joints.

Erin had both.

MRI and CBCT confirmed Wilkes Stage IV, the most advanced stage of degeneration, in both jaw joints. The right showed flattening, beaking, and bone spurs. The left was further along. Bone-on-bone. Subchondral cysts. A very large osteophyte.

Dr. Movahed replaced both jaw joints with custom prosthetics. A LeFort I osteotomy repositioned the upper jaw. Fat grafts cushioned the new joints.
One year later, Erin's jaw pain is gone. She can yawn, chew, and sleep through the night. She reports feeling well.

Rheumatoid arthritis and osteoarthritis will continue to be part of her life.

Her jaw pain won't be.


Erin came to Movahed OMS at 51. More than a year before her consult, her jaw started hurting when she yawned. Her left h...
08/17/2026

Erin came to Movahed OMS at 51. More than a year before her consult, her jaw started hurting when she yawned. Her left hip had been replaced. Her left thumb had required surgery, a trapeziectomy. She had osteoarthritis for over five years. She had recently been diagnosed with rheumatoid
arthritis. Both were now in her jaw.

Her pain level was 7 out of 10 and her jaw was barely functioning. She had stopped eating anything sticky, crunchy, or that required a hard bite. Left-side pain caused tinnitus, ear and throat soreness. Jaw pain woke her at night.
Osteoarthritis is degenerative. Mechanical wear breaks down cartilage and bone. Rheumatoid arthritis is autoimmune. The body attacks its own joints.

Erin had both.

MRI and CBCT confirmed Wilkes Stage IV, the most advanced stage of degeneration, in both jaw joints. The right showed flattening, beaking, and bone spurs. The left was further along. Bone-on-bone. Subchondral cysts. A very large osteophyte.

Dr. Movahed replaced both jaw joints with custom prosthetics. A LeFort I osteotomy repositioned the upper jaw. Fat grafts cushioned the new joints.
One year later, Erin's jaw pain is gone. She can yawn, chew, and sleep through the night. She reports feeling well.

Rheumatoid arthritis and osteoarthritis will continue to be part of her life.

Her jaw pain won't be.


A recently published systematic review evaluated 65 studies encompassing 6,482 patients to examine skeletal change and s...
08/12/2026

A recently published systematic review evaluated 65 studies encompassing 6,482 patients to examine skeletal change and stability, complications, patient satisfaction, and quality of life (QOL) after orthognathic surgery.

The review reported meaningful skeletal correction, with mean ANB improvements of 6.8° for Class III and 5.4° for Class II patients. Skeletal stability was maintained at 1 year or longer in 87.3% of cases, although relapse greater than 2 mm was reported in 18.7%.

Patient-reported outcomes also improved substantially. Overall orthognathic QOL questionnaire scores showed a large improvement, with the greatest gains reported in facial aesthetics, followed by social well-being and oral function. Overall patient satisfaction reached 87.6%.

The review reported an overall complication rate of 32.4%, but most complications were minor and self-limiting. The findings reinforce both the broad benefits of orthognathic surgery and the importance of individualized risk assessment, comprehensive informed consent, and long-term follow-up.

Read the full open-access article:
https://www.frontiersin.org/journals/oral-health/articles/10.3389/froh.2026.1790589/full

08/10/2026

Part 2:
After eight years of unsuccessful conservative treatments, this patient underwent a highly customized surgical approach to address severe idiopathic condylar resorption, bilateral TMJ deterioration, an open bite, and jaw asymmetry. Using virtual surgical planning, Dr. Movahed performed bilateral TMJ total joint replacement with fat grafting and a LeFort I maxillary osteotomy. Today, despite slight residual pain and numbness on her right side, she describes her life as “unpaused” and fully functional—a powerful example of how advanced surgical care can help restore function and quality of life.

After eight years of unsuccessful conservative treatments, this patient underwent a highly customized surgical approach ...
08/10/2026

After eight years of unsuccessful conservative treatments, this patient underwent a highly customized surgical approach to address severe idiopathic condylar resorption, bilateral TMJ deterioration, an open bite, and jaw asymmetry. Using virtual surgical planning, Dr. Movahed performed bilateral TMJ total joint replacement with fat grafting and a LeFort I maxillary osteotomy. Today, despite slight residual pain and numbness on her right side, she describes her life as “unpaused” and fully functional—a powerful example of how advanced surgical care can help restore function and quality of life. Watch for Part 2 to hear her story in her own words.

Address

211 N. Lindbergh Boulevard , Suite 201
Ladue, MO
63141

Opening Hours

Monday 8am - 4:30pm
Tuesday 8am - 4:30pm
Wednesday 8am - 4:30pm
Thursday 8am - 4:30pm
Friday 8am - 4:30pm

Telephone

+13148786725

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