Everyday Oral Surgery

Sedation emergencies may be rare, but when they happen, the consequences can be catastrophic. In this episode, anesthesiologist Dr. Richard Marn shares a practical framework to help oral surgeons prepare for high-stress, low-frequency events that can jeopardize patient safety and derail a practice. Drawing on his work with multiple oral surgeons and his extensive simulation training experience, Dr. Marn walks through four key pillars of readiness: Infrastructure, Competency, Culture, and Habit. He offers real-world strategies for building team alignment, from five-minute huddles and tabletop drills to equipment checks and fostering psychological safety. Along the way, he underscores how leadership and communication can transform a group of individuals into a high-performing team. This episode is a must-listen for anyone looking to embed a culture of calm, confident emergency response.Key Points From This Episode:Dr. Richard Marn’s journey from surgery intern to pediatric anesthesiologist.The importance of stress testing your staff for an emergency event.Four pillars of emergency readiness: Infrastructure, Competency, Culture, and Habit.The definition of Halo events (High Acuity Low Occurrence) and their potentially devastating impact.Why preparation is critical to protect your practice during Halo events.How Dr. Marn conducts five-minute emergency drills to build team alignment.Sedation as a high-risk activity and how to prepare for it.Why soft skills and teamwork are as important as CPR or airway management.Simulation training: how they reveal common gaps in emergency preparedness.Little details that matter, like knowing how to turn on an oxygen tank.The importance of regular huddles: to build habits and uncover weak spots before an emergency hits.How to make sure your emergency equipment is in working order: assign liaisons to keep emergency kits, meds, and devices ready for use.What you can do to help your team practice emergency skills during real-life, low-stakes cases.How culture and psychological safety can affect a team’s emergency response.Why culture shifts start with leadership and clear communication of expectations.How to access a free online assessment to evaluate team readiness.Links Mentioned in Today’s Episode:Dr. Richard Marn — https://www.drrichardmarn.com/ Dr. Richard Marn on LinkedIn — https://www.linkedin.com/in/richardmarn/ Online Sedation Risk Assessment — https://emergency.scoreapp.comCenter for Medical Simulation — https://harvardmedsim.org/ Online Sedation Risk Assessment — https://emergency.scoreapp.com Blue Pacific Medical Simulation — https://bpmedsim.com/ New York Medical Anesthesia — https://nymedicalanesthesia.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

In this episode of Everyday Oral Surgery, we continue our Heme Series on all things blood-related by discussing lymphomas and multiple myeloma. Joining Dr. Stucki on the podcast again, to share a wealth of knowledge, are Drs. Andrew Jenzer and Maxwell Lloyd. They delve into a discussion on the basics of lymphomas, dissecting the two categories of Hodgkin's and non-Hodgkin lymphoma, and get into the diagnosis and presenting symptoms, stages, risk stratification, and treatments of each category. Next, they touch on what Tumor Lysis Syndrome (TLS) is and dive into a broad discussion on multiple myeloma. Dr. Lloyd breaks down the spectrum of this disease, including the signs and symptoms, testing and diagnostics, and explains that there is no cure for the disease. He also expands on the various treatments and management regimens available. To hear more, including thoughts on how to improve communication between collaborating teams, be sure not to miss out on today’s episode. Thanks for tuning in!Key Points From This Episode:Introduction to today’s topic as we continue our Heme Series.Dr. Lloyd talks us through lymphoma basics.Dr. Jenzer unpacks the presenting symptoms of the Hodgkin lymphoma category.Stages and risk stratification that constantly evolve: Ann Arbor Staging System. Treatment of lymphoma: thinking broadly, as regimens seem to be changing quickly.  We discuss the same aspects, but of the non-Hodgkin lymphoma category.Dr. Lloyd dives broadly into the chemotherapy regimen options for non-Hodgkin lymphoma.He explains a double-hit lymphoma and the associated treatment.We discuss Tumor Lysis Syndrome (TLS).Dr. Jenzer explains what multiple myelomas are. Dr. Lloyd further unpacks the spectrum of this disease (multiple myeloma).Signs and symptoms of multiple myeloma.An explanation for the lack of a cure for multiple myeloma.Testing and diagnostics of multiple myelomaDr. Lloyd broadly delves into the different types of medications and treatments used in managing multiple myeloma.He touches on some of the side effects of the medications.Big takeaway points from today’s discussion.Dr. Lloyd’s thoughts on how we can improve communication between collaborating teams.Final thoughts and recommendations to listeners.Links Mentioned in Today’s Episode:Dr. Andrew Jenzer Email — andrew.jenzer@duke.edu Dr. Maxwell Lloyd — https://connects.catalyst.harvard.edu/Profiles/display/Person/192727 AAOMS — https://aaoms.org/education-meetings/meetings/ NCCN Guidelines — https://www.nccn.org/guidelines/category_1 Ann Arbor Staging System — https://www.ncbi.nlm.nih.gov/books/NBK65726.23/table/CDR0000062933__557/?report=objectonly St. Louis Course — https://stlomfsreview.com/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Treating congenitally missing lateral incisors is a family and team affair, and it requires stringent protocols to achieve the desired outcome. Dr. Vic Martel, a general dentist in Florida, joins Dr. Stucki on this episode of Everyday Oral Surgery. Their conversation focuses on the interdisciplinary team approach required for successfully treating congenitally missing lateral incisors. Dr. Martel shares his protocol for managing these cases, shedding light on key orthodontic considerations and when it's time to refer to the surgeon. He also details the crucial 3A-2B Rule and explains the important factors that restorative dentists should understand about the implant process to achieve long-term success. Tune in to learn more about his approach and why, in his words, "implants are all about the long game."Key Points From This Episode:How Dr. Martel came up with his general protocol regarding missing lateral incisors.Step one: diagnosis between 7 and 9 years of age. What’s next after the diagnosis: communication is crucial.His thoughts on the ortho component of his protocol.At what point do we see the retained primary teeth coming out.When it’s time to see the surgeon.He explains his release form: an unfortunate story.We discuss the age difference between males and females.Dr. Martel unpacks the 3A-2B Rule.Restoring the super-narrow versus the regular narrow.Dr. Martel shares one of his frustrating stories.We discuss how restorative dentists handle the occlusions.Important things dentists need to understand.Why implants are all about the long game.He details his 10-minute lecture on the implant failures he’s encountered.Links Mentioned in Today’s Episode:Dr. Vic Martel on LinkedIn — https://www.linkedin.com/in/victor-martel-dmd-91431922/ Dr. Vic Martel on Instagram — https://www.instagram.com/drvicmartel/ Dr. Vic Martel Email — martelacademy@gmail.com Parent Instruction Sheet — Martel Academy — https://www.martelacademy.com/ Literature 3A-2B Rule — https://www.prosthodontics.es/wp-content/uploads/2019/10/2013-Rojas-Vizcaya.pdf Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Roger Levin from Levin Group Inc. shares his expertise in implant referral marketing and practice management. He highlights the critical role of the Implant Treatment Coordinator (ITC) in enhancing patient interactions and boosting referral rates. Listeners learn about the ITC's responsibilities before, during, and after implant exams, and how building trust through personal connections can improve patient outcomes. Dr. Levin also introduces the concept of 'the Golden Five' to strengthen patient relationships and discusses strategies for effective follow-up.

Dr. Victor Martel, a seasoned general dentist with 36 years of experience, shares fascinating insights about the referral process in dentistry. He discusses why dentists prefer certain specialists and how to foster communication and trust. Dr. Martel emphasizes the power of informal lunch meetings and strategic gifting in building relationships. He warns against over-referring and highlights the role of effective training for dental teams. This lively discussion offers valuable tips for both generalists and specialists to enhance collaboration and patient outcomes.

In residency, we all have the opportunity to present things to others, but how do we go about articulating what we want to say logically and coherently? Joining us today is Dr. Michael Miloro, Professor and Chairman of the Department of Oral and Maxillofacial Surgery at the University of Illinois Chicago. He is here to share some power tips for presenting in lectures, starting with the importance of presentations for a resident’s development, before explaining why the way you present is just as important as what you’re presenting. Then, we examine the importance of detailed preparation, the role of passion in captivating presentations, how to hold the audience’s attention, how to lean on humor, and the best practices for preparing presentation slides. We also unpack the power of storytelling and how to start telling impactful stories, how to prepare for a presentation on the day, how to approach Q&A sessions, how to keep the audience engaged, and how to improve your overall presentation skills. To end, Dr. Miloro carefully explains the rules around privacy and patient information in presentations, and he shares the books and TV shows that currently hold his attention.   Key Points From This Episode:Dr. Michael Miloro’s initial thoughts on presenting and its importance for residents. Why a presentation is more than the information you deliver, but also how you deliver it. The importance of preparation, where passion fits in, and holding an audience’s attention. How to add humor to your presentations: Let your personality shine through. The best practices for preparing presentation slides. Advice for overcoming nervousness, fear, and imposter syndrome. Why teaching is also a learning platform. The power of storytelling and how to tell impactful stories. How to prepare the venue, your body, and your mind. The best approach to Q&A sessions and how to keep the audience engaged. How residents can improve their presentations and presentation skills.  Online resources, hand gestures, pauses, and mobility versus standing still. Unpacking effective privacy protocols and the rules around patient information.  A Massacre in Mexico, Squid Game, Seinfeld, The White Lotus, and The Sopranos.Links Mentioned in Today’s Episode:Dr. Michael Miloro on LinkedIn — https://www.linkedin.com/in/michaelmiloro/ University of Illinois Chicago | College of Dentistry — https://dentistry.uic.edu/  Northwestern Memorial Hospital — https://www.nm.org/  A Massacre in Mexico — https://www.amazon.com/Massacre-Mexico-Missing-Forty-Three-Students/dp/1788731484  Squid Game — https://www.imdb.com/title/tt10919420/ The White Lotus — https://www.imdb.com/title/tt13406094/ Seinfeld — https://www.imdb.com/title/tt0098904/ The Sopranos — https://www.imdb.com/title/tt0098904/ F1: The Movie — https://www.imdb.com/title/tt16311594/ Superman — https://www.imdb.com/title/tt5950044/ Everyday Oral Surgery Website — https://www.everyda

Dr. Andrew Jenzer, a facial surgeon from North Carolina, and Dr. Maxwell Lloyd, a hematology oncology specialist from Boston, dive into the intricate world of leukemia. They explore various leukemia types, including acute myeloid and chronic lymphocytic leukemia, shedding light on symptoms and diagnostic strategies. The guests discuss the impact of chemotherapy on oral surgery and the nuances of different treatment modalities. With insights into leukocytosis and innovative treatment approaches, this conversation is a must-listen for anyone interested in hematology.

Kathie Lumbard, an executive and Gallup Strengths coach, discusses the often underappreciated importance of people skills in patient care. She explains why these ‘soft’ skills are actually some of the hardest to master and highlights their direct correlation to profitability. The conversation delves into building trust through effective communication, fostering a feedback-safe environment, and the value of using names in interactions. Kathie also shares strategies for enhancing team dynamics and emphasizes the role of emotional intelligence in today’s tech-driven world.

Maintaining full-scope skills in busy group practice takes more than just surgical expertise; it takes teamwork, vision, and smart systems. In this episode, Dr. Samir Singh and Dr. Alexander Faigen share how they’ve built a thriving oral and maxillofacial surgery group practice while continuing to perform full-scope procedures. They talk about their career paths, daily workflows, and their collaborative culture. We explore how they’ve grown their orthognathic surgery caseload, how they coordinate treatments, and run their operating rooms. They also touch on full-mouth rehab cases and the planning that goes into them. As usual, we end with some rapid-fire questions and hear final thoughts from our guests. Whether you’re building a group practice or refining your current one, this episode is for you!Key Points From This Episode:Welcoming today’s guests, Dr. Samir Singh and Dr. Alexander Faigen. A brief history of our guests’ career, their practice, and what their days look like. How they have managed to maintain their full-scope skills in their busy careers. Their relationships with their associates and the incredible camaraderie in the practice. How they’ve managed to build their orthognathic surgery caseload. Planning and coordinating their treatments and how their operating rooms are run. What their cases look like in the realm of full-mouth rehabilitation. Our guests answer some rapid-fire questions. Links Mentioned in Today’s Episode:Dr. Samir Singh on LinkedIn — https://www.linkedin.com/in/samir-singh-dmd-facs-b762b568/ Dr. Samir Singh Email — ssingh@nposa.comDr. Samir Singh on Instagram — https://www.instagram.com/ssingh_dmd_facs/ Dr. Alexander Faigen on LinkedIn — https://www.linkedin.com/in/alexander-faigen-dmd-81647a61/ Dr. Alexander Faigen Email — afaigen@nposa.comDr. Alexander Faigen on Instagram — https://www.instagram.com/pghoms/ North Pittsburgh Oral Surgery — https://www.northpittsburghoralsurgery.com/ North Pittsburgh Oral Surgery on Instagram — https://www.instagram.com/northpittsburghoralsurgery/ North Pittsburgh Oral Surgery on Facebook — https://www.facebook.com/northpittsburghoralsurgery/ Never Split the Difference — https://www.amazon.com/Never-Split-Difference-Negotiating-Depended/dp/0062407805 Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

The bulk of an oral surgeon’s business comes from referrals by general dentists. However, not all referrals are the same, and many oral surgeons still don’t understand the power their referring doctors hold over their practices. Once again, we are joined by Dr. Roger Levin, the founder and CEO of Levin Group, Inc., and an internationally recognized writer, advisor, management consultant, and dental business visionary. Dr. Levin is here to walk us through a concept he had a hand in developing 41 years ago, starting with the definition of “referral sources”, their importance, and how they inform marketing protocols. Next, we learn about the burden of generating new referrals, how to classify referral sources, the ins and outs of A referrals, and how to replenish your A database. Dr. Levin also explains why you always need to treat your patients well, why we consider B referrals as the least-interesting category, how to rise above the biggest challenges posed by C referrals, and how to curate long-term goodwill among your referring doctors. We end with the missed opportunities and common mistakes made with D referrals, the costs of marketing across the four referral categories, and the best practices for approaching and generating new referrals. Key Points From This Episode:Dr. Roger Levin describes referral sources and how they inform marketing protocols.Why the burden of generating referrals lies with the surgeon or surgical practice. A, B, C, D: How to classify referral sources. The ins and outs of A referring doctors and advice on how to replenish your A database. Where patients fit in, and why you always need to treat your patients well. Unpacking B referrals and why we consider this the least-interesting referral category. The biggest challenges with C referrals and how to rise above them. Long-term considerations for curating goodwill with referring doctors. How surgeons can be a general dentist’s gateway to improved services and technologies.Common mistakes made with D referrals and the opportunities that are often missed.The costs of referral marketing and how it differs across the four referral categories.  Exploring the best practices for cold calling and approaching new referrals. Dr. Roger Levin’s final thoughts on referrals and referral marketing.Links Mentioned in Today’s Episode:Dr. Roger Levin on LinkedIn — https://www.linkedin.com/in/roger-levin-69ab744/ Levin Group, Inc. — https://levingroup.com/ Levin Group, Inc. on YouTube — https://www.youtube.com/@LevinGroupInc American Association of Orthodontists — https://education.aaoinfo.org/  Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059