Top 10 Questions for Oral and Maxillofacial Surgeon-Practice Owner Interview

1. Describe the key differences in the treatment planning and surgical approach for a patient with a large mandibular osteoblastoma versus a patient with a squamous cell carcinoma of the mandible?

• Osteoblastoma: Conservative resection with clear margins, preserving as much healthy bone as possible. Prior embolization may be beneficial to decrease vascularity and bleeding during surgery.
• Squamous cell carcinoma: Radical resection with wide margins, including the mandible, overlying skin, and regional lymph nodes. Reconstruction with a vascularized bone flap may be necessary.

2. Discuss the indications and contraindications for orthognathic surgery?

Indications

• Dentofacial deformities causing functional or aesthetic concerns.
• Severe malocclusion, skeletal disharmony, or asymmetry.
• Sleep apnea or airway obstruction due to maxillofacial abnormalities.

Contraindications

• Active periodontal disease or caries.
• Uncontrolled systemic diseases (e.g., diabetes, hypertension).
• Significant medical or psychiatric conditions that increase surgical risk.

3. Explain the principles of distraction osteogenesis and its applications in maxillofacial surgery?

• Involves gradually separating and elongating bone segments through controlled distraction.
• Used to treat jaw deformities, facial trauma, and bone defects.
• Requires placement of an internal distraction device that allows for precise control of bone movement.

4. Describe the management of a patient with a midface fracture involving the orbit?

• Assess for visual disturbances, diplopia, or enophthalmos.
• Obtain CT or MRI to evaluate the extent of the fracture and involvement of the orbit.
• Surgery is indicated to reduce the fracture, restore orbital volume, and protect the optic nerve.

5. Discuss the role of stereolithographic models in presurgical planning for complex maxillofacial procedures?

• Provide a three-dimensional representation of the patient’s anatomy.
• Allow for accurate assessment of surgical margins and potential complications.
• Facilitate communication between surgeons and other healthcare professionals.

6. Explain the different types of bone grafts used in maxillofacial surgery and their indications?

• Autograft: Bone harvested from the patient’s own body (e.g., iliac crest, rib).
• Allograft: Bone harvested from a cadaver and processed to remove cellular components.
• Xenograft: Bone derived from animal sources (e.g., bovine, porcine).

7. Describe the management of a patient with a salivary gland tumor?

• Complete excision of the tumor with preservation of surrounding structures, if possible.
• Preoperative evaluation for potential facial nerve involvement and salivary function.
• Postoperative monitoring for recurrence and complications (e.g., facial nerve palsy).

8. Discuss the principles of facial nerve management during parotid gland surgery?

• Identify and preserve the facial nerve throughout the surgical procedure.
• Use intraoperative nerve monitoring to assess nerve function and minimize the risk of damage.
• Consider facial nerve grafting or rerouting if the nerve is injured.

9. Explain the different surgical approaches to the temporomandibular joint and their indications?

• Preauricular approach: Accesses the joint through an incision in front of the ear.
• Transtemporal approach: Approaches the joint from above the ear, providing a wider field of view.
• Postauricular approach: Involves an incision behind the ear, commonly used for arthroscopic surgeries.

10. Discuss the role of minimally invasive techniques in maxillofacial surgery?

• Reduce surgical trauma, scarring, and recovery time.
• Examples include endoscopic sinus surgery, laser-assisted procedures, and computer-assisted navigation.

As an Oral and Maxillofacial Surgeon-Practice Owner, you will oversee and manage the daily operations of your clinic, while also providing exceptional surgical and comprehensive oral health care services to patients.

1. Patient Care

Conduct thorough examinations and diagnose oral and maxillofacial conditions.

• Develop and execute individualized treatment plans.
• Perform a wide range of surgical procedures, including but not limited to extractions, implants, and reconstructive surgeries.
• Provide post-operative care and follow-up appointments to ensure optimal recovery.

2. Practice Management

Establish and maintain a successful and profitable practice.

• Hire, train, and supervise staff.
• Manage finances and insurance billing.
• Market and promote your practice to attract new patients.

3. Continuing Education

Oral and maxillofacial surgery is an ever-evolving field, hence you must stay up-to-date on the latest techniques and technologies.

• Attend conferences and workshops.
• Read medical journals and textbooks.
• Participate in continuing education programs.

4. Patient Relationships

Build lasting relationships with patients built on trust and open communication.

• Provide clear and concise explanations of treatment options.
• Listen attentively to patient concerns and answer questions empathetically.
• Maintain patient confidentiality.

To ace your interview for an Oral and Maxillofacial Surgeon-Practice Owner position, consider the following tips:

1. Research the Practice and Position

Acquire a thorough understanding of the practice’s history, services offered, and target patient population.

• Review the practice’s website and social media pages.
• Connect with current or former patients to gather insights.
• Familiarize yourself with the specific job responsibilities and qualifications.

2. Highlight Your Surgical Skills and Experience

Emphasize your expertise in oral and maxillofacial surgery procedures.

• Showcase your proficiency in various surgical techniques.
• Provide examples of complex cases you have successfully managed.
• Discuss your experience in managing post-operative complications.

3. Demonstrate Practice Management Abilities

Convey your entrepreneurial spirit and business acumen.

• Share your experience in managing a dental practice or business.
• Outline your plans for growing and improving the practice.
• Highlight your ability to handle financial matters and insurance billing.

4. Emphasize Your Passion and Commitment

Express your enthusiasm for oral and maxillofacial surgery and your commitment to providing exceptional patient care.

• Share your motivations for pursuing this field.
• Discuss your interest in continuing education and staying abreast of advancements.
• Convey your desire to make a positive impact on the community.