Everyday Oral Surgery

Arizona Board of Medical Examiners

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720 441 6059

Dr. Robert Guyette: Inspiring stories from a professional basketball player who became a surgeon

Mon, 24 May 2021 17:00:00 -0400

It takes a lot of hard work to become a doctor, but to be a doctor who has also found massive success in other careers is something else entirely. Dr. Robert Guyette is one of those people. Today he joins us to talk about his approach to life and how it led him to have fruitful careers not just in medicine but in real estate and professional basketball too! Before our guest got his MD he was Bob Guyette, the American professional basketball player, who played five seasons in the Spanish League. But before hearing the story behind this, we kick off our conversation with Dr. Guyette's training and how he became qualified to offer both oral and facial cosmetic surgeries. From there we hear about Dr. Guyette’s days as a professional basketball player and he tells stories about being selected by the NBA, ending up signing for FC Barcelona and spending a few exciting years traveling Europe. Next up we get into Dr. Guyette’s passion for real estate, hearing him weigh in on how he got interested in the field and got a loan for his first duplex when he wasn’t much older than 20. Moving back onto the subject of Dr. Guyette’s medical career, we chat to him about the long road he traveled on the way to inventing the Porter Silhouette Nasal Mask. So for an inspiring conversation about saying yes to life, working hard to reach your dreams, and the fruits of that labor, tune in today!

Key Points From This Episode:

A brief history of Dr. Guyette’s training, dental career, and current practice setup.
How Dr. Guyette learned cosmetic surgery which supplements his oral maxillofacial services.
A story about how Dr. Guyette joined the Arizona Board of Medical Examiners.
A lesson in the advantages of saying yes to things and taking opportunities.
Dr. Guyette’s experiences playing professional basketball and how he got to this level.
Experiences Dr. Guyette had in Europe while playing professional basketball there.
How Dr. Guyette got into real estate at a young age and the value of cash-flowing assets.
The story behind how Dr. Guyette invented the Porter Silhouette Nasal Mask.
How Dr. Guyette found the motivation to push through the time it took to invent the mask.
Dr. Guyette weighs in on one of the projects he started that was not a wild success!
Advice from Dr. Guyette about persistence and not giving up on your dreams.

Links Mentioned in Today’s Episode:

Dr. Robert Guyette

Francisco Franco

Robert Kiyosaki

Porter Silhouette Nasal Mask

Jordan Peterson

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720 441 6059

Funny Dental Stories to Make You Laugh and Learn with Drs. Stucki and Hall

Mon, 24 May 2021 17:00:00 -0400

We’re calling today’s episode the one-upper! Tuning in, you’ll hear Dr. Grant Stucki and Dr. Mike Hall share some of their best dental stories, partly for comedic relief but also to impart some important lessons about client communication, adequate sedation techniques, and careful employee selection, as well as what you can learn from your patients about different cultures and mindsets (and kinks). We hope that this episode leaves you with a lot to ponder and, hopefully, is as insightful as it is hilarious. Make sure not to miss it!

Key Points From This Episode:

Why Dr. Hall thinks that dentists should be keeping a record of their best stories.
While we all want our practice to appear professional, Dr. Stucki believes there is a lot to be learned from mistakes.
Dr. Hall’s first funny oral surgery story, which involves a Halcion-induced parking lot accident.
The moral of the story: always over-communicate with patients taking oral sedation meds!
Dr. Stucki shares a propofol sedation story about a wisdom extraction that required an osteotome on a military veteran.
Why adequate sedation is crucial, especially when the patient poses a physical threat!
Dr. Hall’s next story is more of a classic office drama regarding false accusations of an affair.
The importance of careful employee selection and having a good no-tolerance policy.
The funny next story comes from the time Dr. Stucki’s brother was shadowing him in Tucson.
The unbelievable things patients will say and do that make for a good story and introduce you to different cultures and mindsets.
Dr. Stucki’s last story involves a somewhat different Jamaican interpretation of his last name.
How grinding down a patient’s molars taught Dr. Hall a lot about that patient’s kinks!
Find out why Dr. Stucki is considering creating an “Only in dentistry!” bumper sticker.

Links Mentioned in Today’s Episode:

Dr. Mike Hall on LinkedIn — linkedin.com/in/michael-hall-aa8379109

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720 441 6059

Dr. Howard Farran and Dr. Grant Stucki: Discussing contemporary oral surgery issues with the most prolific dental podcaster (this episode is shared with Howard Farran’s podcast, Dentistry Uncensored)

Fri, 21 May 2021 12:00:00 -0400

Today on the show the dynamic gets reversed because this is a recording of Dr. Stucki being interviewed by the famous Dr. Howard Farran! Dr. Farran is arguably the titan of dental podcasting, as he is the host of the widely loved Dentistry Uncensored show, and he also wrote Uncomplicate Business which Dr. Stucki is a big fan of. Dr. Stucki originally reached out to Dr. Farran, asking him to be a guest on Every Day Oral Surgery but to Dr. Stucki’s surprise, Dr. Farran asked him if he wanted to be a guest on Dentistry Uncensored instead! In today’s show, we get to know Dr. Stucki a little bit better, hearing Dr. Farran ask him about his experiences on residency, approach to a wide range of challenges oral surgeons face, the mission behind his podcast, and a whole lot more. Dr. Stucki weighs in on why he chose oral surgery as a specialization, how to overcome fear and do what it takes to get the job done, and how he manages his chronic lower back pain through posture and exercise. We hear about Dr. Stucki’s approach to sharing expertise, handling troublesome implant cases, and the question of whether oral surgeons should anesthetize their patients. We cover a whole lot more ground today, also getting the chance to hear Dr. Farran’s views on how dentistry and society as a whole could be a little more egalitarian! So for all this and more on today’s high-energy exchange between Dr. Stucki and Dr. Farran, be sure to tune in!

Key Points From This Episode:

Introducing Dr. Stucki, his qualifications, and how helpful his podcast is.
The fruitful challenge of having kids and our guest and host’s experiences of this.
Dr. Stucki’s perspectives on how to manage the difficult practice of implantology.
The best postures and recovery methods Dr. Stucki used for his back trouble.
Tips for dentists in situations where patients might rather need an oral surgeon.
Rectifying hierarchies ingrained at dental residency and the focus of Dr. Stucki’s podcast.
Getting past territorialism and ambition in the field by putting the patient first.
Dr. Stucki’s recommendations for the best implant brands to use.
Possible links between implant failure and the COVID vaccine.
Toeing the line between atraumatic procedures and time-efficient surgery.
The issue of oral surgeons sedating their own patients and how Dr. Stucki views this.
The risks of totally removing a root and when it is okay to leave part of it in the gum.
Whether CBCTs are needed for surgeries or if the panorex is enough.
Complications in the surgery room due to patients who are smoking marijuana.
Dr. Stucki’s perspectives on prescribing narcotics and using bone grafting material.
Whether to remove a tooth or prescribe antibiotics to patients with infected teeth.
Dr. Stucki’s experiences working at Pacific Dental Services and traveling between the offices.

Links Mentioned in Today’s Episode:

Dr. Howard Farran

Dentistry Uncensored

Uncomplicate Business

Pacific Dental Services

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720 441 6059

Drs. Weiskopf and Stucki: I can’t get a healing abutment off! Now what? Tips for getting a stuck healing abutment off and tips for the healing abutment that keeps falling off

Thu, 13 May 2021 15:00:00 -0400

If an oral surgeon gets to the point where they cannot get a healing abutment off, or conversely, it keeps falling off, it can be a frustrating experience for all involved parties. So for this episode of Everyday Oral Surgery, we are exploring the things that can go wrong with healing abutments and what to do about them! We begin with the situation where a healing abutment has been screwed on too tightly and just won't budge. We lay out the possible reasons for why this could have happened, suggesting that the force of finger torque is more than enough for this part of the implant process. If for some reason it won’t come off, the techniques we cover range from using a torque wrench to the brute force method of cutting a new path in the abutment with a round bur. Moving onto the second scenario of the abutment that won’t stay on, we highlight that in most cases this is due to bone or tissue impingement. It is therefore always a good idea to make sure that your abutment is not being impinged by anything when you first install it. In this segment, we also cover the best kinds of kits to use regarding bone milling and adaptable implants. So make sure you join us today and get all the info you need for successfully installing healing abutments!

Key Points From This Episode:

Using a torque wrench and what to do if a healing abutment is not coming off.
Errors that can happen when the dentist is taking the impression.
Using endo ice on the abutment when the torque wrench won’t work.
Scenarios where the driver port in the healing abutment gets stripped.
Cutting a new path with a round bur or using an ultrasonic scaler.
What to do when the healing abutment keeps falling off.
Impingement on bone and why healing abutments can come off frequently.
Bone mill kits and how to get the implant process right the first time.
Changing hands and other reasons why the implant can come off.
Straumann kits and the value of having a more adaptable kit.
The best kinds of healing abutments to use and when to use one rather than a cover screw.

Links Mentioned in Today’s Episode:

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720 441 6059

Drs. Weiskopf and Stucki: pearls on the full mouth extraction patient

Wed, 12 May 2021 10:00:00 -0400

The full mouth extraction process can be a daunting and traumatic one for patients. However through the right care and communication, it can be managed in a healthy and safe way, and joining to talk about exactly how he does this, is Dr. Scott Weiskopf! Scott is an oral and maxillofacial surgeon, currently practicing in Memphis, and we get to hear all about the way he approaches his work in full mouth extractions. He talks about dentures, suturing, procedures, precautions, and more. The main point that our guest makes is around setting the patient at ease before and after the surgery, through communication and the proper care. Scott also shares some of his thoughts on alveoloplasty surgery before talking a bit about the follow-up process and how this differs from patient to patient. So for all this and then some, join us on the show!

Key Points From This Episode:

Lessons that Scott has learned over the years to make a full mouth extraction a little easier for patients.
The improvement that is offered by the installation of dentures for extraction patients.
Conversations around the available denture options and Scott's usual recommendations.
The surgical component of the full mouth extraction; how Scott makes his way around the mouth.
Extra measures and precautions that Scott takes to safeguard against sharp spots.
Scott best tips for quick and successful suturing.
How Scott goes about his alveoloplasty surgery and the extra attention he pays to his files.
Scott's usual post-operation instructions to patients about their dentures.
Follow-up appointments and how Scott prioritizes these measures where necessary.

Links Mentioned in Today’s Episode:

University of Illinois at Chicago

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720 441 6059

Dr. Michael Miloro: What Should You Look For in an Oral Surgery Residency Program? Advice for Dental Students, Residents, and Private Practice Surgeons

Wed, 05 May 2021 10:00:00 -0400

Oral surgery residency is a time of growth for dental students and but also an opportunity for those students to shape the program itself. It is important for there to be a good fit between the student and the institution so that a mutually beneficial dynamic is created. Today on the show we invite Dr. Michael Miloro, Program Chairman at the University of Illinois at Chicago, to shed some light on what students can expect and how they can best prepare themselves for their residency experience. Dr. Miloro has put a lot of work into making the program at UIC as high-quality as possible. He sketches out the broad range of facilities to be found and the ethos about the types of graduates they aim to produce there. The institution provides an atmosphere that encourages residents to be assertive and make an impact on the program itself. The program at UIC strives to give rise to leaders in the field who can practice a broad scope of surgeries. Dr. Miloro talks about how he vets new candidates and gives a few great tips for students about the kind of attitude they should bring to their residency and how to make the best impression on the interview committee. For a discussion packed with insight about how to make a residency experience as fruitful as possible be sure to tune in today!

Key Points From This Episode:

A window into Dr. Miloro’s education and the institutions he has worked at.
Dr. Miloro’s work adjusting the residency program at UIC and the openness to change he encountered there.
The spirit of aspiring to be leaders in the field encouraged at the UIC program.
What the residency program at UIC looks for in candidates and how it vets them.
Perspectives on the balanced approach that makes the UIC residency program great.
The wide range of facilities at UIC, and the procedures they conduct and specialize in.
How the UIC residency program prepares residents for the business aspect of surgery.
A trend where many graduates end up operating in a narrow scope in private practice.
Advice for a resident who wants to take control of their learning.
The transformation Dr. Miloro sees in students during their residency at UIC.
How residents who go into private practice can still give back.
Rapid round with Dr. Miloro: self-care tips, forceps use, favorite quote, and more.

Links Mentioned in Today’s Episode:

Dr. Michael Miloro

‘The Perfect Match’

The Catcher in the Rye

Dr. Bryan White: Tips for the Traveling Surgeon

Wed, 05 May 2021 10:00:00 -0400

Dr. Bryan White has spent the past eight years as a traveling surgeon with Pacific Dental Services (PDS), and has accumulated a lot of knowledge along the way. He joins us on the show today to share his pearls of wisdom with regard to preparation, surrounding oneself with a great team, and transporting equipment. There are over 100 surgeons who are employed by PDS, and Bryan is one of the top producers. Additionally, he has recently started a business with his brother, which you’ll learn more about in this episode too! Bryan appreciates that being a traveling surgeon is not for everyone and it does come with its challenges, but he explains the benefits of working in this type of environment and the types of surgeons who he feels will thrive in a role like his. You’ll also hear about one of Bryan’s career goals, and why working out is a practice that benefits him in his profession. If you’re considering a career as a traveling surgeon, this episode may help you make up your mind!

Key Points From This Episode:

Areas where Bryan works.
Hear about Bryan’s educational and work background.
An explanation of how Pacific Dental Services (PDS), where Bryan works, is set up.
Why Bryan enjoys being a traveling oral surgeon.
Bryan shares tips for anyone who wants to work the way he does.
Challenges that come with being a traveling surgeon, and how Bryan overcomes these.
The goal Bryan has for himself with regard to his working hours.
How PDS compares to other groups that work in the same way.
Differences between the tools that Bryan and Grant use in their practices.
The way the PDS tax system works and how to get the most benefit out of it.
Stresses that surgeons experience in private practice that doesn’t exist at PDS.
Find other doctors with who you can communicate, and stick with them.
Traveling surgery isn’t for everyone but Bryan describes those who he thinks will thrive in this setting.
Dealing with equipment while traveling.
How working out benefits Bryan professionally.
The exciting new business that Bryan has started with his brother.

Links Mentioned in Today’s Episode:

Pacific Dental Services

How to Win Friends and Influence People

Lululemon

Birdie Scrubs

Pearls to Preparing for Office Anesthesia Emergencies with Dr. David Salomon

Wed, 21 Apr 2021 18:00:00 -0400

Significant anesthetic emergencies in oral and maxillofacial surgery offices are rare events. However, emergencies do occur, and being prepared is key for mitigating the impact of these events. Today’s guest is a board-certified oral and maxillofacial surgeon, Dr. David Salomon. He is on staff at Yale-New Haven Hospital, where he also serves as faculty for the Yale Oral and Maxillofacial Surgery Residency Training Program. In today’s episode, Dr. Salomon shares how he stays prepared for emergency situations using what he calls ‘monthly familiarity drills’, quarterly emergency simulations, and implementing a 911 protocol, as well as making sure that his staff has clearly defined roles should an emergency occur. This episode is full of practical advice for keeping your office emergency-ready, so make sure to tune in today!

Key Points From This Episode:

How often the State of Connecticut requires that anesthesia certifications are renewed.
What those renewals entail versus the initial certification; an evaluation of supplies and emergency scenarios.
Learn about what Dr. Salomon calls a familiarity drill, which his staff does on a monthly basis.
How regularly you should be simulating anesthesia emergency scenarios with your staff.
The importance of having a 911 protocol in your office and involving your front desk.
Why your front desk personnel should use a landline rather than a mobile phone to call 911.
Why your staff needs to know what emergency equipment looks like, where it is, and what their individual roles are.
You can create useful tools like laminated emergency cheat sheets; education is key!
The importance of documenting everything in an emergency to avoid legal action.

Tweetables:

“We’ve actually created a schedule where, now, we’re at the point where we do a monthly what’s called a ‘familiarity drill’ and, at quarterly, we do actual emergency scenarios.” — Dr. David Salomon [0:07:54]

“A front desk individual will be the one on the phone [with 911] because, if you take an assistant away to be on the phone, I think you’re taking away potential useful hands.” — Dr. David Salomon [0:18:06]

Links Mentioned in Today’s Episode:

Dr. David Salomon on LinkedIn

Drs. Stucki and Salomon: Ways to Deal With Post Extraction Bleeding

Wed, 21 Apr 2021 18:00:00 -0400

Today on the Everyday Oral Surgery Podcast we are joined by Dr. David Saloman to discuss post-extraction bleeding and how to handle bleeding complications. As postoperative bleeding is most commonly experienced by the elderly on anticoagulants or blood thinners, the doctors discuss how best to deal with these patients before, during, and after any extractions. They talk about the role of medication as both a cause and a treatment for bleeding. They also discuss how to treat a patient who bleeds heavily during surgery, is still bleeding hours after surgery, or develops a liver clot post-extraction. Different tools, equipment, and products, the role of cautery and lasers, and even the best way to use gauze are all covered in today’s show, so don’t miss it!

Key Points From This Episode:

Hear about the different types of post-operative bleeding.
The effect of anti-coagulants and blood thinners on post-extraction bleeding.
The importance of post-operative instructions
The relevance and timing of INR testing for patients on anticoagulants and blood thinners.
The benefits of staging extractions for patients with a high bleeding risk.
When to stop or bridge anticoagulant medication.
The types of anticoagulants and blood thinners that cause the most problems.
How to deal with a patient who is still bleeding hours after an extraction.
The different tools, equipment, and products that can be used to stop the bleeding.
How dentures may affect the extraction site post-operatively.
The importance of informing patients how to care for themselves post-extraction.
Extra measures that can be taken for high-bleeding risk patients.
How to deal with Liver clots.
When lasers and cautery can be used to stop bleeding.
Whether or not to moisten gauze.

Links Mentioned in Today’s Episode:

Dr. David Salomon

Dr. Grant Stucki Email

Dr. Grant Stucki Phone Number — +1 720-775-5843

Dr. Michael Hall: Pearls for Running a Successful Solo Practice (Focusing on Hiring, Decreasing Expenses, and Patient Care)

Wed, 21 Apr 2021 18:00:00 -0400

Building and maintaining a solo practice is a multi-faceted project, something that Dr. Michael Hall knows all about! Dr. Hall returns to the podcast today to drop a few pearls of wisdom and talk about the lessons he has learned running his office so far. Specifically, we get into the hiring process, smart ways to cut costs, and his philosophy towards patient care and treatment. Dr. Hall weighs in on the worthwhile investment of hiring the right person for the job, while also emphasizing the ability to do in-house training once someone appropriate has been hired. From there, we discuss how to facilitate the sharing of expertise within the different parts of the office and positions, before Dr. Hall talks about the importance of staying abreast of your business' numbers as the head of the company. The conversation also covers the need to constantly seek out the best and most affordable options for supplies and equipment for the practice. In dental healthcare, these expenses make up a big piece of the pie, so do not underestimate the power of finding a deal! To finish off we get into how to deal with patients, stay engaged with the goings-on in the office, and the ultimate value of patient loyalty. For all this and a bunch more, join us today!

Key Points From This Episode:

The emphasis that Dr. Hall places on hiring strong players and the lessons he has learned around this.
How to determine the experience and suitability of a person during the hiring process.
The best training for assistants and office managers in Dr. Hall's experience.
Approaches to dealing with the exclusivity of office knowledge and systems expertise.
Staying familiar with and on top of the numbers of your practice.
The importance of seeking out the best-priced equipment and supplies for a business.
The benefits of staying open-minded to different products and brands.
Storytelling in dentistry; how Dr. Hall focuses on stories to build his practice's culture.
Dr. Hall's advice regarding the opportunities for variety in the field of dentistry.
Prioritizing the loyalty of a customer over small disagreements and issues.
Thoughts on how general dentists can better serve the needs of oral surgeons.
A round of quick-fire questions with Dr. Hall; books, previous work, and more!

Links Mentioned in Today’s Episode:

A General Dentist’s Perspective on What He is Looking for When Referring to an Oral Surgeon with Dr. Michael Hall

Wed, 21 Apr 2021 18:00:00 -0400

Today’s guest on the Everyday Oral Surgery Podcast is Dr. Michael Hall, a general dentist who practices in Pueblo, Colorado, and a close friend of your host, Dr. Grant Stucki. In this episode, Dr. Hall shares his perspective as a general dentist when dealing with an oral maxillofacial surgeon and reflects on his personal business experience, as a dentist who owns his own practice. Tuning in, you’ll hear what his top criteria are when referring out, why patient feedback is important, and how having an abundance mentality can make you a better teacher. So stay tuned, and enjoy!

Key Points From This Episode:

Hear a brief introduction for Dr. Hall, including his training and his current practice setup.
He also shares a bit more about the demographic of dentists in Pueblo, Colorado.
Dr. Hall’s top criteria when referring out to an oral surgeon, like competency, bedside manner, personality, and what they charge.
Why he’ll send all his referrals to a specialist that backs him up and helps him out in a pickle.
The importance of receiving feedback from the patient about their referral experience..
How having a colleague to refer to can feel more like a real relationship or partnership.
Why Dr. Hall chose to watch a surgery that the referral oral surgeon performed on a patient of his; gaining trust and familiarity.
The abundance versus scarcity mentality that can make oral surgeons good teachers.

Tweetables:

“Whether it’s to an oral surgeon or to an orthodontist or an endodontist, basically, I have the expectation that whoever I refer out to has the competency to get the work done [and has] a great skill level. Better than myself, essentially.” — Dr. Micheal Hall [0:04:06]

“It [is] great for me to know that I have that professional college within the area that we can work together on, because at that point, it feels like a real relationship.” — Dr. Micheal Hall [0:10:13]

Links Mentioned in Today’s Episode:

Pueblo Dental

Dr. Jay Lee: Orthognathic Surgery Pearls For The Private Practice Surgeon

Mon, 12 Apr 2021 11:00:00 -0400

Today we speak with Dr. Jay Lee, a maxillofacial surgeon with a knack for orthognathics. In this special episode, Jay shares his experiences in the field, as well as the shiny pearls he’s picked up during his years of practice. To open our conversation, we hear Jay’s professional and academic history, before touching on how he forged a path into orthognathics. Following this, Jay shares some of the challenges he and his contemporaries have faced, as he reminds listeners there’s no simple solution to adversity — it’s just about putting in the work to create a good reputation. As our conversation develops, we talk to Jay about how he approaches surgery, find out why he feels it’s best to have two surgeons in theatre and his reasons for performing his surgeries at separate hospitals. In the latter half of the show, we explore some of Jay’s favorite pearls which include finding strong mentors and programs to get involved in, patient selection, and virtual surgical planning. To wrap up, we ask Jay our series of rapid-fire questions. Join us today!

Key Points From This Episode:

We welcome today’s guest, Dr. Jay Lee.
Jay fills listeners in on his academic and professional history.
Find out why Jay enjoys orthognathic surgery.
How Jay and his group of surgeons have coped with the challenges that come with moving into orthognatics.
Jay shares how he has evolved since graduating.
We ask Jay to describe how he approaches orthognathic surgery.
Jay details his best pearls after working in private practice for several years.
Hear what makes orthognathic surgery so unique to maxillofacial surgeons.
We give Jay our series of rapid-fire questions.
Stay tuned for some banter with Jay.
Jay’s parting advice for listeners faced with deciding their path in life, post-residency.

Links Mentioned in Today’s Episode:

Kaiser Permanente

UCLA

A Promised Land on Amazon

Cedasr Sinai Hospital

Northridge Hospital

School of Rock

Dr. Matthew Weber: Taking a Digital Impression at Final Implant Follow-up Appointment is a Powerful Practice Builder

Mon, 12 Apr 2021 11:00:00 -0400

Delivering an efficient and high-end service sounds like a challenging task, but Matthew Weber is here to tell you that it can be done. As today’s guest, we speak with Matthew about his experiences as a maxillofacial surgeon, what it takes to start your own practice from the ground up, and the virtues of taking digital impressions. To kick off our episode, we get to know Matthew by hearing more about his practice, as he touches on why starting from scratch is oftentimes better than buying a business. Following this, we dive into Matthew’s implant program and discover why this element of his practice has become so popular. He uncovers a range of detail, including his scanning process, torque checks, and impressions. Later in the show, we look at Matthew’s practice more closely and find out how he approaches patients who need cover-screws, where he fits into the communication chain with labs and dentists, and what types of equipment you might find in his surgery room. Wrapping up the show we ask Matthew some rapid-fire questions. We find out about the influential books he’s read this past year, his habits for success, and what his favorite tattoo-able is. Join us today!

Key Points From This Episode:

Introducing today’s guest, Matthew Weber.
Matthew shares his professional history with listeners, as well as his current setup.
Why Matthew decided to build a practice from the ground up.
Some challenges Matthew has faced in setting up his practice.
Hear what makes Matthew’s implant program dynamic and popular.
How Matt deals with patients who have flat cover-screws.
The benefits of taking digital impressions.
Matt walks us through the scanning process.
We discuss the second-stage visit and how Matthew approaches them.
The biggest problems Matthew ran into when he started offering digital impressions.
Matthew shares some of the equipment and tech he uses in his practice.
How Matthew tackles full arch cases in his patients.
Stay tuned for our rapid-fire questions.

Links Mentioned in Today’s Episode:

Matthew Weber on LinkedIn

Principles on Amazon

Discipline Equals Freedom on Amazon

Dr. Mulokozi Lugakingira: Marketing Strategy to Get Quality Implant Referrals

Mon, 12 Apr 2021 11:00:00 -0400

Referrals can be the lifeblood of your practice. Today we welcome ‘The Implant Doctor’ Mulokozi Lugakingira onto the show to learn both about his practice and about his effective referral marketing strategy. After chatting about Mulokozi’s personal and professional history, we dive into the top lessons that he’s learned from running his practice. We discuss the business skills that you need, along with the challenges that come with taking over an existing practice. Mulokozi then unpacks what he does to earn doctor referrals, touching on the benefits of hosting ‘lunch and learns’ and covering your bases by advertising on most dominant media channels. A key insight, he talks about the importance of targeting a specific group of patients before telling listeners what they should look for when hiring a marketing company. Later, we explore Molukozi’s surgery process, why you should know your limits as a doctor, and the advantages of being personable. We wrap up the episode by asking Molukozi our final fast five questions. Tune in to hear more about getting referrals and building your practice from the successful Dr. Mulokozi Lugakingira.

Key Points From This Episode:

Dr. Mulokozi Lugakingira shares details about his training and professional history.
Hear about Mulokozi’s practice and specialties.
The top lessons that Mulokozi has learned from starting his practice.
Reflecting on the early challenges taking over a practice.
What Mulokozi does to land doctor referrals and get his name out there.
Exploring the value of diversifying your referral marketing strategy.
What to look for when hiring a marketing company.
The secret sauce for referrals; knowing your limit and doing right by your patients.
Molukozi unpacks his pre and post-implant surgery process.
Advice for new oral surgeons looking for direction.
Why transparency and being personable lead to a stable revenue stream.
Find out Molukozi’s answers to our five rapid-fire questions.
Whether doctors should tell patients what to do or leave their decision up to them.

Links Mentioned in Today’s Episode:

Dr. Mulokozi Lugakingira

Fort Wayne Oral Maxillofacial Surgery & Implant Center

University of Dar es Salaam

University of Pennsylvania

University of Illinois at Chicago

Dr. Michael Oladubu: sinus lifting through the maxillary molar extraction site

Wed, 24 Mar 2021 20:00:00 -0400

Performing a sinus lift through the maxillary molar site is an intricate process. Today we sit with Dr. Michael Olabadu to talk about his techniques and the finesse required to perform a sinus lift. We open our discussion by finding out about Michael’s professional history, training, and current setup. After learning about his journey in maxillofacial surgery so far, Michael then opens up about some of the most valuable lessons he’s learned. He touches on providing comfort and knowledge to his patients in order to create the smoothest and calmest experience for them as possible. Michael also shares why he pays specific attention to referrals and communicating to ensure that no information is lost or misinterpreted. Later in the show, Michael informs listeners on how his sinus lift technique has changed. He adds further detail by describing the process behind his new technique. To become the successful and sought-after surgeon that he is today, Michael has relied on his life experiences. He mentions his own experiences as a young patient needing a tooth extraction, as well as learning the hard lesson that one tooth can kill. Concluding today’s show we ask Michael our rapid-fire questions. Join us today and find out which books are among his most influential, how he improves his practice, and who has influenced him the most.

Key Points From This Episode:

Introducing today’s guest, Dr. Michael Oladubu.
Michael shares a quick breakdown of his professional history, training, and current setup.
Some of Michael’s recent and most valuable lessons that he’s learned.
How Michael has seen growth in his oral surgery practice.
Michael touches on the intricacies involved in sinus lifts.
How Michael performs his sinus lifts.
Types of bone grafts used by Michael.
Michael tells us his own tooth extraction experiences as a young boy.
How Michael’s experience with a patient's death altered his approach forever.
Hear about Micahel’s experiences becoming an American citizen.
How Michael’s struggles ultimately led to fulfillment.
We conclude the show with our series of rapid-fire questions.

Tweetables:

“Engaging patients in an informative way is something that has helped put patients at ease and helped them understand that they have a professional that is working with them.” — Dr. Michael Oladubu [0:04:11]

“For patients who might otherwise need an external sinus lift, by getting some lift at the time of the extraction, you may find that you don’t need much when you come back to place the implants later.” — Dr. Michael Oladubu [0:11:40]

“What I have found is that you should still have a four-wall defect. You want to make sure you have the integrity of the buckle and-or palatal walls.” — Dr. Michael Oladubu [0:15:59]

“People talk about pain from a toothache. If we have never experienced it, we can empathize somewhat, but to experience is to know. It is to know the amount of suffering that that patient in the chair is experiencing.” — Dr. Michael Oladubu [0:22:07]

Links Mentioned in Today’s Episode:

Dr. William Flick: Tips For Surgeons Wanting To Work In Academics Part-time

Wed, 24 Mar 2021 20:00:00 -0400

Today we sit down with long-time friend and mentor, Dr. William Flick, to talk about the balance between working in private practice and part-time academics. To kick things off, Bill shares a brief summary of his training and current practice setup. After hearing about his stints at the University of Illinois and in the US Airforce, Bill sheds light on how to teach residents in a surgical setting. On this topic, he tells us why it is so important to allow students to learn with their hands, and why it can be difficult to not let them make crucial errors on patients. As our conversation develops, we ask Bill to share a little bit of information on giving back to the profession of oral surgery. He tells us about the importance of jumping at whatever opportunity comes your way, as well as the need to stick to it. Later in the show, we find out from Bill why private practice professionals are so useful to the academic setting. To conclude the show, we give Bill our rapid-fire questions where we find out about the best book he’s read in the past year, which forceps he uses to extract tooth number five, who has influenced his surgery career most, and much more!

Key Points From This Episode:

Introducing today’s guest and our host’s long-time mentor, Dr. Bill Flick.
Bill gives a brief summary of his training and current practice setup.
How to teach residents in a surgical setting.
The importance of letting students learn with their hands.
What Bill says to those who want to give back to the profession, but might not be equipped to do so.
How one can stay in academics despite red tape and poor compensation.
How to achieve a balance between private practice and academics.
Ways Bill has changed his practice over the years.
Finding ways to communicate on a patient’s level.
We conclude the show with our rapid-fire questions!

Tweetables:

“It’s a lot more challenging teaching students in a surgical setting as opposed to a classroom. There is this tendency to want to jump in and demonstrate but the resident only really learns if it’s their hands doing the work.” — Dr. William Flick [0:02:44]

“You have to jump at whatever opportunities are available to you. And then you have to be persistent and you have to stick with it.” — Dr. William Flick [0:04:41]

“For full-time academics, it’s all about accomplishing the procedure the way it should be done. In the real world, it’s doing what the patient wants to have done and how to compromise what you can do to make both ends meet.” — Dr. William Flick [0:09:17]

Links Mentioned in Today’s Episode:

Dr. William Flick

University of Illinois

Dr. John Zuniga DMD, PhD: Diagnosing and Treating Patients With Nerve Injuries (Pearls from an Experienced Neurosurgeon)

Thu, 04 Mar 2021 07:00:00 -0500

Despite decades of progress, diagnosing and treating nerve injuries remains a challenge for many oral and maxillofacial surgeons. Today we take a deep dive into the subject as we speak with experienced nerve microsurgeon, Dr. John Zuniga. After chatting about his professional background, we ask John how he developed his expertise in treating nerve injuries. In answering, he shares a roadmap to success that all upcoming surgeons should follow. While unpacking details about his practice, we touch on the improvements that John has seen in the field, including innovations such as nerve allografts. We then discuss the checklist that John uses when determining if a patient requires surgery. Reflecting on the difficulties surrounding nerve injuries, we talk about treatment and diagnostic limitations. Later, we focus our conversation on how John performs nerve damage surgery, with John providing added details on caring for patients with trigeminal neuralgia. We wrap up our discussion as John shares some final pearls of wisdom related to treating nerve pain, as well as dealing with damage caused by past surgeries. Tune in to benefit from his insights.

Key Points From This Episode:

Hear about Dr. John Zuniga’s practice and extensive experience in medicine.
How John developed his interest in nerve injuries.
John shares advice for upcoming oral and maxillofacial surgeons.
Exploring the diagnostic improvements that John has seen over the years.
Why John is excited about the future of nerve treatment.
The game-changing innovations to nerve allografts and neurotrophic factors.
We unpack John’s checklist when deciding if a patient needs surgery.
The factors that make neuropathic pain surgery so unique and difficult.
What nerve surgery looks like for John.
The type of information that can inform how well John can do his job.
How John treats patients with trigeminal neuralgia.
John shares his words of wisdom for treating nerve pain.
Tips on being a top researcher.
Dealing with medical insurers when treating nerve damage.
How to handle nerve damage that has been caused by past surgeons.

Links Mentioned in Today’s Episode:

Dr. John Zuniga

UT Southwestern Medical Center

Tufts University School of Dental Medicine

University of Rochester

University of North Carolina at Chapel Hill

Dr. Chisohlm Emeka Chukwu: the power of decision making and mental strength to get into an OMS residency and thrive

Thu, 25 Feb 2021 12:00:00 -0500

Developing your mental strength is critical in landing and progressing through your residency. Today we speak with Dr. Chisohlm Emeka Chukwu, a resident at Case Western whose inspiring story reveals the power of resilience and mental fortitude. Early in our conversation, Emeka shares details about his background which include leaving Nigeria at 15 and working in northern Cyprus, Turkey, Latvia, and Poland before he settled in the U.S. After discussing his upbringing in a rural town, Emeka chats about what he most appreciates about American life. We then dive into the role that resilience and discipline have played in helping Emeka excel in dental school. He discusses ways that students can stand out from their peers as well as what he did to prepare himself for residency. Later, we explore the challenges faced by residents, with Emeka providing clear advice on how to overcome them. Linked to this, Emeka highlights the need to humble yourself and put in the extra time and work to correct your weaknesses. We wrap up our conversation by asking Emeka our final rapid-fire questions. Listeners will benefit from hearing about the impactful book that he recently read, as well as how valuable his relationship to God has been for his career. Tune in to hear more about why building your mental strength is so critical to your residency progress.

Key Points From This Episode:

Introducing today’s guest, Dr. Chisohlm Emeka Chukwu.
Emeka discusses the globe-trotting journey that led him to the U.S.
How Emeka got his start in dentistry.
Hear about the biggest things that Emeka did in dental school to land his residency.
The importance of resilience and constantly seeking to improve yourself.
Emeka shares his top advice on interviewing for a residency.
Why Emeka accepted a residency position at Case Western.
How Emeka overcame his residency challenges.
Insights into how Emeka handles racist patients.
The benefits that come from humbling yourself.
Why you should put in the extra to strengthen your weaknesses.
We ask Emeka our final rapid-fire questions.

Links Mentioned in Today’s Episode:

Dr. Emeka Chukwu on Instagram

Arizona School of Dentistry & Oral Health

Case Western Reserve University

Episode with Dr. Thomas Schlieve

San Antonio Regional Hospital

Things Fall Apart on Amazon

The 5 Love Languages on Amazon

Dr. Kevin Haddle (Cosmetic trained OMS): do what you really want to do with your career! We discuss the importance of living a full and balanced life, as well as share tips on developing your own practice and the benefits of going learning cosmetic surger

Thu, 25 Feb 2021 12:00:00 -0500

On paper, becoming a world-class maxillofacial surgeon should be simple. The reality can be far different. Today we speak to Dr. Kevin Haddle who has found the perfect balance between work and play. We open the show by hearing from Kevin about his professional history. We learn that his entry into maxillofacial surgery was less than conventional, yet it was a friend and mentor that ultimately helped him find his vocation in life. As our conversation develops, Kevin delivers parcels of wisdom for surgeons. He touches on eliminating the fear of change, why one should try not to create outcomes, and why it isn’t worth overanalyzing things. Following this, Kevin tells us what he has learned from being his own boss and why it is important to assess what makes you happy. He tells us that he has curated his workweek in such a way that he is fed both professionally and personally. Getting in the particulars of his practice, we ask Kevin to tell us how he established his practice as “the new kid on the block.” He elaborates on the importance of interpersonal skills, sincere gifting, and the power of positivity on social media business pages. Toward the end of the show, Kevin walks us through his experiences as a mentor and teacher and shares advice with young surgeons who might be thinking of entering cosmetics. To conclude the show Kevin answers our series of rapid-fire questions.

Key Points From This Episode:

Introducing today’s guest, Dr. Kevin Haddle.
Kevin breaks down his professional history.
Hear about Kevin’s goal to help people through plastic surgery.
The reasons doctors turned Kevin away from medical school.
How Kevin achieved autonomy as his own boss.
Why we should let our paths unfold before us, without forcing our futures.
Some of the lessons Kevin learned from being his own boss.
How Kevin built up his practice.
Kevin’s involvement with teaching and what he has learned himself as a teacher.
Kevin shares advice for those looking to get into cosmetics.
Some of Kevin’s latest clinical revelations.
Hear Kevin’s thoughts on various therapies like cryo and red light therapy.
Kevin’s advice for young surgeons wanting to get into cosmetics.
Kevin answers some final rapid-fire questions

Links Mentioned in Today’s Episode:

Dr. Kevin Haddle

Dr. Bill Evans

Galderma

Dr. Michael Han: Pearls For Residents From a Residency Director

Thu, 25 Feb 2021 12:00:00 -0500

Dr. Michael Han is Program Director at the University of Illinois. Although he never had his sights set on teaching, he found fulfillment in the act and enjoys helping residents refine their skills to become the leading oral maxillofacial surgeons of the future. We kick off the show by hearing from Michael on his academic and professional history. After learning how he entered the world of academia and ultimately teaching, Michael shares what he enjoys about sharing knowledge with young hopefuls. He touches on how it has made him reflect on himself as a surgeon and the ways in which it has been a synergistic journey. We then ask Michael to tell us more about how he has refined his teaching techniques. He explains the importance of not making assumptions and encouraging your students to ask questions, especially as there are many solutions to one problem. Later, Michael shares a number of clinical pearls with us and expands on attractions and molts, and the reasons why he doesn’t allow his residents to deviate from routine. To conclude the show, Michael talks about which gadgets he enjoys as well as his one rule for using them. For a handful of clinical pearls, be sure to join us today!

Key Points From This Episode:

Introducing today’s guest, Dr. Michael Han.
Michael shares his academic and professional history.
How Michael made his decision to pursue academia.
What Michael enjoys about teaching.
Michael’s experiences letting his residents work on his real-life patients.
How Michael has refined his teaching method.
Michael’s teaching style and how it has changed recently.
Michael talks about implant systems and which ones work for him.
Get your fill on 3D printers and implants.
Hear how Michael’s I&D technique has evolved over the years.
Michael touches on his role as Program Director.

Links Mentioned in Today’s Episode:

Dr. Michael Han

University of Illinois

University of California

University of Seattle

Dr. Thomas Schlieve: Changing the way you think about MRONJ

Mon, 22 Feb 2021 14:00:00 -0500

They don’t call him “Triple D” for nothing. Dr. Thomas Shlieve is an expert in the field of osteonecrosis and has earned his nickname as the Deadbone Doctor of Dallas. Yet the reality is that osteonecrosis is a serious condition that can greatly impact the quality of life of a patient suffering from it. Thomas knows this all too well, which is why he is hugely passionate about helping patients with dead jawbone. In this episode, we explore a number of different types of osteonecrosis, how medication can affect the healing of jawbones and what methods of solution are available to doctors and sufferers. Thomas shares what to look out for and how you should discuss your findings with the patient. He touches on explanations of drugs and their uses as well as when surgery becomes an absolute necessity. Given the many nuances of dead jawbone, Thomas takes time to detail how different patients can experience the condition. Following this, Thomas shares additional information on his approach to assisting patients who are on bisphosphonate medications and talks about how literature and white papers contrast with reality. In the latter stages of the show, Thomas talks about what options are available to patients who simply won’t heal and which surgical approaches he might use as intervention. To conclude, Thomas shares parting thoughts on when surgery is and isn’t required, as well as the cautions one should take with dead jawbone.

Key Points From This Episode:

Introducing today’s guest, Dr. Thomas Shlieve.
Why Thomas’ nickname is “Triple D”.
Hear in simple terms, what MRONJ is.
Thomas lists some of the high-risk drugs that can cause MRONJ.
What sort of things to look out for and what you should be discussing with your patient.
How different patients can be affected by dead jawbones.
What Thomas does differently for patients who are on bisphosphonate medications.
What options you have when your patient is not healing.
Tips for moving toward a surgical approach.
How Thomas makes his incisions on patients.
Thomas shares the intricacies involved in primary closures.
Hear Thomas’ parting thoughts.

Links Mentioned in Today’s Episode:

Dr. Thomas Shlieve

Dr. Thomas Shlieve on LinkedIn

Complications in Neck Dissection on Amazon

Dr. Thomas Schlieve: is there a vaccine to prevent cancer? There is for one type of cancer. What to know about HPV to help your patients out

Thu, 18 Feb 2021 10:00:00 -0500

Today we sit with Dr. Thomas Shlieve to talk about HPV and its impacts on our health. Diving straight into the subject matter, Thomas defines HPV as a sexually transmitted disease. He goes on to explain the various genotypes, which are cancer-causing, and what age groups face the biggest threats. We learn that although HPV is typically contracted during teen years and your twenties, the onset of cancer caused by HPV is often experienced in patients who are in their 40s and 50s. Yet, Thomas is beginning to see patients much younger in age and stresses the importance of HPV vaccination. As our conversation develops, Thomas talks to us about how the prevalence of HPV has changed throughout the decades and shares how surgeons can approach patients who have the virus. In the closing segments of the show, Thomas returns his focus to the HPV vaccine, lists the benefits, and eases patient fears about the jab. However, should you not be vaccinated against HPV, your chances of survival remain incredibly high should you be HPV positive, and successful HPV treatment can mean you’re no longer HPV positive. To get your fill on HPV and its cancer-causing effects, be sure to join us today!

Key Points From This Episode:

Introducing today’s guest, Dr. Thomas Shlieve.
We answer: What is HPV, how is it transmitted, and what is its link to oral cancer?
Thomas talks about the genotypes of the HPV virus.
Hear about the prevalence of HPV and how it has changed.
Ages affected by cancer caused by HPV and who is at highest risk.
What surgeons can do to help their patients avoid HPV.
We look at the relationship between vaccines and HPV.
Why younger children should get the HPV vaccine.
What to look out for when identifying HPV in patients.
Thomas tells us about the survival rate for HPV cancer.
How Thomas and Grant have their patients receive IV drips.

Links Mentioned in Today’s Episode:

Dr. Thomas Shlieve

Dr. Thomas Shlieve on LinkedIn

Dr. Raza Hussain: Can A True Academician Be Racist? We Discuss Dr. Hussain's Recently Published Article On Racism In JOMS

Wed, 17 Feb 2021 20:00:00 -0500

Today we’re taking a break from talking about cutting-edge techniques and tools to focus on another very important topic: racism. Inequality and underrepresentation are unfortunately still present in the workplace, but there is hope for change; real, lasting change. In this episode, we talk with Dr. Raza Hussain about his recently published article on racism, his own experiences with discrimination, and how an appreciation for learning and teaching can remedy this societal and systemic disease. Our discussion opens with Raza telling us about his background. He touches on life as a first-generation Pakistani-American, and how the first Gulf war and how his surname, ‘Hussain,’ impacted his upbringing in America. Delving deeper, Raza shares details on why not all racism is intentional, but rather comes from a place of ignorance. The way to cure this, says Raza, is to be a teacher. He expands on this and suggests how you can educate, and even inspire others by telling them about your own unique heritage and customs. As our conversation develops we find out from Raza about how women are also subjected to discrimination in the workplace. He talks about how women are oftentimes better performers in the oral maxillofacial surgery industry, and that their underrepresentation is a great shame but something we can change. Toward the end of the episode, we recap the most pertinent details from our discussion, like the relationship between teaching and learning, and why common ground is so beneficial. Be sure to join in on this episode and educate yourself on how you can help raise minority representation.

Key Points From This Episode:

Introducing today’s guest, Dr. Raza Hussain.
Raza talks about one of his latest journal articles.
Raza’s experiences as a first-generation Pakistani-American in his family.
Why Raza’s experiences aren’t indicative of the experiences felt by other minority group members.
Hear about Raz’s residency and how impacted him.
We get into the true definition of being an academician.
What a high-reliability organization looks like.
How women need to have better representation in the oral maxillofacial surgery industry.
Studies that show women are in demand, as per client preference.
Some of the prejudice women face in residencies.
Most people don’t have pure hatred and animosity in their hearts toward other people.

Links Mentioned in Today’s Episode:

Dr. Raza Hussain on LinkedIn

American Association of Oral Maxillofacial Surgery

Dr. Trina Sengupta: If at first you don't succeed, try, try again (the importance of being persistent in the face of trials, both to become an oral surgeon and to succeed as an oral surgeon)

Mon, 15 Feb 2021 07:00:00 -0500

As today’s guest can attest, it’s never been more challenging to become an oral surgeon. And if you do have what it takes, then toxic learning cultures might discourage you from pursuing your career. In this episode, we speak to Dr. Trina Sengupta about the importance of persistence in becoming an oral surgeon. Early in our conversation, we ask Trina about her experience teaching residents who might not be committed to oral surgery. After comparing private practice with working in large institutions, Trina shares how she maintains her composure under stressful environments. Reflecting on her career, Trina highlights the incredible role that her mentors have played in helping her excel. Trina then discusses how valuable positivity is to overcoming career roadblocks. Linked to this, Trina unpacks her top tips on becoming an oral surgeon. Later, she talks about how unproductive it is to use fear to motivate residents. As she explains, fostering strong and open teamwork is key in providing the best possible care. For more insights on persisting in the face of adversity, be sure to tune in today!

Key Points From This Episode:

Trina shares her experiences of teaching residents.
Overcoming the challenge of teaching disinterested residents.
Comparing public and private medical practices.
How Trina maintains her composure under trying circumstances.
Trina talks about how she landed her first role in New York.
Reflecting on the role that Trina’s mentors played in furthering her career.
Exploring how Trina navigates hospital spaces as a woman.
Hear the top lesson that Trina imparts to residents.
Tips on applying to oral surgery postings.
Why it’s more difficult than ever to become an oral surgeon.
How Trina strives to create a supportive work environment.
The benefits of building a strong team dynamic.

Links Mentioned in Today’s Episode:

Dr. Trina Sengupta on LinkedIn

University of Pennsylvania

University of Illinois Chicago

Case Western Reserve University

Dr. William Hull on LinkedIn

Dr. Grant Stucki Phone Number — +1 720-775-5843

Drs. Hull, Salomon and Stucki: when to offer a refund, how to deal with bad reviews, and how to get more good reviews

Thu, 11 Feb 2021 15:00:00 -0500

If you have a medical practice for more than a week, you will undoubtedly receive some bad patient reviews. This is a part of life as a health professional, but that doesn't mean that there are not ways to minimize the number of these or deal with them in a more suitable way. Today, we host a discussion between Dr. Stucki, Dr. Hull, and Dr. Salomon on this exact topic, looking at patient experiences, expectations, disagreements, and more! Some of the main takeaways include a proactive approach to communicating with a disgruntled patient, the importance of staff education and training, useful reward systems, and the power of empathy for a patient's difficulties. Though these situations may not always be within our control as oral surgeons, we always have control over our own responses, so finding the best ways for you, your staff, and your patients, will serve everyone's interests in the long run. We spend some time contemplating online reviews and the bias towards negative reviews that seems part of the natural human psyche. The conversation also covers the tools that can be utilized for the review process and setting these up in the most effective way. So for all that from our panel of experts, be sure to listen in today!

Key Points From This Episode:

The frequency of issues related to staff and elements of the patient experience.
Groundwork for patient expectations around payment and waiting times.
Dealing with problems arising from other practitioners and disagreements about treatment.
The importance of great communication in trying to find resolutions to issues.
Questions about refunding and making up for different types of bad experiences.
Handling these tough discussions and when to admit a fault or not.
Why the extra effort usually pays off; with good reviews from patients.
Demonstrating care to patients explicitly; diffusing situations and easing tension.
How to deal with bad reviews; prevention and helpful tools and technologies.
Motivating staff through rewards for good reviews!
Evaluating the different review platforms and picking the ones to utilize internally.
The relationship between in-person follow-ups and reviews.
Creating a great customer experience through a united approach from the whole practice.
Positive reinforcement and bonuses for staff members as a means to boost employee morale.

Links Mentioned in Today’s Episode:

Dr. Grant Stucki Phone Number — +1 720-775-5843

Drs. Weiskopf and Stucki: What Health Risks Does the Daily Practice of Oral Surgery Pose to Your Health and How Can You Combat Them?

Mon, 08 Feb 2021 13:00:00 -0500

As medical professionals, our focus is most often on the health of others, but this does not mean that we should neglect ourselves and forget about the risks that come with being an oral surgeon. Today Dr. Stucki and Dr. Weiskopf sit down to talk about some of the important factors in staying healthy while working, looking at both physical and mental wellbeing. We first cover the array of risks that are associated with the profession and some simple strategies for dealing with things like backache and muscle issues, before moving onto the topics of diet, rest, and meditation. No matter how busy you are it is vital that you set aside at least a small portion of time each day to unwind and refresh your body and mind, and what this can be is completely up to you. It is no secret that diet plays a huge role in health, and we discuss easy ways to eat for a better life! From there, the discussion turns to protective gear, COVID protocols, and how to make repetitive days interesting and engaging. This is such an important conversation for all professionals, as starting with one's own health is a great way to approach helping others!

Key Points From This Episode:

The common and obvious health risks that face oral surgeons.
Scott's approach to safeguarding against joint and back problems; exercise, stretching, and diet.
Injuries and hazards outside of the office and thoughts on how to reduce these.
Healthier foods and better decisions about what you put in your body.
Combatting mental stress through periods of relaxation, decompression, and meditation.
Stress from staff members; better communication, feedback, and improving on problems.
Dealing with difficult customers and weathering the storm of uncomfortable situations.
Scott's experience of having to dismiss a patient from the practice!
The importance of trust and transparency between doctor and patient.
Protective gear and making sure all the precautions are in place, especially in the time of COVID-19.
Scott's particular PPE setup: shield, goggles, gown.
Mental health at the office and finding new ways to enjoy work and stay engaged.
Some great advice for clinicians from Atul Gawande!

Links Mentioned in Today’s Episode:

Dr. Grant Stucki Email

Dr. Grant Stucki Phone Number — 720-775-5843

Drs. Stucki and Weiskopf: How To Avoid Identity Theft and Other Types of Theft (We Discuss A Crazy Story That You’ve Got To Hear!)

Mon, 08 Feb 2021 13:00:00 -0500

Some of us may have the sense that our accounts are secure but the truth is that criminals can do some serious damage if they find a way in. Today on the show Dr. Stucki sits down with Dr. Weiskopf to tell a story about a recent experience he had where he fell victim to a drastic case of identity theft. Dr. Stucki’s nightmare incident began with him getting his unattended bag stolen out of the parking lot of his practice, and the next thing he knew he was having huge sums of money stolen from him left, right, and center. He describes a series of incredibly frustrating experiences with cops and banks during incidents where the criminal could have been caught but got away. The story highlights the way the law system in his state makes it difficult to take action on guilty parties, the way COVID is affecting crime, and of course, the necessity of taking every measure we can to protect ourselves from this kind of experience. After hearing Dr. Stucki’s story, we explore some of the actions that can be taken to ramp up our personal security — ways to be more careful with passwords, monitor our credit accounts, and more. Toward the end of the show Drs. Stucki and Weiskopf share a few more stories about theft — of money via different scam types and even drugs out of doctors' rooms! Tune in to hear about some very real threats and how to reduce your chances of falling prey to them.

Key Points From This Episode:

A crazy story where Dr. Stucki fell victim to an identity theft crime.
Enormous amounts of money withdrawn by the thief from Dr. Stucki’s account.
An incident where Dr. Stucki almost caught the criminal himself at the bank.
A car chase incident where Dr. Stucki’s friend followed the thief.
Multiple cars the thief bought on Dr. Stucki’s card.
A series of frustrating incidents where the criminal was almost caught but got away.
How the thief was finally caught on charges unrelated to Dr. Stucki’s case.
A recommendation for listeners to have a credit monitoring membership.
How to freeze your credit and use apps that protect your privacy in different ways.
Limiting the number of valuable items you store in one place.
What ended up happening to Dr. Stucki’s money that was stolen.
All the admin tasks Dr. Stucki has had to do to recover from this incident.
How easy it is to commit crimes of this sort due to COVID in democratic states.
A story from Dr. Weiskopf in which his wife was a victim of identity theft.
Another story about wire fraud and the prevalence of this type of crime.
The theft of drugs out of the cars of surgeons and how to avoid this.

Links Mentioned in Today’s Episode:

Dr. William Hull: Expose and Bond Techniques and Other Ortho Treatments

Fri, 22 Jan 2021 10:00:00 -0500

Today we sit with repeat guest and old friend, Dr. William Hull. A maxillofacial surgeon based in Indiana, William has many years’ worth of treatment experience to his name. In this episode, we talk about several of these treatments and pay special attention to expose and bond techniques, along with several other ortho treatments. First, we gather William’s thoughts on bite blocks versus molts. William goes on to explain the benefits of molts and tells us why bite blocks aren’t necessarily obsolete. Before going into E and B techniques, William then tells us about the “sweetheart” device and why it can threaten the integrity of the patient’s lingual bone. As our conversation develops, William then gives us his take on orthodontist referrals and what he looks for in a good referral. Toward the end of the show, we take time to consider various E and B techniques and make reference to other treatments like wisdom teeth, third molar removal, premolar removal, primary teeth removal, uprighting, and removal of horizontal canine. To get your fill on these treatments, be sure to join us today!

Key Points From This Episode:

Introducing today’s guest, Dr. William Hull.
William tells us about bite blocks and why he now prefers molts.
Hear what makes molts so versatile.
Issues with cranking molts and how they can harm your patient.
How William works his molts with his assistants.
Why William’s thoughts on the “sweetheart” tool have changed.
We talk about the orthodontist referral process.
William shares one of his orthodontist’s referrals.
Hear about various treatments orthodontists request.
Hear about the intricacies behind E and Bs.
Some of the challenges and benefits of taking out second molars.

Links Mentioned in Today’s Episode:

Dr. Grant Stucki and Dr. David Salomon: The Pitfalls of Referrals and How to Train Your Referring Docs to Send Good Referrals

Fri, 22 Jan 2021 10:00:00 -0500

As we are recommended by general dentists, endodontists, periodontists, and orthodontists, getting referrals is a key part of our job as maxillofacial surgeons. Today we talk about different kinds of referrals, how to approach them, and why they’re so important. We open the show by hearing from our co-host, Dr. David Salomon, about his thoughts on various types of referrals, as he explains the difference between top, middle, and lower-end referrals. He touches on the relationship you have with each and why building rapport is a good step in maintaining these relationships. As our conversation develops, listeners will also hear about some of the challenges associated with patients that you gain from problematic referrals. David mentions some of the most common problems, like misinformation, vague information, or simply no information at all. To antidote this, David shares information on how doctors can write up better referrals. We look at aspects like clarity, identifying true emergency scenarios, and why you shouldn’t go through with a surgery that has been requested but might not be necessary. Throughout our conversation, David shares valuable anecdotes from his personal experience, peppering in some banter along the way. To find out what the bottom line is on proper referrals and much, much more, be sure to join us today.

Key Points From This Episode:

Today we discuss referrals with co-host Dr. David Solomon.
What David’s initial thoughts are on referrals and what to look out for.
How to approach referrals and what the referred patient tells you.
When referral notes don’t accurately describe the problem or its extent.
David shares anecdotes about misinformation in referral notes.
Why you shouldn’t give in to time pressure if referrals aren’t clear.
How David approaches referrals from orthodontists.
When you don’t need a referral to make a decision.
Hear about GP referrals and their common characteristics.
We discuss medical plans and what happens when you aren’t fully covered.

Links Mentioned in Today’s Episode:

Dr. David Salomon on LinkedIn

Dr. Jacob Stucki: Power Tips For Getting Into the Oral Surgery Residency of Your Choice and Excelling in Residency

Wed, 06 Jan 2021 17:00:00 -0500

The best way to cut your teeth in oral surgery is through residency, but just getting there can be a massive challenge for young students. Today we speak with my kid brother Dr. Jacob Stucki about his path to residency and the means he used to get there. We open the show by exploring Jakes’s history in medical school and how he went about choosing a residency and ultimately being accepted for it. After hearing about his academic journey with UCLA and his residency at Case Western Reserve University, Jake shares his most valuable tips, starting at a grassroots level. To get into oral surgery, young surgeons need to successfully complete the CBSC test — an examination based on the MBME. Jake provides context for the test, telling us how it prepares students for their oral surgery residency. Looking back at his own experiences, Jake tells us about what it took to pass this rigorous test. Following Jake’s best study tips, he goes on to share details about the test itself, explaining its characteristics and how it is a balance of rote learning and cognition. Later on in the show, Jake talks to us about some of the other ways you can ensure you get into your residency of choice, like extracurriculars outside of medicine, as well as externships. We then dive into residency interviews, the types of questions asked, and how you ought to approach them. To finish off the episode, Jake tells us about his experiences in residency, the lessons he discovered, and why they’re ideal spaces for learning. Be sure to tune in today!

Key Points From This Episode:

Introducing today’s guest, my younger brother, Dr. Jacob Stucki.
Jake shares a synopsis of his experience in academia and as a resident surgeon.
Hear about the tips that’ll help aspiring doctors to get into oral surgery.
Why the CBSE test has become so important.
Jake tells us more about the CBSE test and its origins.
Find out how Jake studied for the CBSE test.
Other ways you can ensure you get into the residency of your choice.
Why it’s important to get involved in your community.
The role of externships for oral surgery students.
Some of the most common questions asked in interviews.
Learn about externship etiquette.
Jakes shares tips for exit interviews after externships.
When you need to ask for help and when you should back yourself as an oral surgeon.

Links Mentioned in Today’s Episode:

Jake Stucki on LinkedIn

Dr. Dustin Haupt: The Value of a Project Manager When Starting a Practice from Scratch

Mon, 21 Dec 2020 08:00:00 -0500

Today we are joined by Dr. Dustin Haupt from Arvada, Colorado to talk about the practice that he recently set up from scratch! We talk about this challenging process, Dr. Haupt's motivation behind the decision, and the hiccups and stresses that he and his team encountered along the way. Our guest takes us through the period after he left the Navy, and started from square one with construction and contractors, underlining the value of hiring a construction manager to see the project through. We talk about how duties at the practice are divided at the moment and Dustin also comments on what it is like to run a practice with his wife. We get into how to manage this personal and professional relationship, with our guest expressing his gratitude for their personality types and his wife's strengths! The conversation also covers marketing and networking and the ways in which you can work yourself into the referral book of other locals. Dr. Haupt was initially unaware of the time it would take for others to begin making referrals to him, but has quickly learned that it takes a bit more than just a single meeting and introduction. He explains how repeated visits and generosity can help to build familiarity and trust at other practices, something that is vital when building a client base. For all this and more, join us for this great chat!

Key Points From This Episode:

Dr. Haupt's education, training, and current practice.
The experience of starting a practice from scratch and the period after Dr. Haupt left the navy.
Purchasing land, construction, and the hurdles in this process.
Ownership of the practice; how things are set up currently between Dr. Haupt, his wife, and an associate.
Advice for those considering a similar project — doing your research and making good hires.
The challenges of working with contractors and dealing with extended schedules.
Necessary research about an area before opening a practice.
The schedule at the practice currently and how Dr. Haupt utilizes his time.
Marketing and stimulating referrals; the several touchpoints that it takes to build relationships.
Dr. Haupt's professional partnership with his wife and making the different parts of this work.
Extra tips and reflections for new practices from Dr. Haupt.
New equipment and software in the office — set up and pricing.
Thoughts on ketamine usage and the pros and cons for different patients.

Links Mentioned in Today’s Episode:

Dr. Grant Stucki on LinkedIn

Dr. Dustin Haupt on LinkedIn

Creighton University School of Dentistry

Dr. Aldrich Sy: How to Thrive in a Super Densely Populated Urban Area

Tue, 15 Dec 2020 07:00:00 -0500

San Francisco is a densely populated area, thus a highly competitive market, but there are still ways to establish yourself as an oral surgeon if you decide to set up shop there. Today we talk to Dr. Aldrich Sy, a past classmate of Dr. Stucki’s, about his experiences practicing in the San Francisco area and how he has managed to get his name out there and succeed in this tough landscape. For Dr. Sy, San Francisco is a great place to live, and he was prepared to do whatever it took to make headway in the first few years after graduating from residency. After chatting a bit about Dr. Sy’s education and reminiscing about college, we jump right in and hear about the steps he took to start practicing professionally. He talks about receiving an offer from an assistant professor from UCSF to come and join him at his existing practice. We speak about how well this relationship has been going and the importance of trust in maintaining it. From there, Dr. Sy describes all the things he did to start receiving his first few patients, from literally knocking on the doors of other dentists in the area, to giving lectures at medical and dental schools and more – anything to get a foot in the door. The main message we get from Dr. Sy is that as a young oral surgeon hoping to make it in the Bay Area, you need to be willing to leave your ego at the door, be a good person, and give freely of yourself without expecting anything in return. As we discuss today, oral surgeons depend on general dentists for referrals even though they are more qualified, so the better your reputation in these circles, the more you’ll thrive. For some great insights from Dr. Sy about the value of doing good for others when trying to make it in a competitive landscape, tune in today.

Key Points From This Episode:

An introduction to Dr. Sy: His career ambitions, education, and current practice.
How Dr. Sy’s current practice partnership is going and the place of trust in this relationship.
What Dr. Sy does in such a densely populated area to keep his practice thriving.
Finding a niche, building relationships, giving lectures: How Dr. Sy got his name out there.
Oral surgeons depend on general dentists for referrals even though they are more qualified.
The need for oral surgeons to swallow their pride while building their early careers.
Being a good person and a go-giver to survive in competitive San Francisco.
Remembering that you can’t please everybody and not feeling bad for saying no to some referrals.
Trying not to squeeze money out of patients and only doing what is necessary to help them.
Being generous with one’s phone number and communicating frequently with patients and dentists.
How to handle big quantities of follow-ups with patients after surgeries.
Being flexible with your plan for how to make it as an oral surgeon.
The idea that many surgeons don’t end up having the right personality for San Francisco.
Tradeoffs about living in San Francisco: Expenses, lifestyle, tax, and more.
Qualified oral surgeons are adaptable due to many being weeded out during residency.

Links Mentioned in Today’s Episode:

Dr. Ryan Sheppard: Platelet therapy and internal sinus lifting techniques

Wed, 09 Dec 2020 08:00:00 -0500

The time maxillofacial and oral surgeons spend in residency is invaluable, but sometimes what you learn in practice can be just as beneficial. This sentiment is echoed by Dr. Ryan Sheppard, today’s guest, who is on the show to talk about platelet therapy and internal sinus lifting techniques. We open the episode by taking a look at Ryan’s history in surgery, the influences of having a surgeon for a father, as well as how being trained in Texas and Chicago gave Ryan unique perspectives on surgery. Turning toward the present day, Ryan tells us about the changes he’s made to his surgery, touching on the use of ketamine during procedures and why he prefers his patients to be light on drugs rather than being on a heavy dose. On the topic of dosage, Ryan shares how a patient’s own drug habits can affect how he approaches their anesthesia. As our conversation progresses, we cover the highlight of the show as Ryan dives into his PRF technique, how it aids healing, and why dry sockets are less likely to occur from his method. He goes on to explain other techniques, including his Sticky Bone technique, which uses platelets and bone grafting. After hearing why Sticky Bone keeps the bone as a unit and why it’s easier to pack, we delight in some humor and hear a couple of Ryan’s Texas-isms. To find out what socks on a hen feel like, and a whole lot more, be sure to join us today!

Key Points From This Episode:

Introducing today’s guest, maxillofacial surgeon Dr. Ryan Sheppard.
Ryan shares a brief history of his professional life.
Contrasting the training that Ryan received in Texas versus Chicago.
Why Ryan enjoys working in a four-man team.
How Ryan’s life drastically changed when a hurricane hit the city he was living in.
How Ryan has adapted his training into a per-scenario style of surgery.
Changes Ryan has made to evolve his practice.
Hear how Ryan’s implant techniques have improved over the years.
How Ryan uses something called the “PRF clot”.
Ryan tells us in detail how he performs the PRF technique.
The patient benefits from using PRF.
Ryan explains the Sticky Bone technique.
The most important aspects of Ryan’s practice outside the realm of surgery.
How you can learn from yourself, and perfecting your own techniques.
The peculiar southern phrases Ryan says to his patients.
How people who are regular users of marijuana need higher doses of ketamine.
Ryan discusses various drilling techniques.

Links Mentioned in Today’s Episode:

School of Dentistry UAB

Dr. Curt Hayes: removing narcotics completely from practice, using EXPAREL, and experiences with building a practice from scratch

Wed, 09 Dec 2020 08:00:00 -0500

Building a practice is not something that’s taught in dentistry school. Instead, you need to dramatically expand your business skills to make a success of your new practice. Today we speak with Dr. Curt Hayes about how he built his practice from scratch and why he removed narcotics from his pain management strategy. We open our conversation by exploring Curt’s training and career, which includes caring for troops who were injured in Afghanistan. We then dive into what he did to build his practice, the challenges he needed to overcome, and his top learnings from opening a business. We then focus on what Curt did to grow his practice. He shares the value that business books have brought him and the importance of hiring the right people for the right jobs. We touch on how you can get referrals from engaging with your dentists in your area and how speaking with other carers can help you with your cases. A key theme in this episode, Curt highlights how uses alternative pain-relieving strategies while avoiding narcotics. After talking about the link between oral surgeries and opioid exposure, Curt gives listeners specifics about how he uses EXPAREL in his procedures. Near the end of the episode, we discuss how his approach to narcotics has impacted his sedation techniques and why you should separate yourself from your patient’s issues. Tune in for more insights into building a practice, the benefits of using EXPAREL, and removing narcotics from your procedures.

Key Points From This Episode:

Introducing today’s guest, maxillofacial surgeon Dr. Curt Hayes.
Exploring Curt’s training and many career highlights.
Hear what Curt learned from treating injured soldiers coming out of Afghanistan.
Details about Curt’s practice and what he spends the bulk of his time on.
Overcoming the challenges of opening a private practice.
The prairie dog problem; dealing with unexpected costs.
Curts talks about how long it took to develop a steady stream of clients.
How business books have helped guide Curt’s practice.
Insights into how Curt built his customer base.
The value of engaging with your local dentistry community.
How Curt’s has changed his practice by using alternative pain management strategies.
Why limiting your patient’s exposure to opioids is better for your community.
Specifics on how Curtiuses EXPAREL.
What led to Curt’s passion again using opioids in his practice.
How Curt’s anti-narcotics approach has impacted his sedation techniques.
What you feel matters: creating a practice that you’re proud of.
Curt shares some final advice on continual learning and not being affected by your patient’s problems.

Links Mentioned in Today’s Episode:

Dr. Curt Hayes

Coal Creek Oral Surgery and Dental Implant Center

Wilford Hall Medical Center

Simon Sinek

What’s Your Why? On Amazon

Dr. Grant Stucki and Dr. David Salomon: How to Keep Assistants Mentally Engaged During Surgery, Nuances of the Bite Block, and the Importance of Patient Positioning for Surgery

Thu, 03 Dec 2020 19:00:00 -0500

The career of an oral surgeon is intimately linked to the responsibilities of their assistants, but the topic of how to train assistants is not frequently spoken about. Today on the show Dr. Stucki sits down with his co-host Dr. David Salomon and they have a productive discussion about approaches to training assistants, as well as bite block usage and patient positioning during surgery. The show begins on the topic of assistant training, and we hear about the different ways our hosts have tackled this important side of the practice. Dr. Stucki likes to give his assistants as much responsibility as possible, while Dr. Salomon is more hands-on in his own capacity, and listeners get to hear about the pros and cons of each approach as well as some contextual factors that have influenced these differences. From there, our hosts tackle the issue of bite block usage, highlighting the value of moving the block during surgery for better access, as well as the fear-inducing idea of removing it completely and the possibilities this technique offers. This leads to a discussion on how to use other tools like sweethearts and electric drills to free up the hands of assistants where possible. Toward the end of the show, Dr. Stucki and Dr. Salomon exchange their thoughts on patient positioning, weighing in on how it affects the surgeon’s posture, the role of assistants, the process of surgery, and more. Be sure to catch today’s episode.

Key Points From This Episode:

Differences in approach to delegating to assistants between Dr. Stucki and Dr. Salomon.
Tradeoffs between how much work it is to train an assistant and the extra work the surgeon does otherwise.
The plus side of having assistants who have extra responsibility for keeping them engaged.
Routines and approaches our hosts use to train their assistants.
How Dr. Stucki and Dr. Salomon’s contexts influence their approaches to training assistants.
Complexities around assistants making mistakes; common mistakes that bother our hosts.
How Dr. Stucki trains his assistants to do IV sedation and Dr. Salomon’s views on this.
Nuances of bite block usage: Benefits, context-specific requirements, and more.
How Dr. Stucki and Dr. Salomon use sweetheart retractors and guide their assistants to do so.
The goal of saving assistants’ hands by using sweethearts, electric drills, and more.
Dr. Stucki’s usage of the bite block for maxillary impacted third molar cases.
Fear around taking bite blocks out during surgery but how much is possible if done correctly.
A discussion of the topic of patient positioning and how it relates to assistant use and surgery.
Preferences around having a chinner assistant who can get in the way of the surgeon.
The value of putting patients in a sniffing position for keeping the airways open.
Dental chairs versus surgery chairs: Which work better for oral surgery and patient positioning.
Getting patients in the right position before sedation to save yourself the strain.
Final thoughts on the value of training assistants well and topics for future shows.

Links Mentioned in Today’s Episode:

Dr. David Salomon

Dr. Grant Stucki Contact — 720-775-5843

Dr. Joseph Funderburk: Experiences on Buying an Existing Practice and Bringing an Associate on, as well as, Techniques for Implant Placement in the Posterior Maxilla Using Versah Drills

Thu, 03 Dec 2020 19:00:00 -0500

Today’s guest is Dr. Joseph Funderburk, Oral and Maxillofacial Surgery Specialist at Grand Junction Oral Surgery, Colorado. He joins us on the show to talk about running a practice and share some of his techniques for surgery procedures too. Dr. Funderburk received his Doctor of Dental Surgery degree from the University of Colorado Health Sciences Center (UCHSC) in Denver, and he kicks the show off talking about his education and plans to set up a practice in his hometown thereafter. Grand Junction is a small town and Dr. Funderburk talks about the challenges of inserting himself into the small community of oral surgeons there. He shares the story of how he eventually struck a deal with an older surgeon to buy his practice, thereafter partnering with him for many years, and why he is having to take on a new associate now. We speak to Dr. Funderburk about the challenges of running a practice, hearing him weigh in on some of the techniques he is using to market his business. From there, we take a deep dive with Dr. Funderburk into the world of instruments, anesthesia, and techniques around implants and bone grafting. Dr. Funderburk talks about his use of a precordial stethoscope, nasal hood, Versah drills for implant placement, and his protocol around drug administration for putting his patients to sleep. For all this and more, be sure to tune in today.

Key Points From This Episode:

An overview of Dr. Funderburk’s education and experiences joining a practice after.
The story of how Dr. Funderburk bought a practice from an older surgeon in Grand Junction.
Reasons why typical partnerships don’t work and how Dr. Funderburk navigated this.
How the first phases of the partnership worked out regarding logistics and staff.
Why Dr. Funderburk ended up taking on a new associate who will become a partner at his practice.
Some of the biggest challenges Dr. Funderburk faces as a practice owner.
Systems Dr. Funderburk has put in place to market his practice; integrating his staff with that of other practices.
The mission statement at Dr. Funderburk’s practice; ways his services go beyond what is required.
Recent changes to Dr. Funderburk’s techniques and the benefits of these shifts.
The protocol at Dr. Funderburk’s practice regarding administration of anesthesia drugs.
Devices and setups Dr. Funderburk uses to administer anesthesia drugs.
Why Dr. Funderburk had to work harder recently; how things are going with his new associate.
Dr. Funderburk’s techniques for taking out upper maxilla molars; why he doesn’t use forceps.
Approaches to grafting and implants at Dr. Funderburk’s practice.
Techniques for implant placement in the posterior maxilla using Versah drills.
Advice from Dr. Funderburk for future guests on this podcast.

Links Mentioned in Today’s Episode:

Dr. Joseph Funderburk

Colorado State University

Versah

Grand Junction Oral Surgery

Dr. Grant Stucki Contact — 720-775-5843

Dr. Louis Halkias: Training Assistants, New Technologies, and Exercising Caution During Anesthetization

Thu, 03 Dec 2020 19:00:00 -0500

Many complications can arise during anesthetization due to factors like patient history. Surgeons need to proceed with caution during this process, taking extra care to learn about a patient’s context, even if it is not solely their responsibility to gather this information. Today’s guest is Dr. Louis Halkias, here to talk about how he takes extra care with anesthetization, as well as weigh in on new technologies that are changing the practice of oral surgery, his method of training assistants and residents, and more. Dr. Halkias is a Clinical Associate Professor at the University of Illinois in the Department of Oral and Maxillofacial Surgery, and he has also been practicing privately at Oral Surgery Associates since 1998. We begin our conversation by hearing about Dr. Halkias’s education and career and then move on to talk about some of the changes he has seen from a technical and insurance perspective in recent years. We then discuss some of the procedures Dr. Halkias performs most frequently and he shares about what a game-changing technology Versah Densah Burs have been for him. We get into his approach to grafting and implants and he touches on some of his favorite brands and the need to use the same ones frequently. On the topic of anesthetization, Dr. Halkias takes a deep dive into his process, and we have a productive exchange about dosage, complications, patient history, and new technologies. We also have a great chat about working with assistants, zooming in on how Dr. Stucki and Dr. Halkias like to train theirs to work with instruments and stay focused during surgery. For all this and other points about running a shared practice, handling referrals, and good communication, tune in today.

Key Points From This Episode:

A brief overview of Dr. Halkias’s education and career, and his role at UIC.
The biggest changes Dr. Halkias has seen in the specialty, and what procedures he does most.
How much the Versah Densah Burs have changed Dr. Halkias’s practice, and how to use them.
What Dr. Halkias’ grafting techniques look like these days and what materials he is using.
Whether Dr. Halkias ever sees an inflammatory response to grafting materials.
How high resident debt is these days and Dr. Halkias’s approach to training students.
The approach of working in a group practice and splitting profits at Dr. Halkias’ practice.
Advice from Dr. Halkias for oral surgeons who experience back pain.
The benefits of giving back and Dr. Halkias’ advice for surgeons who want to do so.
Tips from Dr. Halkias for surgeons who want to communicate better with patients.
Dr. Halkias’s approach to training his assistants and the values he instills in them.
Approaches to assistants handling instruments between Dr. Stucki and Dr. Halkias.
Complexities around anesthetization: Tools, patients on medication, referrals, etc.
How the practice of implants is changing thanks to guides and scanners.
What brands Dr. Halkias is comfortable using and why he is reluctant to change brands.
Dealing with abutments and implants that have been fitted incorrectly.

Links Mentioned in Today’s Episode:

Dr. Louis Halkias

Ohio State University

Northwestern Dental School

University of Illinois

Oral Surgery Associates

Versah

Dr. Grant Stucki Contact — 720-775-5843

Dr. Alan Felsenfeld: The Joys of Teaching, Giving Back to the Profession, and Using the Right Instruments for the Right Procedures

Thu, 03 Dec 2020 19:00:00 -0500

Today’s guest is Dr. Alan Felsenfeld, here to talk about how he has found meaning in his dynamic career through mentorship, community work, best practices, and building good relationships with patients and fellow residents. Dr. Felsenfeld is currently retired but still very active in the community, and he is still affiliated with the UCLA Medical Center where he was a full-time faculty member since 1995. Prior to that, he was in hospital administration, after which he trained to be an oral surgeon at County Hospital in Chicago and then went into private practice in the East San Gabriel Valley. Dr. Felsenfeld has made many pivots in his career and we talk about the motivating forces behind these changes, hearing him weigh in on the value of staying fulfilled. For him, teaching, leadership, and giving back to the profession were major driving forces, and he talks about how his choices lead him closer to these activities, thereby keeping him motivated and inspired. We also get into some of the technical sides of surgery, talking about the correct use of instruments and some of the difficult cases Dr. Felsenfeld undertakes in his capacity as an affiliate at a university medical center. We also have a great discussion about Dr. Felsenfeld’s abilities to communicate so well, and he speaks about how far humor, jargon avoidance, and not taking himself too seriously can go in daily relations. Tune in today!

Key Points From This Episode:

A brief history of Dr. Felsenfeld’s training and current affiliation with UCLA.
Advice for young surgeons who want to give back despite post-medical school debt.
Dr. Felsenfeld’s path into academia and how he stays motivated on a daily basis.
How Dr. Felsenfeld bypasses the political aspects of working in academia.
Having several career pivots and why Dr. Felsenfeld gave a lecture on reinventing yourself.
A closer look at why and how Dr. Felsenfeld transitioned from hospital administration into oral surgery.
Dr. Felsenfeld’s memories of training in Chicago, his co-residents, and the fun times they had.
Mandibular tori, implants, extractions: Surgeries Dr. Felsenfeld performed recently.
Common mistakes Dr. Felsenfeld sees younger surgeons make; correct tool usage.
Difficult cases Dr. Felsenfeld deals with and how these cases are often referred to universities.
Communication tips: Having good humor, avoiding jargon, not taking yourself too seriously.
Things Dr. Felsenfeld does to take his mind off his job; why he loves flying small planes.
How difficult but important it is to stop performing surgeries once you get too old.
Dr. Felsenfeld’s experiences with his grandkids and what they are interested in.
Final words from Dr. Felsenfeld about how to find meaning in an oral surgery career.

Links Mentioned in Today’s Episode:

Dr. Alan Felsenfeld

UCLA

County Hospital Chicago

The Dental Board of California

AAOMS

Dr. William Flick

Dr. Charles Bertolami

Dr. Grant Stucki Contact — 720-775-5843

Dr. Ole Jensen: Implant History and Techniques, Dealing with the Complicated and Emotional Patient, and Being True to Yourself, Your Profession, and Your Patients

Wed, 25 Nov 2020 21:00:00 -0500

In the discipline of oral surgery, cases can get complicated for highly technical reasons, but perhaps it is the emotionally complex cases that present the biggest challenges. Today, we speak to Dr. Ole Jensen about his experiences with challenging cases, also diving into the contributions he has made to the field of implants. Dr. Jensen received his DDS degree from Northwestern University School of Dentistry, completed his Anesthesiology Residency at Northwestern University School of Medicine, and his Oral and Maxillofacial Surgery Residency at the University of Michigan. His research interests are bone grafting, dental implants, and distraction osteogenesis, and he has authored three textbooks on oral surgery as well as more than 25 articles. Dr. Jensen begins our conversation talking about his dynamic education, sharing how he got interested in anesthesiology, oral and maxillofacial cancer, tracheostomy, intubations, and how he trained in the Brånemark System after his studies at ‘the school of hard knocks’. We move onto the subject of implants, and Dr. Jenssen talks about the groundbreaking contributions he has helped make to shape new technologies that enhance antimicrobial action to prevent peri-implantitis in different ways. Toward the end of our conversation, we talk about why Dr. Jensen is familiar with difficult cases and the reason that some of the most challenging ones are due to emotional reasons. Wrapping up, Dr. Jensen shares some lines from the Rambam physician prayer for oral surgeons who hope to give back to the community in ways as significant as his. Tune in today.

Key Points From This Episode:

An overview of Dr. Jensen’s education and training in the Brånemark implant system after school.
Dr. Jensen’s pursuit of anesthesiology and the medical and surgery side of dentistry at college.
The experience in intubations and tracheostomies Dr. Jensen had in his training.
A case where a patient expired during an anterior mandibular dental implant replacement.
The story behind ClearChoice and the role Dr. Jensen played in steering the company.
Nanotechnology by Nobio to enhance antimicrobial action on implants to prevent peri-implantitis.
The dental implant company called Ditron Dr. Jenssen started and the precision implants they make.
The tolerance of microns between machine parts Ditron Ltd. makes which is too small for bacteria.
Some of the work Dr. Jensen is still doing; starting an oral and maxillofacial surgery training program in Salt Lake City.
Zygomatic implants and other tough cases Dr. Jensen did daily and why.

Links Mentioned in Today’s Episode:

Dr. Ole Jensen

ClearChoice

University of Michigan

Northwestern University School of Medicine

Northwestern University School of Dentistry

Dr. Grant Stucki Contact — 720-775-5843

Dr. Alexis Olsson: Working in both a Private Practice and Academic Setting

Wed, 25 Nov 2020 21:00:00 -0500

If oral and maxillofacial surgeons can find the time to commit to their local hospitals and associations beyond their private practices, the integrity of the specialty will be more securely protected. This is a belief held by today’s guest, Dr. Alexis Olsson, and his career shows it. Dr. Olsson is an Oral and Maxillofacial Surgeon practicing in Chicago, Illinois. He is currently Chief of Oral and Maxillofacial Surgery at Northwestern Memorial Hospital and Anne and Robert H. Lurie Children’s Hospital, as well as Professor of Clinical Otolaryngology and Head and Neck Surgery at Northwestern University Feinberg School of Medicine. He is also an active member in the oral and maxillofacial surgery community through his service to both AAOMS and well IAOMS. In this episode, we talk to Dr. Olsson about how he grew his practice to straddle the public and private spheres with such equal measure, while also hearing about as the techniques that have defined and are defining his practice today. We hear his thoughts on the current landscape of the oral and maxillofacial surgery specialty too, where he talks about the forces that are jeopardizing it, the need for new surgeons to take an active concern in its survival, and what is to be done in this regard. For a conversation rich in insights that span the technical and social sides of oral surgery, tune in today.

Key Points From This Episode:

Dr. Alexis Olsson’s education and career in both private and academic settings.
How Dr. Olsson was able to grow his career in the academic as well as private space.
Staying afloat in competitive downtown Chicago by being dedicated to patient care.
The recent value of virtual surgical planning and new technology for Dr. Olsson’s practice.
Challenges in Dr. Olsson’s career; less personal relationships between patients and doctors.
Advice from Dr. Olsson for new surgeons who have a desire to protect the profession.
Rewarding parts of being a teacher and Dr. Olsson’s hopes for his students’ futures.
‘Taboo’ but effective techniques Dr. Olsson used early on and new tricks for optimizing surgery.
How Dr. Olsson goes about doing implants generally – his case by case approach.
When Dr. Olsson will do a flapless implant; biological characteristics of patients.
Dr. Olsson’s philosophy of being conservative with soft tissue manipulation.
The approach Dr. Olsson has to reconstructions and how things have become more aggressive.
Dr. Olsson’s approach to doing molar immediate implants.
What communication techniques and bedside manner should look like for surgeons.
Final comments from Dr. Olsson about the need for oral and maxillofacial surgeons to protect their specialty and represent it well.

Links Mentioned in Today’s Episode:

Dr. Alexis Olsson

Northwestern University

Northwestern Memorial Hospital

Lurie Children’s Hospital

Northwestern Medicine

Northwestern University Feinberg School of Medicine

Northwestern Dental Center

AAOMS

IAOMS

Dr. Mark C. Hutten

Dr. Grant Stucki Contact — 720-775-5843

Dr. William Hull: The pros and cons of working in a partnership, the benefits of an electric handpiece over air driven, and the importance of bringing humor to a stressful work setting

Mon, 16 Nov 2020 19:00:00 -0500

Residency is the perfect learning environment for young maxillofacial surgeons, with valuable skills and know-how shared among professors and peers alike. Once qualified, the transition into private practice or starting a practice of your own can be quite daunting. Our guest today is an old-time friend and expert maxillofacial surgeon, Dr. William “Billy” Hull, who has plenty of guidance to share. To kick things off, we take a look at Billy’s academic and professional history. Having studied at The University Of Illinois At Chicago Medical Center, he has since moved into various private practice settings and is now a partner at his own practice. From picking the right partners to the best way you can build functional working relationships with them, Billy shares his biggest lessons with us. He then dives into seniority, hierarchy dynamics, and the best ways to manage compensation, before providing insight on why you should move into an established practice for your first gig. As our conversation continues, Billy talks about how he has evolved as a surgeon, telling us about his favorite tools and the reasons he uses them. Sprinkled throughout our conversation, Billy reminisces about his old days in residency, offering comical anecdotes and explaining why humor is an important part of his job. Remember to floss and be sure to tune in!

Key Points From This Episode:

Introducing today’s guest, maxillofacial surgeon Dr. William “Billy” Hull.
Billy shares details about his professional history.
Hear about the lessons Billy has learned over the years.
How hierarchy can influence the success of a practice.
Exploring the pros and cons of having a good partner.
Why the relationships you build during residency are so important.
The art of drawing up a partnership contract that fairly distributes compensation.
Knowing what healthy competition is between partners.
Hear Billy’s humorous anecdotes about his residency.
Billy tells us how he has evolved as a surgeon since leaving medical school.
Why spreading your legs can be better than bending over while performing surgery.
Billy touches on why he won’t use a hall drill.
Hear about the 703 and its finesse as an oral surgery tool.
Find out how Billy’s incision design has changed over the years.
Why PRF is preferred over dry-socketing.
Billy’s preference of BioHorizons over Straumann and Nobel Biocare.
Hear about how Billy keeps a balance between humor and professionalism.

Links Mentioned in Today’s Episode:

Dr. William Hull on LinkedIn.

The University Of Illinois At Chicago Medical Center

BioHorizons

Nobel Biocare

Straumann

Dr. Thomas Schlieve: Discussions on Pathology, Being a Leader, and Being a Great OS Candidate and Resident

Mon, 16 Nov 2020 19:00:00 -0500

Succeeding as an oral surgeon is about far more than academic and clinical talent. It also requires you to be a leader and a salesperson. This is just one of the many great insights today’s guest, Dr. Thomas Schlieve, shares with us. With advanced fellowship training in oral, head and neck oncologic surgery, Thomas is the current Graduate Program Director at Parkland Memorial Hospital in Dallas. In this episode, we learn more about his pathology passion and how he has earned the nickname ‘The Dead Bone Doctor of Dallas’. Thomas walks us through some of the most common cases in his pathology-focused practice, along with his frustrations when trying to treat cancer. We hear about why he advocates for incisional biopsies, the importance of not waiting to intervene with head and neck cancers, and how having patients come in with biopsies eases his workload. The conversation then moves away from the surgical side of things, where we talk about growing as a leader to be a better surgeon. Here, Thomas shares what he has gained from How to Win Friends & Influence People and how he has applied this knowledge to improve his practice. As someone who works on the academic side of things, Thomas has a firsthand understanding of what it takes to be a great oral surgery resident, and we wrap the show up by hearing these top tips. For all this and more, be sure to tune in today!

Key Points From This Episode:

Get to know Thomas, his training, and what he is currently doing.
The pathology cases that Thomas spends most of his practice time on.
Thomas’s patient-specific approach to treating osteonecrosis and the techniques he uses.
Advice Thomas has for effectively handling osteonecrosis.
Thomas’s frustration when something cancerous is removed and no legion is left to see.
Why you should not wait for a head or neck cancer to grow before intervention.
How patients coming in with biopsies helps Thomas chart an effective course of treatment.
The way that different margins are marked by pathologists.
Hear why Thomas believes you should declare an excisional biopsy.
Success as a surgeon is about more than clinical talent; you have to be a good leader too.
How Thomas changed his approach to referrals and leadership generally.
Takeaways from How to Win Friends & Influence People that Thomas and Grant have used in practice.
The importance of letting patients vent and giving them space to offload.
Thomas’ approach to patient education and giving them information feel most comfortable.
Asking open-ended questions and mirroring: How these techniques get patients to open up.
Being caring as a leader and how this helps all aspects of your practice.
Why Thomas has grown more cautious about implants since his residency.
Thomas's approach to immediate implants and being clear on timelines with patients.
Hear what Thomas looks for in potential residents.
The impact that upbringing has on the grit that is required to become a surgeon.

Links Mentioned in Today’s Episode:

Dr. Thomas Schlieve

School of Dentistry Marquette University

University of Illinois at Chicago College of Dentistry

How to Win Friends & Influence People

Dale Carnegie Training

Dr. Grant Stucki Contact — 720-775-5843

Maxillary implant reconstruction tips, such as using a sagittal saw for bone reduction and using versah burs for implant preparation (with Dr. Justin Evanson)

Fri, 13 Nov 2020 12:00:00 -0500

Talking less and listening more empowers your patients and helps you better serve their needs. This insight is provided by Dr. Justin Evanson of Pacific Dental Services. Today we speak to Justin about his work as an Oral and Maxillofacial Surgeon, what he’s done to overcome his challenges, and the ways that he’s improved his practice. We open our conversation by exploring his training and the procedures that he most commonly administers. He dives into what he has recently changed to make his daily routine better, including the new additions to his surgical kit. After talking about the benefits of a new suturing technique, we discuss why he prefers healing abutments to cover screws, and why Justin rarely conducts upper molar immediate implants. We ask Justin how he follows up with patients who have other dental providers, his answers highlighting the importance of communicating with both patients and their providers. We then touch on his approach to anesthesia which leads to Justin explaining how he quickly builds connections with his patients. Near the end of the episode, Justin reflects on his two most difficult cases and what he did to get through them. Tune in to hear more of Justin’s top tips on improving your oral surgery practice.

Key Points From This Episode:

We introduce today’s guest, Oral and Maxillofacial Surgeon Dr. Justin Evanson.
Hear about Justin’s training at Parkland Hospital in Dallas, Texas.
Justin shares details about his current practice and the procedures he often performs.
Top tips from Justin on how you can improve your surgery.
Using the figure-eight suturing technique developed by Dr. Daniel Buser.
Swapping out different sized healing abutments over time.
Why Justin rarely does upper molar immediate implants.
Follow-up and dealing with patients who have other dental providers.
Justin’s philosophy on anesthesia and how he applies it with patients.
Exploring the most challenging aspects of Justin’s daily routine.
How you can develop a connection with patients that you only see once or twice.
Why Justin doesn’t talk people into procedures that they have reservations about.
Offering quality care to all of your patients — even if that means long appointments.
Details on Justin’s two most difficult cases and how he got through it.
Justin shares some final practical advice to help listeners in surgery.

Links Mentioned in Today’s Episode:

Dr. Justin Evanson on LinkedIn

Pacific Dental Services

Columbia University

UT Southwestern Medical Center

John Peter Smith Hospital

Bien Air

Versah

Dr. Daniel Buser

International Team for Implantology

Salvin Dental Specialists

Baxter

Digital Dental Solutions

Zack Reynolds

Nobel Biocare

Dr. Grant Stucki Contact — 720-775-5843

Dr. Raza Hussain: Techniques for Dealing with Peri-Implantitis And Third Molar Flaps and Thoughts on Protecting Our Rights To Outpatient Anesthesia

Tue, 03 Nov 2020 17:00:00 -0500

As a small community, oral and maxillofacial surgeons need to share what they have learned to ensure everyone's practice thrives. In today’s show, Dr. Raza Hussain gives us insights into the knowledge he has gained through both his academic and faculty surgery work. Raza practices in Chicago, where he is the Chief of Oral and Maxillofacial Surgery at the Jesse Brown Veterans Administration Medical Center. We dive right in, discussing Raza’s approach to dealing with peri-implantitis, where he shares why he uses the controversial implantoplasty as a treatment and the importance of collaborating with the restorative doctor. We then hear about the most difficult cases Raza has encountered working at a VA hospital. From transmandibular implant removal to necrotizing fasciitis, Raza has handled incredibly unique cases that many oral and maxillofacial surgeons are unlikely to encounter over the course of their careers. The conversation then moves onto protecting oral and maxillofacial surgeons’ outpatient anesthesia rights and why the current campaign to remove these rights is unfounded. Raza acknowledges that support staff might not be well-trained, but he believes that it is the practicing surgeon's responsibility to get his team on the same page. He shares what those of us in private practice can do to ensure we will continue to be allowed to do jobs in a way that is best for our patients. To hear this and more, be sure to tune in today!

Key Points From This Episode:

Get to know Raza, his professional experience, and what he’s up to now.
The improvements that Raza has made with his implants over the last few years.
What Raza does with implants that have two or three threads exposed on the buccal.
Why Raza uses an implantoplasty to treat implants that have deteriorated.
The level of bone loss or peri-implantitis which prompts Raza to intervene.
The importance of having a good relationship with the restorative doctor when treating peri-implantitis.
Patients are unlikely to change their habits, so surgeons should try new techniques.
Hear why removing transmandibular implants is so difficult.
Insights into the trickiest case Raza has had to treat that involved necrotizing fasciitis.
Why Raza has not changed his third molar extraction technique much over the years.
Coronectomy versus piezo: Which technique results in greater complication.
Tried and trusted methods; why Raza sticks with a regular course of antibiotic treatment for third molar extractions.
How Raza’s anesthetic technique has changed seeing as his wife is an anesthesiologist.
Why trying to take oral surgeons’ right to outpatient anesthesia is misguided.
Raza’s firm approach to putting patients to sleep and why he does not tolerate joking around at that time.
The bad press that oral and maxillofacial surgeons get when anesthesia goes wrong.
Negative outcomes of not allowing oral and maxillofacial surgeons to administer anesthesia.
What oral maxillofacial surgeons in private practice can do to support the profession’s rights.
The complications that Raza has seen with TMJ disorders and his preferred courses of treatment.

Links Mentioned in Today’s Episode:

Dr. Raza Hussain

University of Illinois at Chicago (UIC) College of Dentistry

Jesse Brown VA Medical Center

AAOMS

Dr. Scott Weiskopf: How to Use 3D Printers to Take Your Implant Accuracy to the Next Level (and at a low cost!)

Fri, 30 Oct 2020 12:00:00 -0400

Today Dr. Stucki interviews Dr. Scott Weiskopf, an oral and maxillofacial surgeon practicing in Tennessee in the Memphis area. Ever since he introduced a fully digital workflow and started printing his own surgical guides, his dental surgery practice has been transformed because it allows him to produce and place top-quality implants. In this conversation, Dr. Weiskopf shares how his appointments with patients who need implants typically proceed, when in the process the guides are made, and the handful of cases where placing the implant freehand is still better. Tuning in, listeners will get a sense of the cost implications of printing the guides yourself, how it benefits your patients and practice, and where you can purchase the cheapest – yet effective – 3D printing equipment. Our guest shares details on his grafting techniques and materials, how he approaches third molar extractions, and what he favors in terms of instruments. The two also discuss drugs and dosages and share a bit about their work philosophies.

Key Points From This Episode:

What switching over to a fully digital workflow meant for his dental surgery practice.
The benefits of having surgical guides when doing implants.
Get a sense of how the appointments proceed for implant consultations and surgery.
The cost implications of printing the guides yourself rather than having it printed by a big lab.
Where you can purchase a 3D printer and why you don’t need a dental-specific one.
Dr. Weiskopf talks about the handful of times he has had to adjust the guides.
Learn why he works almost exclusively with the Straumann Dental Implant System.
What his grafting technique looks like and why he switched to a different membrane.
Dr. Weiskopf’s graft materials of choice, including allograft, xenograft, and DBM putty.
How using the guides differs from placing the implants freehand and when the latter is more appropriate.
The benefits of having patients see and ask about the latest in dental technology.
How your software determines the ease with which multiple implants can be created.
Learn what has changed in his third molar extraction technique since his residency.
Dr. Weiskopf talks about his preferred tools and why he picks up the instruments himself.
The value of having a second assistant and what his typical drugs and dosages involve.
The idea that when you permit something, you are inadvertently promoting it.

Links Mentioned in Today’s Episode:

Straumann Dental Implant System

Nobel Biocare

BioXclude

Dr. Grant Stucki: How to Avoid Taking Out the Wrong Tooth

Fri, 30 Oct 2020 12:00:00 -0400

In this solo episode with your host Dr. Grant Stucki, listeners will hear all about avoiding the mistake of taking out the wrong tooth. While this is not a glamorous topic, it is still an important one since too many patients have left their dentist’s office with the wrong tooth missing. Very little is said and taught on this issue because it seems like such a simple thing to get right. In general surgery, doctors initial the area of the body that will be operated on to ensure that everyone is on the same page and the right part of the body is identified. Even so, there have been instances where a patient who needed a hip replacement left with a tendon repair they didn’t need, so removing the wrong tooth is not so far fetched. Just the idea of making this mistake puts some oral surgeons in a low-grade seizure state, especially if they’ve come close to this experience. Today Dr. Stucki shares examples of some of the cases where you might be more likely to make a mistake or be distracted and discusses some of his trusted procedures to ensure that he gets the right tooth every time.

Key Points From This Episode:

Dr. Stucki shares his experience of taking out the wrong tooth during his residency training.
How difficult it was for him to get over the mistake and how affected his confidence level.
The identifiers he looks for on the referral notes to ensure that he works on the right tooth.
Checking the financial agreement to see which procedures have been signed and paid for.
The procedure he walks through with every patient to identify and verify the right tooth.
What Dr. Stucki does right before he begins working on the tooth.
The importance of the surgeon, patient, and assistant being on the same page.
Awareness of scenarios and cases in which you are more likely to remove the wrong tooth.
What plowing down cactuses in Tucson, Arizona, and today’s topic have in common.
Examples of high-risk cases for taking out the wrong tooth, including two impacted molars.
What you can do to ensure that you have identified the correct supernumerary tooth.
How time constraints can contribute to you confusing patients and cases.
Internal and external distractions that can give way to mistakes during surgery.

Dr. Eric Blamires - third molar techniques, supporting assistants, and dealing with helicopter parents

Mon, 26 Oct 2020 08:00:00 -0400

Oral surgical procedures are performed to treat impacted teeth, difficult tooth extractions, implants, dentures, or other dental prostheses, and each oral surgeon has their own techniques and preferences when it comes to equipment, anesthesia, and patient reports. Today’s guest is, Dr. Eric Blamires, DMD, a Dentistry Practitioner in Colorado Springs, Colorado. In this episode, Eric shares with listeners the lessons and discoveries he has made during his career, including the importance of looking after his own health. He also explains how he relates with patients, how he performs a wisdom tooth extraction, and his views on sutures versus natural healing, as well as gaining insights from other technicians, screws versus tacks, why he uses ketamine, and how he deals with helicopter parents. Tune in today!

Key Points From This Episode:

What Eric discovered that change his everyday oral care experience – taking care of his health.
As a dentist who stands or bends over most of the day, taking care of posture is important.
Standing during surgery, reassuring and connecting with patients are part of Eric’s day-to-day.
How Eric talks and relates to patients – making personal connections or jokes is valuable.
Oral surgeons have a reputation for not being good communicators, because patients are under sedation and procedures are quick.
How Eric has changed his surgical techniques or routines during a wisdom tooth extraction.
Typically, Eric tries to make every procedure as minimal and conservative as possible.
Eric explains the importance of having a good relationship with his dental assistants.
Suturing incisions versus letting them heal and minimizing the risk of post-operative infection.
Third molars and packing or gel foam – Eric says that he only does so if there is bleeding.
Gaining insights from others helps Eric clean up his techniques, but he also works intuitively.
With ongoing time and experience, Eric believes he only gets better at placing implants.
Eric’s views on screws versus tacks, his preferred surgical equipment, and why he chooses metal.
Eric uses the frog in a pot analogy to describe the need for new equipment when what he has been using is no longer working.
How Eric handles being aggressively questioned on his technique, like his use of ketamine.
Eric’s experience with helicopter parents, and how he deals with them and eases their stress.
As a surgeon, Eric has to deal with the stress and anxiety of the procedures, and all he can do is do his absolute best.

Links Mentioned in Today’s Episode:

Dr. Eric Blamires on LinkedIn

How to Win Friends and Influence People

KLS Martin

Salvin Dental Specialties

Dr. David Salomon: anesthesia technique and pearls on making patients feel comfortable

Mon, 26 Oct 2020 08:00:00 -0400

Although residency training can be comprehensive in many ways, it is vital to find what works for you as a surgeon once you are in practice. Today’s guest, Dr. David Salomon, has done just that, tweaking his anesthesia technique over time to administer it efficiently, in the least resource-heavy way possible. As a prestigious doctor working in Connecticut, David runs a successful private practice. In this episode, David talks about why he has mostly stopped using fentanyl and the results he has seen from making this change. While David has been open to changing his anesthesia technique, he also recognizes that it is not possible to have a one-size-fits-all plan for every patient. He talks about developing your intuition to understand what a patient needs. We also learn more about David’s grafting technique, some of the tweaks he is currently making, and the outcomes so far. We then turn our attention to the practice side of things, where David talks about some of the daily difficulties he faces, the role his assistants play and how he handles their training, and the importance of communicating and managing expectations. Not only is David an excellent surgeon technically, but the care and empathy he extends to his patients really sets him apart. To hear more from this inspiring doctor, be sure to tune in today!

Key Points From This Episode:

Some of the small things David has changed in his practice that have had a big impact.
David’s grafting technique and how it has evolved over time.
Two things David has noticed about nylon sutures compared with chromic and vicryl sutures.
The differences between mineralized and demineralized bone grafts.
Techniques David is implementing from Bone Augmentation in Implant Dentistry.
Why David does not do that many immediate implants.
What David has seen with how some patients get inflamed after a bone graft.
How David manages patients’ pain and how he guides them through it.
David’s typical sedation protocol and his approach to optimizing the process.
How David handles children and adults who are afraid of needles.
The most challenging things that come up in David’s daily practice.
Why David usually does not sedate children and what he does instead.
David’s interest in music, the band he was in for years, and playing songs during surgery.
How David has trained his assistants and his emphasis on self-sufficiency.
Why David prefers to grab his own tools and do the sutures himself.
Benefits of waiting until the end of a procedure to do the sutures.
The role an office manager can play in managing assistants and dealing with issues.
Keeping lines of communication open and how this counteracts drama with staff.
The importance of being a good listener and making patients feel heard and understood.
Communicating potential risks in a more human way and how David tackles this.
How an empathetic approach can help with even the most difficult patient.
The question David asks to break the ice when he meets clients for a consult.
David's positive experience of residency and the feeling of camaraderie he misses.

Links Mentioned in Today’s Episode:

Dr. David Salomon

Bone Augmentation in Implant Dentistry

Pickles Pub

Dr. Thomas Sarna - delegating responsibilities and discussing complications with patients

Mon, 26 Oct 2020 08:00:00 -0400

As surgeons, we must ensure the highest and best use of our time, and an important part of this is creating systems and delegating unnecessary duties. Joining us today to share his insights on this is Dr. Thomas Sarna, an oral and maxillofacial surgeon, based in Fayetteville, Arkansas, and one of Grant’s mentors during residency. In this episode, Thomas walks us through some of his systems and the tasks he no longer does, including fielding calls, pre or post-op preparations and briefings, and calling around for referrals. Although creating structures and processes takes a lot of work and training on the frontend, once staff is up to par, surgeons have much more energy to do what they love, and ultimately create the most efficient practice possible. We also touch on communicating risks with clients and balancing being transparent with ensuring the patient remains comfortable and at ease. Thomas shares his approach and what he believes is the right amount to share. Along with this, we discuss the use of technology in Thomas’ practice and why he still prefers to take hand-written notes, how he handles communicating with difficult parents or patients, and the importance of knowing your staff’s strengths and weaknesses and drawing on them accordingly. It was a great conversation, and there is always so much to learn from one another's practices. To hear more, be sure to tune in today!

Key Points From This Episode:

How creating systems to delegate duties has changed Thomas’ practice.
The benefits of confirming patient appointments and improvement in efficiency.
Why Thomas does not give his cell number to patients and leaves his assistants to field calls.
Hear more about what Thomas’ schedule looks like and how COVID has affected it.
The brief nature of Thomas’ consults and what he tells the patients.
Walking patients through options if numbness is a concern when the root is in the same place as the nerve.
Thomas’ approach to communicating risk with patients.
Following the acute versus chronic rule when it comes to sinus perforation repair.
Using the buccal fat pad method and training NTs how to do it.
‘Good’ patients versus ‘bad’ patients and how Thomas thinks about this.
The story behind why Thomas calls his difficult procedures ‘The Grant Stucki Clinic.’
Some of the best things Thomas learned in residency that he carried into practice.
Knowing your staff’s strengths and weaknesses and placing them in the right position.
Instances of difficult communication with parents and patients Thomas has had.
Why Thomas prefers doing wisdom teeth over implants.
The frustration that both Thomas and Grant feel at patients constantly being on their phones.
The use of tech in Thomas’ practice, including a cloud-based EMR.
Why Thomas still takes notes by hand which then gets digitized after.
Hear why Thomas has sedated patients sitting up rather than lying down.
Take your wisdom teeth out when you are a teenager!
Communicating wisdom teeth removal post-op care instructions.
Why not using antibiotics is ‘career suicide’ according to Thomas.

Links Mentioned in Today’s Episode:

Dr. Thomas Sarna

How to Win Friends & Influence People

Google Glass

Think and Grow Rich