Everyday Oral Surgery

Allergic reactions are as nuanced as they are subjective – there are no blanket treatments for anaphylaxis, and each case needs to be observed in isolation. Today we are joined by the Dental Anesthesiologist, Jonathan Bacon, DDS, to walk us through everything we need to know about anaphylaxis diagnoses and treatments when under anesthesia. After learning more about Dr. Jon, we discover what anaphylaxis is (with a more accurate definition from the World Allergy Organization), what causes it, how to identify it, and how to treat it. We discuss the right dosages for anaphylactic treatments, the factors that affect the severity of attacks, comorbidities and triggers to be aware of, and the relationship between hypertension and anaphylaxis. We end with a deeper examination of anaphylaxis treatment options, how to administer them, and the importance of educating patients to ensure that they know how to deal with anaphylactic attacks at home.Key Points From This Episode:Dr. Jon Bacon’s professional history and current practice setup. What anaphylaxis is and how we deal with it as healthcare providers. The main causes, signs, and symptoms of anaphylaxis. Assessing the right dosage for anaphylactic treatments.  Age and other factors that affect the severity of an anaphylactic attack.A more accurate definition of anaphylaxis, as proposed by the World Allergy Organization. How Dr. Jon handles patients who develop hypertension while under anesthesia. Comorbidities and triggers to be aware of during anaphylactic episodes.   How the type of allergy influences the anaphylactic attack and the required treatment. What we’re looking for from a clinical presentation. How to decipher between isolated hypertension and anaphylactic-induced hypertension. Exploring what happens after an anaphylaxis diagnosis; how to treat it. Mountains Beyond Mountains, Unbroken, painting, Severance, and Top Gun.Links Mentioned in Today’s Episode:Dr. Jon Bacon Email — jpbacondds@gmail.com Just Wisdom Teeth — justwisdomteethdc.com/  World Allergy Organization — worldallergy.org/  ‘Perioperative anaphylaxis – management and outcomes in NAP6’ — bjanaesthesia.org.uk/article/S0007-0912(18)30401-X/fulltext Severance — tv.apple.com/us/show/severance/umc.cmc.1srk2goyh2q2zdxcx605w8vtx  Top Gun: Maverick — https://www.imdb.com/title/tt1745960/ KLS Martin — klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — klsmartin.com/dr-stucki-instruments Everyday Oral Surgery Website — everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Frequently encountered in maxillofacial trauma patients, zygomatic fractures are probably the most common mid-face fracture after a broken nose, so it’s important that you know how to manage them! Joining us today to share some effective strategies is Dr. Aaron Liddell, an oral maxillofacial surgeon at Colorado Oral Surgery and a returning guest to the show. Utilizing a multidisciplinary approach, Dr. Liddell provides facial reconstructive treatment in the Denver metropolitan area, is a consultant surgeon to the Denver Nuggets basketball team, and also serves as faculty for the craniomaxillofacial (CMF) section of AO North America. In today’s episode, Dr. Liddell presents a comprehensive overview of zygomatic complex (ZMC) fractures, how to approach clinical assessment, what primary triage looks like, and optimal surgical or non-surgical treatments following evaluation. We also touch on some helpful tips for communicating frankly with patients about surgical risks and expectations, common post-operative issues, and much more, so be sure not to miss this highly informative conversation!Key Points From This Episode:How zygomatic complex (ZMC) fractures typically occur and how to diagnose them.What a thorough clinical or ophthalmologic assessment of a ZMC fracture entails.OCS and entrapment: two instances that constitute true ophthalmological emergencies.Radiographic evaluation of a ZMC fracture and why CT scans are most common.Surgical and non-surgical interventions (and how to know which one to choose).The importance of speaking openly with patients about surgical risks and expectations.Tips for communicating with patients who are upset about their cosmetic appearance.Insight into the coronal approach to zygomatic arch fractures and how rare it is.Why Dr. Liddell recommends starting with the simplest incision first.A look at some of his preferred types and sizes of plates and screws.The most common long-term post-operative issues that patients encounter.Reasons to be selective when it comes to surgical management of ZMC fractures.Training and fellowships that can benefit those interested in facial trauma.Links Mentioned in Today’s Episode:Dr. Aaron Liddell — coloradooralsurgery.com/meet-us/dr-aaron-t-liddell-md-dmd-facs Dr. Aaron Liddell on LinkedIn — linkedin.com/in/aaronliddellDr. Aaron Liddell Email — aaronliddell@gmail.com AO Foundation North America — aofoundation.org/aonaAO CMF NA Course: Management of Facial Trauma — events.aona.org/event/eventdetailresp/9880Speechify — speechify.comEveryday Oral Surgery Website — everydayoralsurgery.com Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgeryDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Even when a procedure is done perfectly, dentists can and do cause neuropathic pain. During this episode, we discuss how to diagnose the spectrum of trigeminal neuralgia, how to approach management, and how to mitigate damage during treatment. Expert Dr. Thomas Robbins joins us and shares insights from his vast experience in addressing this condition. From symptoms and the diagnostic process to approaching cases with little to no images, bloodwork, and more, this episode is a detailed crash course on proven strategies and identification techniques. Dr. Robbins touches on different reasons that trigeminal neuropathy may occur and explains why he chooses to focus on this and emphasize it. We also get into the brain’s role in amplifying pain. You’ll also hear about the screening process for temporomandibular disorders. Tune in for a highly informative conversation with today’s expert. Key Points From This Episode:A brief history of Dr. Robbins’ career history and current practice.The experience that led him to focus on facial pain, trigeminal neuralgia, and headaches.How trigeminal neuralgia is diagnosed. Symptoms to expect from different types of trigeminal neuralgia.Why thorough investigation is necessary.How to approach cases where there is little or no imaging.The appropriate time to do bloodwork.Different procedures to address trigeminal neuralgia.Mitigating damage during treatment.How Dr. Robbins differentiates between trigeminal neuralgia and post-procedure neuropathy.Understanding that dentists can and do cause neuropathic pain, even from the most perfectly well done procedure. How the brain can amplify pain.Different reasons that trigeminal neuropathy can occur and why Dr. Robbins emphasizes them.Pain management and medication.Flare ups that may occur and how to treat them.Screening for temporomandibular disorders.Quick-fire questions including Dr. Robbins’ relationship with reading and how he cares for his mental health. Links Mentioned in Today’s Episode:Dr. Thomas Robbins Email — trobbins@mycenters.comDr. Thomas Robbins on TikTok — https://www.tiktok.com/@dr_tjrobbinsThe International Classification of Headache Disorders — https://ichd-3.org/New International Classification of Orofacial Pain — https://orofacialpain.org.uk/wp-content/uploads/2021/10/Link-7-Pigg-et-al-2020-JOE.pdfEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Joining Dr. Stucki once again is Dr. Benjamin Hechler, an OMS practicing in North Carolina. On this episode, we wanted to circle back and dive deeper into TMD and TMJ hyper and hypomobility. The conversation kicks off with Dr. Hechler unpacking some of the common causes behind TMJ hypomobility, the definition of a closed lock (CL) including an overview of acute CL and chronic CL, with a quick reference to the anchor-disc phenomenon. We also look at the different flavors of TMJ hypermobility and various types of dislocations. Dr. Hechler details his technique with awake patients, why imaging would be indicated for TMJ mobility, and then delves into a detailed explanation of his approach to TMJ mobility treatment. To hear more about our thoughts on TMJ mobility issues caused by being in the dental chair, our tips and tricks for avoiding them, and what could tip the scale toward a more permanent management solution for these types of issues, be sure to start listening now! Key Points From This Episode:Our goal for today’s episode: TMJ hyper and hypomobility with Dr. Ben Hechler.Dr. Hechler unpacks some of the causes behind TMJ hypomobility. He defines what is a closed lock (CL).The difference between acute CL and chronic CL.A quick look at the anchor-disc phenomenon.Dr. Hechler highlights some different flavors of TMJ hypermobility (and dislocations).He details his technique to get an awake patient back into the proper TMJ relationship.We dive into a discussion on when imaging is required for TMJ mobility.He explicitly details his approach to treatment for this demographic of TMJ patients.His thoughts on how often TMJ mobility issues are caused by being in the dental chair.Dr. Stucki shares some of his tips on avoiding dental chair TMJ mobility issues.TMJ mobility management: when does the scale tip toward a more permanent management/treatment?The multifactorial aspect of connecting patient characteristics and our capabilities as surgeons to formulate the best possible plan.Links Mentioned in Today’s Episode:Dr. Ben Hechler — https://www.linkedin.com/in/ben-hechler Episode 236: Perspectives on Management of TMJ Disease, with Dr. Michael Miloro —https://www.buzzsprout.com/1404670/14614031-perspectives-on-management-of-tmj-disease-with-dr-michael-miloro KLS Martin Promo Code: StuckiFavsKLS Martin Email — usa@klsmartin.com Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Balancing having a family and career as an oral surgeon can be quite difficult and today’s guest is no stranger to this struggle. Dr. Samuel Scroggins joins us today to share how he manages to find the highs in life while running his own private practice, raising eight children, and going on incredible highpointing adventures. Tuning in, you’ll hear all about our guest’s background and training, what made him interested in highpointing, why he loves it so much, and his plans for his next adventure. We then delve into how he got through residency with his large family before he explains why he chose to open a private practice in a small town and the benefits of doing so. We even discuss how having eight children has helped Dr. Scroggins be a better surgeon! Finally, our guest answers our rapid-fire questions and leaves us with some wonderful words of wisdom about making the most out of life. Thank you for listening in! Key Points From This Episode:Welcoming today’s guest, Dr. Samuel Scroggins. A brief history of Dr. Scroggins’ training and current practice setup. What highpointing is and how Dr. Scroggins got into it. Dr. Scroggins’ plans for his next highpointing adventure. How he got through residency while raising a large family of eight children. Dr. Scroggins shares some tips for building a practice in a small community. The benefits of working in a small town as an oral surgeon. Dr. Scroggins tells us about the best book he’s read in the last year. How having eight children helps him be a better surgeon. The kinds of tools Dr. Scroggins prefers for extractions. A movie Dr. Scroggins watched recently and loved and a standup comedian he likes. Dr. Scroggins shares his favorite quote with listeners. Links Mentioned in Today’s Episode:Dr. Samuel Scroggins on LinkedIn — https://www.linkedin.com/in/sam-scroggins-8063b220/Dr. Samuel Scroggins Email — scrogginsoms@gmail.comSouthwest Virginia Oral and Maxillofacial Surgery — https://swvirginiaoralsurgery.com/KLS Martin — https://www.klsmartin.com/KLS Martin Discount Code — StuckiFavsOutlive — https://www.amazon.com/Outlive-Longevity-Peter-Attia-MD/dp/0593236599Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

If you don’t want periodontists and oral surgeons working together, then turn off this podcast right now, because today is all about bridging the gap between a divide that’s stood for far too long. Joining us today is oral surgeon, Robert McNeill, DDS, MD, MBA, FACD, FICD, and periodontist, Stephanie Ganter, DDS, MS, FACD, FICD. The pair jointly host a podcast and share a dental practice, and they are here to explain how their two specialties can work together in harmony (against all odds). We discuss the importance of building better systemic channels of communication, how periodontists and oral surgeons can forge meaningful relationships, what leaders and dental practices need to do to facilitate these relationships, and why referrals are key players in the effort to bridge the gap. We also learn about approaching unwilling colleagues, throwing away the ego, managing expectations, and operating in the workplace with clarity and kindness. Key Points From This Episode:How Stephy and Bobby, as a periodontist and oral surgeon respectively, work harmoniously.Why communication needs to get better systematically, starting from med school. How oral surgeons and periodontists can build trust with one another, and why they should. What dental practices need to consider about how they staff surgeons. The value of respect, and learning how to be effective. How you can’t blame every periodontist or oral surgeon for a bad experience with another.  Crossing the aisle: what the two specialties can learn from each other. The role of referrals in bridging the gap. How to approach disgruntled colleagues who are averse to working together.Doubling down on the importance of establishing good channels of communication. Managing expectations, discarding the ego, and purposely reaching across the aisle. Links Mentioned in Today’s Episode:Dr. Robert McNeill on LinkedIn — https://www.linkedin.com/in/bobddsmd/ Dr. Stephanie Ganter on LinkedIn — https://www.linkedin.com/in/ganterddsms/  Between Two Teeth — https://b2teeth.com/ Between Two Teeth on YouTube — https://www.youtube.com/@BetweenTwoTeeth DFW Dental Implants — https://www.dfwdentalimplants.com/  American Dental Association — https://www.ada.org/   What Got You Here Won’t Get You There — https://www.amazon.com/What-Got-Here-Wont-There/dp/1401301304 KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Dallen Mills from Peak View Anesthesia joins us once again to cast a wide net over the topic of anesthesia as we discuss beta blockers, ketamine, kidney failure, and a whole lot more! The last time he was here, Dr. Mills walked us through the ins and outs of Precedex. Today, he answers some follow-up questions by explaining how long you can use a Precedex solution after it’s been diluted. Our guest goes on to describe his treatment plan for post-surgery combatant patients, his thoughts on using beta blockers with ketamine, how he uses nitrous oxide as an adjunct to sedation, and how he approaches sedating patients who have kidney complications. To end, Dr. Mills thoroughly examines everything related to taking medication before surgery. Tune in for all this and more!Key Points From This Episode:Dr. Dallen Mills explains the shelf life of a diluted Precedex solution. His go-to treatment for patients who wake up agitated from surgery. What he thinks about routinely using beta blockers with ketamine. How he deals with increased secretions of ketamine. The way Dr. Mills uses nitrous oxide in his daily operations. His protocol for treating patients with kidney failures and those on dialysis. Everything you need to know about taking medication prior to sedation. Links Mentioned in Today’s Episode:Dr. Dallen Mill on LinkedIn — https://www.linkedin.com/in/dallen-mill-055338/ Peak View Anesthesia — https://www.pvanesthesia.com/  ‘The Pros and Cons of Precedex and Remifentanil, Plus a Dive into an Innovative Non-Pharmaceutical Approach (with Dr. Dallen Mill, MD Anesthesiologist)’ — https://www.buzzsprout.com/1404670/14398433-the-pros-and-cons-of-precedex-and-remifentanil-plus-a-dive-into-an-innovative-non-pharmaceutical-approach-with-dr-dallen-mill-md-anesthesiologist.mp3 KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs  Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059 

Treating TMJ and TMD in patients can be a daunting prospect for oral surgeons, especially if they weren’t exposed to the relevant treatment procedures during residency. But that doesn’t mean general care can’t be improved upon. In today’s episode, Dr. Michael Miloro joins us to share his expertise on the management of TMD and TMJ and how he believes we can ensure better education among dental students going forward. Find out why Dr. Miloro is such a big proponent of having a multidisciplinary team before learning how he and his colleagues prioritize individualized, conservative, reversible, and minimally invasive patient care. Our conversation also unpacks the evidence-based literature on the topic, how the studies can be improved upon, and why we need to invest in better education at the dental student level in terms of TMD and myofascial pain. To hear Dr. Miloro’s informative advice and thought-provoking insights on TMD, TMJ, and how to give the best patient care possible, tune in now!Key Points From This Episode:An overview of the shortcomings in the academic literature on TMD.The challenges of TMJ and TMD diagnosis and treatment.Dr. Miloro’s philosophy for treating patients who have TMD or TMJ.Why he believes in individualized, conservative, reversible, minimally-invasive patient care.The benefits of being treated in a multidisciplinary setting with a team of specialists.Arthrocentesis; how the procedure can help patients with TMD or TMJ.Determining whether a patient is a good candidate for arthrocentesis.Insight into what helps make arthrocentesis effective and what to avoid during the procedure.What Dr. Miloro considers before undertaking a discopexy or discectomy.Four reasons why Dr. Miloro doesn’t like the idea of disc repositioning.Clinical tips for doing a discectomy and a breakdown of Dr. Miloro’s approach.How many of his patients typically need a unilateral versus bilateral discectomy.Benefits and drawbacks of a modified condylotomy and when to consider it.What it’s like treating patients long-term with the support of a team.Dr. Miloro’s answers to our rapid-fire questions!Links Mentioned in Today’s Episode:Dr. Michael Miloro on Linkedin — https://www.linkedin.com/in/michaelmiloro/UIC College of Dentistry — https://dentistry.uic.edu/Dr. Michael Miloro’s email — mmiloro@uic.eduTMD (Temporomandibular Disorders) — https://www.nidcr.nih.gov/health-info/tmd‘Temporomandibular Joint Disorder Management in Oral and Maxillofacial Surgery’ — https://pubmed.ncbi.nlm.nih.gov/27889533/KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instrumentsEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Evidence-based practice can substantially improve a clinician’s care and today’s guest, Dr. Brian Carr has compiled an incredible newsletter for dental professionals to get reliable information to enhance their practices. Tuning in, you’ll hear all about our guest’s career, his newsletter ‘Soapbox,’ how he incorporates what he learns into his clinical care, how you can learn from the articles you read, and more. We delve into the research he has been part of before Dr. Carr tells us about the topics he focuses on most often in his newsletter. Finally, he answers our rapid-fire questions. Thanks for listening in! Key Points From This Episode:A brief overview of today’s guest, Dr. Brian Carr. Dr. Carr tells us about his incredible newsletter, the themes, content, and who has access. How Dr. Carr incorporates evidence-based practices from his reading into his clinical care.  Some advice for reading articles and learning from them.The research Dr. Carr has been a part of in his career. How to join Dr. Carr’s amazing newsletter.His focus on Dr. Dead Bone and relevant topics in the newsletter. Finishing off, Dr. Carr answers our rapid-fire questions. Links Mentioned in Today’s Episode:Brian Carr on LinkedIn — https://www.linkedin.com/in/brian-carr-35487a55/Brian Carr PHHS Email Address — Brian.Carr@phhs.orgBrian Carr UT Southwestern — Brian.Carr@Utsouthwestern.eduKLS Martin 35% Discount Code — StuckiFavsDr. Stucki’s Favorite KLS Martin Instruments — https://www.klsmartin.com/dr-stucki-instrumentsEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

TriAgenics is a medical technology company that aims to deliver the safest, most effective, and simplest means of treating wisdom teeth, and with its revolutionary Zero3™ TBA (3rd Molar Tooth Bud Ablation) one-minute treatment, it’s doing just that! To share more details on this one-of-a-kind treatment, we are joined by the President and CEO of TriAgenics, Dr. Leigh Colby. Dr. Colby begins by shedding some light on his company and what the business aims to achieve. Then, he dives into the details of Zero3™ including the science behind the technology, how to use it, the results of its initial trials, why no one else is doing the same thing, and how to go about purchasing Zero3™ as a dentist. As a bonus, Dr. Colby does visual demonstrations and to watch them, head over to our YouTube channel and look for this episode.   Key Points From This Episode:Dr. Colby’s professional background and what his company, TriAgenics, is all about.More details on TriAgenics’ fully-guided system. The science behind the technology, and to properly use this system.  How soon the company will begin human trials, and some results from its animal trials.TriAgenics’ target demographic and what it hopes to achieve. How the company’s technology is unique – no one else is doing this!Tune into our YouTube channel to watch Dr. Colby’s demonstrations from this episode.The costs and benefits of using TriAgenics, and how purchasing works.  Alexander McCall Smith, murder mysteries, and knowing your audience. Links Mentioned in Today’s Episode:Dr. Leigh Colby on LinkedIn — https://www.linkedin.com/in/leighcolby/ Dr. Leigh Colby Email — leighcolby@triagenics.com TriAgenics — https://triagenics.com/ Everyday Oral Surgery on YouTube — https://www.youtube.com/@everydayoralsurgery2602  Alexander McCall Smith — https://www.alexandermccallsmith.co.uk/  Shetland — https://www.imdb.com/title/tt2396135/ KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059 

Most doctors and surgeons who are well into their careers suffer from acute lower back pain, but the cause and severity often come down to the individual experiencing it. Today, Dr. Stucki walks us through his personal journey from suffering through back pain to having a healthy spine with feedback and valuable advice from returning guest, Dr. Ben Hechler, the inspiring Medical Director of Blue Cross, North Carolina. Dr. Stucki shares his keys to spine health, which include a healthy and balanced diet, exercising regularly and improving core strength, staying on top of your mental health, using the right equipment, and working less, to name just a few. You'll also learn what residents could be doing to prevent spine issues down the line, why you should always involve those close to you in your journey of getting your health back on track, and some pro tips for dental syringes and PRFs, plus so much more!Key Points From This Episode:Pro tips for using dental syringes and PRFs.Dr. Stucki’s painstaking journey to a healthy spine. How changing his diet made everything better. The role of the emotional and psychological in exacerbating or alleviating back pain.What doctors and surgeons need to be wary of when using loupes. Dr. Stucki’s keys to spine health: Spread patients out and take at least one day off in the middle of the week.Eat an anti-inflammatory diet like the Longevity Paradox by Dr. GundryChange positions frequently while working: switch sides, get up, stand, sit, or stretch.Sit in a saddle seat like the USA Patented Multi Adjustable Saddle Stool with Backrest by Kanewell for $399.00.Keep your back and neck straight as possible, keep your elbows in, and be conscious of unnecessary muscle tightening in your shouldersUse loupes to keep the spine upright, but be aware that they may cause neck painDo core building exercises like the cat/cow, bird dog, and side plankTake walks between patients if possible.Meditation to improve mental health and decrease muscle tension in the bodyYogaAvoid high-risk activities like dangerous sports and home construction projects.Dr. Hechler’s thoughts on Dr. Stucki’s keys to spine health. Why many residents establish poor posture from the start (and how to change this trend). The dangers of nanoplastics and more on the importance of a good diet. Why you should try to involve your loved ones in your health journey. Links Mentioned in Today’s Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ The Plant Paradox — https://www.amazon.com/dp/006242713X The Longevity Paradox — https://www.amazon.com/dp/0062843397 Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059 

Once you learn how to use it properly, the precordial stethoscope is a must-use tool. To help explain why, we are joined by Oral & Maxillofacial Surgeon, Dr. Justin Clemow, who shares his personal technique of using the precordial stethoscope and the barriers that may arise when using it for the first time. We also discuss the benefits of using the instrument, how it’s affected Dr. Clemow’s other medical processes, some tips for how to use it correctly and the possible mistakes to be wary of, and a review of the pros and cons of using the precordial stethoscope. To end, Dr. Clemow walks us through his c-sponge preference, and we learn about his favorite books, movies, and television series.         Key Points From This Episode:Welcoming Dr. Justin Clemow as he details his work history and current practice setup. Dr. Clemow’s technique when using the precordial stethoscope. The barriers to getting used to this technique. Exploring the benefits of using the precordial stethoscope. How using the precordial stethoscope has changed Dr. Clemow’s other processes. Tips for making it easier to use the precordial stethoscope, and pitfalls to be wary of. The pros and cons, and why Dr. Clemow always has his precordial stethoscope on him. Why he prefers using the c-sponge. His answers to our rapid-fire questions.Links Mentioned in Today’s Episode:Dr. Justin Clemow on LinkedIn — https://www.linkedin.com/in/justin-clemow-a4b0ab78/Dr. Justin Clemow Email — Clemow.justin@gmail.comMetroHealth — https://www.metrohealth.org/Sedation Resource — https://sedationresource.com/The Little Book of Common Sense Investing — https://www.amazon.com/Little-Book-Common-Sense-Investing/dp/1119404509S.W.A.T. — https://www.imdb.com/title/tt6111130/Suits — https://www.imdb.com/title/tt1632701/Old School — https://www.imdb.com/title/tt0302886/Tombstone — https://www.imdb.com/title/tt0108358/KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059 

There is no such thing as a perfect anesthetic, but there are some that are pretty close. In today’s episode, we welcome Board-Certified MD Anesthesiologist, Dr. Dallen Mill, to discuss the pros and cons of our favored anesthetics and one non-pharmaceutical option that is as simple as it is effective. We open with Precedex, how it works, and how we can better understand its effects by brushing up on our knowledge of the autonomic nervous system. Then, we explore the side effects of Precedex, assess its onset rate, and discuss its other uses before diving into Remifentanil, its fast-working properties, warning signs to remember, and how to use the drug safely. After a brief interlude on the value of doing close case reviews, we end by examining one non-pharmaceutical technique that will calm your child in preparation for their surgery. And be sure to listen in to learn how playing hockey has improved Dr. Mill’s life as a surgeon!Key Points From This Episode:Dr. Mill’s professional training, history, and his current practice setup. Preferred alternative medications for implant and third molar cases. Understanding how Precedex works with a refresher on the autonomic nervous system.     Some side effects to consider when taking Precedex, and assessing its onset rate. Other ways to use Precedex.An introduction to the lightning-quick Remifentanil and why it’s so short-acting.  Remifentanil warnings and how to use the drug safely. An interlude on the value of close case reviews. Taking a closer look at Precedex and Remifentanil doses. A non-pharmaceutical technique that is worth exploring. How hockey has improved his work and other rapid-fire answers from Dr. Mill. His parting words of wisdom.Links Mentioned in Today’s Episode:Dr. Dallen Mill on LinkedIn — https://www.linkedin.com/in/dallen-mill-055338/ Dr. Dallen Mill on Instagram — https://www.instagram.com/dallenmillmd/ Dr. Dallen Mill Email — dr.mill@pvanesthesia.comPeak View Anesthesia — https://www.pvanesthesia.com/  Percy Jackson and the Olympians — https://www.imdb.com/title/tt12324366/  Sherlock — https://www.imdb.com/title/tt1475582/ KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059 

There are many benefits to being a systems-oriented practice, especially since being overly dependent on one specific person can backfire when they are sick or leave. So how can software be the solution to this problem? Back again for another episode, is Dr. Dexter Mattox, a skilled oral and maxillofacial surgeon with a deep passion for using technology to improve patient outcomes. Join the conversation as we dive into the IMVision software, including the four areas of impact for the automated implant coordinator, and Dr. Mattox's insights on ‘The Patient Radar.’ He underlines the value of having software in place in your practices, and how you can implement IMVision in your practice. For more, be sure not to miss out on this episode! Thanks for listening. Key Points From This Episode:What has stood out for Dr. Mattox in the recent episodes of Everyday Oral Surgery (EDOS).He tells us about IMVision software and the drive behind it.The dropped balls of the automated implant coordinator. Dr. Mattox explains the four areas the automated implant coordinator helps with.He explains the process of ordering an implant and the aim of IMVision.The importance of not dropping leads; Dr. Mattox talks about ‘The Patient Radar.’ Being a systems-oriented practice; how the software solves various scheduling issues. How you can figure out if this type of software could work for you and your practice. Dr. Mattox expresses his passion for the use of software in oral surgery. Links Mentioned in Today’s Episode:Dr. Dexter Mattox on LinkedIn — https://www.linkedin.com/in/dextermattox/Dr. Dexter Mattox SOMSA —https://www.seoralsurgery.com/meet-us/dexter-mattox-dmd-md/ IMVision — https://imvisiondental.com/ IMVision Implant Manager — https://imvisiondental.com/#:~:text=IMvision%20empowers%20implant%20coordinators%20by,rise%20in%20your%20implant%20numbers Medicine Review: Pulmonary physiology, pathology, and management (with Dr. Andrew Jenzer) — https://www.buzzsprout.com/1404670/14271153-medicine-review-pulmonary-physiology-pathology-and-management-with-dr-andrew-jenzer.mp3 Dr. Stucki's Favorite KLS Martin Instruments — https://www.klsmartin.com/dr-stucki-instruments KLS Martin PROMO CODE: StuckiFavesEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

The American College of Surgeons (ACS) is dedicated to improving the care of surgical patients as well as safeguarding standards of care in an optimal and ethical practice environment. As a surgeon, ACS membership forms an integral part of your profession, and becoming a fellow allows you to draw on an abundance of professional development resources, educational opportunities, and community connections to help you succeed. In today’s episode, Dr. Dan Hawkins, an oral maxillofacial surgeon and assistant professor at the Virginia Commonwealth University (VCU) School of Dentistry, sheds some light on what it takes for single- and dual-degree surgeons to become Fellows of the ACS (FACS) and what the practical benefits are, including continued interdisciplinary collaboration with other surgical specialties. We also discuss the importance of seizing every opportunity to learn and keeping an open mind when deciding whether to go into private practice or academics, plus so much more!Key Points From This Episode:A brief overview of Dan’s training and his current practice setup.What the American College of Surgeons (ACS) is and what is required to become a fellow.Three reasons that Dan joined the ACS and how you can benefit from FACS.Advice for young surgical residents deciding what to do with their careers.Why Dan suggests keeping an open mind about going into academics.Pros and cons of the academic setting for oral maxillofacial surgeons.Recommended reads, daily practices that benefit Dan as a surgeon, his preferred surgical instruments, and more!How being a lifelong learner can be advantageous for your career.Links Mentioned in Today’s Episode:Virginia Commonwealth University (VCU) School of Dentistry — https://dentistry.vcu.edu/Dr. Daniel Hawkins Email — hawkinsdaniel45@gmail.comAmerican College of Surgeons — https://www.facs.org/American Association of Oral and Maxillofacial Surgeons (AAOMS) —  https://www.aaoms.org/Public Service Loan Forgiveness (PSLF) — https://studentaid.gov/manage-loans/forgiveness-cancellation/public-serviceFinancial Freedom Rx: The Physician’s Guide to Achieving Financial Independence — https://financialfreedomrx.org/Yellowstone — https://www.paramountnetwork.com/shows/yellowstoneDr. Stucki's Favorite KLS Martin Instruments — https://www.klsmartin.com/dr-stucki-instrumentsEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Welcome to this special medical review episode of Everyday Oral Surgery. Today, we are joined once again by the Oral and Maxillofacial Surgeon, Dr. Andrew Jenzer, DDS. Dr. Jenzer is here to walk us through all things related to pulmonary physiology and pathology, and the various methods of management and care. We begin with the basics of pulmonary problems that may arise in patients before moving on to a detailed discussion about the relationship between applied physiology, oxygen, and math. Then, we dive into the world of PFTs, explore common pulmonary disease states, and our guest details what every medical professional needs to know about pulmonary embolisms. Be sure to take notes for this one!Key Points From This Episode:For this special medicine review, we welcome Dr. Andrew Jenzer, DDS back to the show. The basics of pulmonary issues that may arise in patients. A detailed discussion on applied physiology, oxygen, and math. Recommendations for the amount of oxygen that should be delivered via nasal cannula.  Pulmonary function tests; the ins and outs of PFTs.  Exploring common pulmonary disease states, starting with asthma. Defining and treating bronchospasms and laryngospasms. Chronic obstructive pulmonary disease – what it is and how to handle it. What all medical professionals need to know about pulmonary embolisms. Links Mentioned in Today’s Episode:Save 35% on my favourite instruments - KLS MartinDr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer Dr. Andrew Jenzer Email — Andrew.jenzer@gmail.comKLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059 

In the past 12 to 18 months, there has been an abundance of dental surgery innovations that are bound to be the new base of learning and understanding to carry us forward. One such case is the innovation in dental implant placement on mandibular fibula reconstruction. We are joined today by Daniel Hammer, DDS, FACD, and FACS, to gain a better understanding of what this change means for the future of dental surgery. After Dr. Dan explains why he’s so passionate about oral and maxillofacial surgery, he then details which patients are suitable for dental implants, common surgical challenges and how to overcome them, innovations worth noting from the past 18 months, and his graft-to-implant placement process. We also explore the paradigm shifts that have recently occurred in the industry, how successful mandibular fibula reconstructions generally are, how guided-operations systems will lead us to a better future, and everything you need to know about navigating implant failure.  Key Points From This Episode:A warm welcome to today’s returning guest, Dr. Dan Hammer. Why Dr. Dan is so passionate about oral and maxillofacial surgery.Assessing which patients are suitable for dental implants. Surgical challenges and other things to be aware of in mandibular fibula reconstructions. Recent changes in surgical trends, and current innovations worth noting. The time Dr. Dan takes between the graft and the implant placement. The tissue level of the implants that he uses.  Exploring the success rate of mandibular fibula reconstructions.Navigating implant failure. How Dr. Dan spends his downtime. Links Mentioned in Today’s Episode:Save 35% on my favourite instruments - KLS MartinDr. Dan Hammer on LinkedIn — https://www.linkedin.com/in/dan-hammer-488809167/ Dr. Dan Hammer on Instagram — https://www.instagram.com/drdanhammer Dr. Dan Hammer on Facebook — https://www.facebook.com/dan.hammer.31  Naval Medical Center San Diego — https://sandiego.tricare.mil/ University of the Pacific, Arthur A. Dugoni School of Dentistry — https://dental.pacific.edu/dental Uniformed Services University — https://www.usuhs.edu/  ‘Episode 83: Dan Hammer’ — https://www.buzzsprout.com/1404670/9631043-dr-dan-hammer-experience-as-a-single-degree-fellowship-trained-head-and-neck-surgeon-in-the-armed-forces.mp3 The Subtle Art of Not Giving a F*ck — https://www.amazon.com/Subtle-Art-Not-Giving-Counterintuitive/dp/0062457713 KLS Martin — https://www.klsmartin.com/en/  KLS Martin 35% Discount Code — StuckiFavs Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email —

Surgeons often do not maximize the benefits of implant reps and are missing out on an incredible opportunity for growth. Today on Everyday Oral Surgery, Ronald Poe of the Straumann Group joins us to discuss how we can better utilize our implant reps. Tuning in, you’ll hear all about Ronald’s incredible career, the importance of creating good relationships with your implant reps, how in-office visits build trust, big clients versus small clients, and working with traveling specialists. We even delve into the importance of communication between surgeons and implant reps before Ronald encourages surgeons to be open with their reps and lean on them. Finally, we are reminded that this relationship is mutually beneficial and should be maximized at all times! To hear all this and be inspired to keep a positive mindset, press play now!Key Points From This Episode:Introducing today’s guest, Ronald Poe. A brief overview of Ronald’s current career and previous bodybuilding career. The benefits of cold plunging and why Ronald loves it. How to create good relationships with implant reps as a dental surgeon. Why Ronald does lots of in-office visits and the importance of building trust with reps. How he handles a lack of referrals from surgeons. The big corporate clients Ronald works with and how that differs from smaller clients. How an implant rep can help traveling specialists. The importance of constant communication between surgeon and implant rep. Why Ronald wants surgeons to be open with and lean on their reps. Our guest answers our rapid-fire questions and shares some advice about mindset. Quotes:“There’s a lot of value [implant reps] can bring to the table if we can partner up.” — Ronald Poe [0:09:34]“At Straumann, we have so many tools for practice growth.” — Ronald Poe [0:12:21]“There are so many different things that a rep can actually help a practice with.” — Ronald Poe [0:27:13]Links Mentioned in Today’s Episode:Save 35% on my favourite instruments - KLS MartinRonald Poe on LinkedIn — https://www.linkedin.com/in/ronald-poe-35876344/Ronald Poe on Instagram — https://www.instagram.com/ronaldepoe/Ronald Poe Email Address — ronald.poe@straumann.comRonald Poe Phone — 901 286 7161Straumann Group — https://www.straumann.com/group/za/en/home.htmlKLS Martin Stucki Faves List —KLS Martin Discount Code — StuckiFavs Email KLS Martin — usa@klsmartin.comKLS Martin — https://www.klsmartin.com/en/The Infinite Game — https://www.amazon.com/Infinite-Game-Simon-Sinek/dp/073521350XBetter Call Saul — https://www.netflix.com/title/80021955Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Sur

Burning Mouth Syndrome is not a strictly surgical topic, but it’s something practitioners will often deal with. During this episode, Dr. Hayley Vatcher returns to the podcast to share her insights on this complex diagnosis and how best to treat it. Tune in as Dr. Vatcher draws on her years of experience to offer guidelines on identifying when patients are struggling with this condition and advising them on how to manage it. Starting with more conservative approaches, we explore different methods of dealing with Burning Mouth and reducing the symptoms, including nutritional and supplementary care, topical solutions, and more. Dr. Vatcher also breaks down key research into causes, management, and more. Thanks for listening in! Key Points From This Episode:Welcome to Oral Medicine Specialist, Dr. Hayley Vatcher.Defining Burning Mouth Syndrome, also referred to as Complex Oral Sensitivity Disorder (COSD).Neuropathic aspects of Burning Mouth Syndrome.How it is managed without surgery.Why Burning Mouth Syndrome is a diagnosis of exclusion.Ruling out the possibility of a vitamin deficiency instead of COSD.Why something that soothes an ordinary mouth will burn someone with COSD.The patient experiences of burning sensations elsewhere on the body or the skin.Treatment options for patients suffering with this condition.Why practitioners regularly start with a more conservative approach to treatment.Optimizing vitamin intake as a supplementary treatment. Noting that the symptoms are not visible to the eye within the mouth. Why the condition is most common in post-menopausal women. The possibility of whether other medicines can cause Burning Mouth. What has led to the lack of surgical intervention for this condition.Historical data that has shown a Vitamin B Complex to reduce symptoms.Research into different nutritional solutions. Why many of these patients have often already seen three to four other practitioners.Links Mentioned in Today’s Episode:Save 35% on my favourite instruments - KLS MartinKLS Martin — https://www.klsmartin.com/en/KLS Martin Promo Code — StuckiFavsKLS Martin Email — usa@klsmartin.comDr. Hayley Vatcher on LinkedIn — https://www.linkedin.com/in/hvatcher/Dr. Hayley Vatcher Email — drvatcher@coafs.comAcademy of Orofacial Pain — https://aaop.org/Burning Mouth Syndrome: A Review and Update — https://onlinelibrary.wiley.com/doi/full/10.1111/jop.12101American Academy of Oral Medicine — https://www.aaom.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Returning for another insightful episode, Dr. Ben Hechler is here to delve into the intricacies of throat packs, addressing the when, why, and how.  Join the conversation as we explore the various scenarios where a throat pack is warranted, when it's advisable to refrain from using them, and how to approach using throat packs in the different levels of anesthesia and sedation. We then dive into a discussion on the various techniques for doing throat packs, and hear our thoughts on navigating patients or patient groups who are high-risk or have severe gag reflexes. Tune in for a deep dive into throat packs with Dr. Ben Hechler.Key Points From This Episode:His thoughts on the topic of throat packs.Categories in which you would use throat packs.He explains what a definitive airway is.When he would not use throat packs. Throat packs for local anesthesia and sedation.We discuss the various techniques for doing throat packs.Our thoughts on using gauze versus the sponge. Patient demographics where using a throat pack is unadvisable (or high risk). How to approach patients who have severe gag reflexes. Last-minute book or movie recommendations from Dr. Hechler. Links Mentioned in Today’s Episode:Save 35% on my favourite instruments - KLS MartinDr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ KLS Martin — https://www.klsmartin.com/en/Suits — https://www.netflix.com/za/title/70195800 Trolls — https://www.dreamworks.com/trolls Elemental — https://www.pixar.com/elementalTurning Red — https://www.pixar.com/turning-red Coco — https://www.pixar.com/feature-films/coco Spiderman: Across the Spider-verse — https://tv.apple.com/us/movie/spider-man-across-the-spider-verse/umc.cmc.2zphwshxw2ejh2znevhod0u01 Sing 2 — https://tv.apple.com/us/movie/sing-2/umc.cmc.590s95h5e9b3mmn5fdt38m15c Puss in Boots 2 — https://www.dreamworks.com/movies/puss-in-boots-the-last-wishBoss Baby — https://www.netflix.com/za/title/80146758  Kung Fu Panda — https://www.dreamworks.com/movies/kung-fu-panda Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email —