Many oral surgeons are not very familiar with facial fractures, and in this episode of Everyday Oral Surgery, we are getting a great introduction to these treatments and repairs from an oculoplastic surgeon. Today, we are joined by Dr. Harkaran Rana to discuss Naso-Orbito-Ethmoid (NOE) and frontal sinus fracture repairs. Tuning in, you’ll hear about the different ways of diagnosing NOE and frontal sinus fractures, how to identify different kinds of fractures, surgical interventions for these injuries, and more! We delve into the treatment management for NOE and frontal sinus fractures before discussing the most common kinds of facial fractures. We even talk about where to put plates and drill holes to protect the brain. Finally, Dr. Rana tells us about the TV shows and books he’s loving right now. Thanks for listening!

Key Points From This Episode:

• Welcoming today’s guest, Dr. Harkaran Rana.
• Diagnosing NOE and frontal sinus fractures.
• Breaking down different types of these fractures.
• Treatment management for NOE and frontal sinus fractures.
• Some common mistakes during these treatments.
• The most common kinds of fractures.
• Why Dr. Rana tries to place plates as far back as possible.
• Protecting the brain during these procedures.
• Dr. Rana shares the books and shows he’s enjoying now.

Links Mentioned in Today’s Episode:

Dr. Harkaran Rana on LinkedIn — https://www.linkedin.com/in/harkaran-rana-aa3637179/

Dr. Harkaran Rana Email Address — harkaran.s.rana@gmail.com

NOE Type I — https://surgeryreference.aofoundation.org/cmf/trauma/midface/noe-type-i/definition#general

NOE Type II — https://surgeryreference.aofoundation.org/cmf/trauma/midface/noe-type-ii/open-reduction-internal-fixation#selection-of-approach

Empire of Pain — https://www.amazon.com/Empire-Pain-History-Sackler-Dynasty/dp/0385545681

Shoe Dog — https://www.amazon.co.za/Shoe-Dog-Memoir-Creator-NIKE/dp/1471146723

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

During this episode, Dr. Grant Stucki is joined by Dr. Andy Loetscher, an Oral Maxillofacial Surgeon practicing in Atlanta, Georgia to discuss Orthognathic surgery. The conversation centers around some of the nuances of Orthognathic surgery, and how to adapt it to improve airways. We start by discussing different approaches for disparate ages and concerns, before exploring how to find the ongoing balance between aesthetics and function. Next, we discuss why airway concerns must be dealt with urgently, unpack what a clinical examination can help to determine, and hear some success stories from Dr. Loetscher’s patients. This conversation also touches on how patients discover Dr. Loetscher, how he works to prevent complications, and how he prepares patients for the changes they may see in their facial structure after surgery. We touch on healing in older patients, post-op meds and anesthesia, maintaining the structures of the face, and much more. Thanks for listening!

Key Points From This Episode:

• Welcome to Dr. Andy Loetscher and background on how his practice has evolved in the context of Orthognathic surgery.
• How treatment differs between younger patients and older patients with disparate concerns.
• Weighing aesthetics versus airway concerns.
• An example of why it is so valuable to address airway issues sooner rather than later.
• The role of a clinical examination and clinical history in diagnosing a problem.
• Success stories from Dr. Loetscher’s patients and the incredible results they experience.
• How most patients land up in Dr. Loetscher’s chair.
• Avoiding complications during the healing process for older patients.
• Preparing patients for changes in their facial structure.
• Why sensation returns slower in older patients and how the blade can impact the process.
• His approach to post-op meds and anesthesia.
• Exploring different diagnostic options.
• Role of the septum and other facial structures.
• Opening up the bone to avoid structural changes in the face.
• A case study with a 72-year-old patient.
• What Dr. Loetscher is watching at the moment: Landman.
• Book recommendations and more.

Links Mentioned in Today’s Episode:

Dr. Andy Loetscher on LinkedIn — https://www.linkedin.com/in/andy-loetscher-41a352a/

Dr. Andy Loetscher Email — jawimplant@aol.com

Atlanta Oral and Maxillofacial Surgery and Dental Implant Center — https://www.jawimplant.com/

Landman

Revenge of the Tipping Point

David and Goliath
Can’t Hurt Me
Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

As cannabis use becomes more widespread, its effects on oral surgery are becoming increasingly evident, but what does this mean for oral surgeons? In this episode of Everyday Oral Surgery, Dr. Grant Stucki welcomes back Dr. Robert John, an oral and maxillofacial surgeon from Troy, Michigan, to discuss the implications of cannabis use in oral surgery. Dr. John shares insights from a recent discussion with dentists in Michigan, where legalized marijuana has led to notable complications in dental procedures. Together, they unpack the risks associated with sedation, increased bleeding, dry mouth, and post-surgical healing difficulties. They also explore strategies for screening patients, adjusting sedation protocols, and educating individuals about the oral health risks of cannabis use. Join Dr. Stucki and Dr. John to discover practical strategies and expert insights to help you navigate the evolving landscape of oral surgery in the age of cannabis legalization. Tune in now!

Key Points From This Episode:

• Discover how cannabis causes issues with sedation during oral surgery.
• Find out why cannabis users experience more bleeding during surgery.
• Uncover the link between cannabis use and dry mouth, and why it matters.
• Thrush and fungal infections associated with patients who use cannabis regularly.
• Explore how cannabis use can affect healing and post-operation recovery.
• Learn the signs and signals of patients who are under the influence of cannabis.
• How Dr. John has adapted his protocols and surgical approach for cannabis users.
• Hear why understanding the complications caused by cannabis use is important.
• Why it is advised that patients avoid any cannabis use before a consultation.
• Recommendations on how to educate patients about the risks of cannabis use.
• Dr. John explains why the dental community needs to advocate for policy changes.
• The prevalence of cannabis use among teenagers and why it is a problem.

Links Mentioned in Today’s Episode:

Dr. Robert John — https://www.troyoralsurgery.com/

Dr. Robert John Email — info@troyoralsurgery.com

Dr. Robert John Phone — (248) 665-8769

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

Many oral surgeons overlook perfecting the task of local anesthesia or don’t give it our full attention and in this episode of Everyay Oral Surgery, we are going to share some tips to help you leverage it properly! Dr. Dean DeLuke joins us today to walk through all things local anesthesia. In this conversation, we discuss anesthesia for a full maxillary extraction case, our guest’s thoughts on topical anesthetics, using local anesthetic on pregnant patients, and so much more! We delve into the nuances of allergy testing before talking about the ‘maximum doses’ of these medications. Dr. DeLuke goes on to share what he does to assist patients who do not respond well to anesthesia, how anti-depressant medications contraindicate with anesthesia, and minimizing pain for patients. He even tells us about the benefits of buffering! Finally, Dr. DeLuke shares his recommended books, TV shows, and his perception of writing. Thanks for tuning in!

Key Points From This Episode:

• Welcoming Dr. Dean DeLuke to the show.
• How to anesthetize a full maxillary extraction case.
• Dr. DeLuke shares his thoughts on topical anesthetics.
• Using local anesthetic on pregnant patients.
• Two new products and the advantages of them.
• The nuances of allergy testing.
• How to know what the safest ‘maximum dose’ is of these drugs.
• Dr. DeLuke shares how he helps patients who do not get numb.
• Contraindications with anti-depressant drugs.
• How to minimize pain for patients.
• What buffering is and the advantages of utilizing it.
• Dr. DeLuke’s favorite books, TV shows, and his feelings about writing.

Links Mentioned in Today’s Episode:

Dr. Dean DeLuke on LinkedIn — https://www.linkedin.com/in/dean-deluke-631b1b19/

Dr. Dean DeLuke Email Address — dmdeluke@vcu.edu

The Real Doctor Will See You Shortly — https://www.amazon.com/Real-Doctor-Will-See-Shortly/dp/0804138672

Die With Zero — https://www.amazon.com/Die-Zero-Getting-Your-Money/dp/0358099765

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

We’re back with more exciting case reviews filled with many valuable lessons and this time, we explore cases that almost ended in disaster for the doctors involved. We are joined again by Oral and Maxillofacial Surgeon Dr. David Salomon – currently practicing at Yale New Haven Hospital, Connecticut – who begins by sharing his thoughts on our first case in review involving an accidental violation of the Hippocratic Oath. Then, we discuss a patient with hypertension who seized mid-operation, why leading with empathy is the foundation for avoiding possible lawsuits, the role of vulnerability between doctors and patients, and how two wrongs never make a right. We end with an extraction gone wrong for an 18-year-old high school softball player, communication and other referral problems that exist across the industry, fail-safes to improve referral protocols, how to address minor patients who feel they’ve been wronged, and why we need to implement more timeouts as standard practice. As a bonus final act, doctors Salomon and Stucki reminisce on when Dr. Salomon saved Dr. Stucki’s life.

Key Points From This Episode:

• An unfortunate and accidental breach of privacy.
• The best practices for doctors engaging with patients online, especially on public platforms.
• Unpacking the malpractice case of a patient who had a seizure on the operating table.
• How to make amends when things go wrong, and the importance of leading with empathy.
• Why vulnerability matters, and how to avoid adding fuel to the fire.
• How a wrongful extraction highlights some of the key issues doctors face with referrals.
• What practitioners can do to ensure referrals receive the same care as self-referrals.
• The ins and outs of timeouts and their undeniable importance.
• How Dr. Salomon intervened in Dr. Stucki’s near-fatal encounter!

Links Mentioned in Today’s Episode:

Dr. David Salomon on LinkedIn — https://www.linkedin.com/in/david-salomon-b8ab1431/

Yale New Haven Hospital — https://www.ynhh.org/

Coastal Connecticut — https://www.coastalctoms.com/

Risk Tips Archive | MedPro Dental — https://oms.medprodental.com/category/risk-tips

Dr. Ira Satinover on Healthgrades — https://www.healthgrades.com/physician/dr-ira-satinover-y8hpw

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

What if your career as an oral and maxillofacial surgeon could offer world-class training, financial stability, and the opportunity to serve your country, all while performing full-scope surgery? In this episode of Everyday Oral Surgery, Dr. Andrew Jenzer and Dr. Kevin Smith, both Army OMS program directors, share their journeys in military medicine, detailing the unique benefits of an Army career. They dive into the benefits of a debt-free education, unparalleled hands-on surgical experience, and a patient-first system that prioritizes comprehensive care over financial constraints. Plus, they shed light on leadership development, moonlighting opportunities, and the realities of military life, from deployments to career mobility. Whether you're a student considering your next steps or a practicing surgeon curious about new opportunities, tune in to find out if an Army OMS career is the right fit for you!

Key Points From This Episode:

• Insight into Dr. Smith’s Army background and his transition into OMS.
• The mental toughness and intense training required to become a Ranger.
• An overview of Dr. Jenzer’s career path to Army OMS and his motivations for joining.
• The perks and trade-offs of an Army OMS career.
• What you need to know to get into an Army OMS residency.
• The realities of career mobility and location flexibility.
• Moonlighting opportunities, skill-building, and financial benefits.
• Full-scope surgery without financial barriers: what an Army career in oral surgery offers.
• An insider’s guide to fellowship opportunities and career advancement.
• Potential pathways to joining the Army as an oral surgeon at any stage of your career.
• How an Army OMS career compares to one in VA hospitals.
• Dr. Smith’s experience of serving in a special operations unit in Afghanistan.
• The care and attention paid to resident education and development.
• Life after Army OMS: retirement, career options, and transitioning to private practice.
• Recommended reads, non-oral surgery skills, forceps for tooth number 12, and more!

Links Mentioned in Today’s Episode:

Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer

Dr. Andrew Jenzer Email — andrew.jenzer@gmail.com

Dr. Kevin Smith — https://www.omslakewood.com/meet-us/kevin-d-smith-dmd/

Madigan Army Medical Center — https://madigan.tricare.mil/

OMS Residency Program | Madigan Army Medical Center — https://madigan.tricare.mil/Health-Services/Dental/Dental-Clinics/ORAL-MAXILLOFACIAL-SURGERY-RESIDENCY-PROGRAM

How to Win Friends & Influence People — https://www.amazon.com/dp/0671027034

Once an Eagle — https://www.amazon.com/dp/0062221620/

Band of Brothers — https://www.netflix.com/title/70308702

Eastbound and Down — https://www.imdb.com/title/tt0866442/

Jocko Willing Books — https://jocko.com/books/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook —

In this lighthearted and humorous episode of Everyday Oral Surgery, Dr. Grant Stucki introduces a new segment, Go On, Git, inspired by Jimmy Fallon's comedic bits. In today's episode, he shares a collection of frustrating yet amusing moments that oral surgeons experience daily. Hear about stubborn implant screwdrivers, patients who won’t recline in their chairs, why sutures always seem to break at the worst possible moment, thermostat mishaps, schedulers who book six patients per hour, why overhead lights seem to have a vendetta against oral surgeons, and more! Using his best cowboy accent, Dr. Stucki adds to the humor, making this episode an entertaining take on the unexpected challenges of surgery. Join us to get a dose of surgical comedy and learn how to find laughter in the daily struggles of oral surgery. Tune in now!

Key Points From This Episode:

• Introducing Dr. Stucki's Go On, Git list and the motivation behind creating it.
• How humor can turn the everyday frustrations into moments of laughter.
• Hear about the patient who insists they “can’t lean back.”
• Why bite blocks act like soap bars and dealing with assistants who refuse to take a sick day.
• Implant screws that won’t stay put and root shapes that defy extraction logic.
• Dealing with texting patients who refuse to put their phone down before surgery.
• Learn about the struggle of irrigation ricochet and avoiding a smack from the overhead light.
• An invitation for listeners to submit their own Go On, Git moments.

Links Mentioned in Today’s Episode:

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

Blood clots can be life-threatening, but understanding their causes and treatments can save lives. In Part 2 of our Hematology Series, Dr. Andrew Jenzer, DDS, dives deep into thrombosis, breaking down the three key contributing factors and the most common hypercoagulable conditions. We carefully dissect the pathophysiology of pulmonary embolisms, the most important guidelines to know and follow, the difference between provoked and unprovoked hypercoagulable conditions, and everything you need to know about the perioperative management of antithrombotic therapies. To close, Dr. Jenzer highlights the critical risk factors of preoperative anticoagulation and key takeaways from our conversation that should never be forgotten. If you're a healthcare professional or simply someone who values life-saving knowledge, this episode is packed with insights you won't want to miss. Tune in to sharpen your expertise and improve patient outcomes!

Key Points From This Episode:

• Three contributors to thrombosis and the most common hypercoagulable conditions.
• Unpacking the pathophysiology of pulmonary embolisms.
• Wells’ Criteria, CHEST, and other crucial guidelines to follow.
• The difference between provoked and unprovoked hypercoagulable conditions.
• Anticoagulation therapies and important surgical considerations.
• Risk factors associated with the perioperative management of antithrombotic therapy.
• Recapping the key takeaways from today’s conversation.

Links Mentioned in Today’s Episode:

Dr. Andrew Jenzer Email — andrew.jenzer@gmail.com

Dr. Andrew Jenzer | Duke Surgery — https://surgery.duke.edu/profile/andrew-clark-jenzer

ACOMS | Annual Winter Meeting — https://www.acoms.org/Events/Winter-Meeting/About

Wells' Criteria for Pulmonary Embolism — https://www.mdcalc.com/calc/115/wells-criteria-pulmonary-embolism

Wells' Criteria for DVT — https://www.mdcalc.com/calc/362/wells-criteria-dvt

American College of Chest Physicians — https://www.chestnet.org/

‘Perioperative Management of Antithrombotic Therapy’ — https://www.chestnet.org/guidelines-and-topic-collections/guidelines/pulmonary-vascular/perioperative-management-of-antithrombotic-therapy

‘Perioperative Management of Patients with Atrial Fibrillation Receiving a Direct Oral Anticoagulant’ — https://pubmed.ncbi.nlm.nih.gov/31380891/

‘Perioperative Optimization and Management of the Oral and Maxillofacial Surgical Patient’ — https://pubmed.ncbi.nlm.nih.gov/38103577/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059