Everyday Oral Surgery

Welcome back to Everyday Oral Surgery as we bring you an episode inspired by the July/August ’23 edition of AAOMS Today.  As ever, we are thrilled to be joined by the wonderful Medical Director of Blue Cross, North Carolina, Dr. Ben Hechler. Ben relays his initial thoughts on itinerant surgery before diving into its definition (and the importance of understanding it), and why defining itinerant surgery is an extremely technical process. We also examine the problems related to itinerant surgery and proximity, why AAOMS has taken a hard stance on certain regulations, the difficulties of being a surgeon operating in multiple offices, and what a surgeon’s responsibilities are in post-care follow-ups and communication. To end, we explore what you should be wary of regarding moonlighting in residency and why itinerant surgery has become a common trend that will likely continue.  Key Points From This Episode:A warm welcome back to one of our favorite liaisons, Dr Ben Hechler. Where we got our inspiration for today’s topic: AAOMS Today.Ben’s first thoughts on OMS itinerant surgery and why it matters to understand its definition. Exploring the technicalities behind defining itinerant surgery. Why general proximity to accredited itinerant surgeons (in accredited facilities) is a concern. Explaining the reasoning behind some of the strict, AAOMS-implemented regulations.Complications that may arise as a surgeon who operates in multiple offices.  Discussing post-care and a surgeon’s responsibility in follow-ups and communication. Moonlighting in residency: what to be wary of. Why itinerant surgery is becoming more common and why this trend will likely continue.Links Mentioned in Today’s Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ Blue Cross North Carolina — https://www.bluecrossnc.com/ AAOMS Today— https://www.aaoms.org/site/member-login KLS Martin — https://www.klsmartin.com/en/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

There is no doubt that as a society, we are now fully immersed in the AI era. And whilst AI adoption may be slow and tentative, today’s guest is here to explain why everyone in dentistry should be embracing AI with haste! Dexter Mattox, DMD, DD, is the Founder and CEO of IMvision Dental, and after walking us through his professional history and current practice setup, Dr. Dexter dives deep into how AI and other new technologies can help oral surgeons in their practices. We learn about the wonders of Text Blaze and Chat GPT as they pertain to note-taking, how AI can be used both at the office and at home, safety concerns around AI and online security in general, and where to look if you want to start investing in the AI space. As ever, we end this episode with quick-fire questions for our guest as we find out about his favorite book, sport, quote, television program, and university experience. Key Points From This Episode:Introducing the Founder and CEO of IMvision Dental, Dexter Mattox, DMD, MD.Dr. Dexter’s professional background and current practice setup.His daily undertakings aside from his usual practice obligations. How AI and new technology can help oral surgeons in their practices. Our guest explains how Text Blaze and ChatGPT are changing the note-taking landscape.Helpful resources for implementing new technologies that Dexter has made available online.Other ways that he uses AI at work and in life. His favorite text-to-speech AI tools, and why he still prefers to type. Exploring the safety concerns of AI and online security in general. Some things to look forward to from some of the big players in AI. Why NVIDIA is a good place to start if you want to invest in the AI space. Dr. Dexter answers our rapid-fire questions as he explains his passion for Pickleball.Links Mentioned in Today’s Episode:Dr. Dexter Mattox on YouTube: https://youtu.be/tFj3syv860g?si=cGWppOw3yTeA4g5P Dr. Dexter Mattox Email — dexter@imvisiondental.com Dr. Dexter Mattox on LinkedIn — https://www.linkedin.com/in/dexter-mattox-dmd-md-39b57b25b/ Dr. Dexter Mattox on X — https://twitter.com/IMvision__DentalDental IMvision Dental — https://imvisiondental.com/ IMvision Dental on LinkedIn — https://www.linkedin.com/company/imvision-dental/people/ IMvision Dental on Facebook — https://www.facebook.com/profile.php?id=100095521750038 IMvision Dental on TikTok — https://www.tiktok.com/@imvisiondental IMvision Dental on YouTube — https://www.youtube.com/channel/UCzCioYKD9TofWoS57Bss6hg  Case Western Reserve University — https://case.edu/ 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.

Dr. Ben Hechler, Medical Director of Blue Cross, North Carolina, discusses closed claim cases including complications from anesthesia and path. Topics covered include safety of sedation, treatment of laryngospasms, professional opinions clash, diagnosing arterio-venous malformations, and the importance of documentation and case reviews.

Today we are joined once again by OMS Dr. Justin Evanson, practicing out of Denver, CO. Dr. Evanson is here to talk about using equipment in practice that can improve not only your posture and vision, but that of your patients too. We thought it would be a great idea to do a brief podcast on the usage of loupes and headlights. Disclaimer, this may or may not be a controversial topic because we know not all OMSs make use of these tools! Join the conversation as we share our thoughts on using loupes, loupes lights, navigating prescription glasses, headlights, and battery packs. If you find yourself currently struggling with back pain or simply looking to make tweaks to your practicing habits, be sure to tune in to this episode and hear how a combination of equipment and weight training changed the game for Dr. Evanson and his experience with back pain. Key Points From This Episode:Our topic: equipment that can improve posture and vision.Why Dr. Evanson uses loupes.Some of the benefits of using loupes (especially one with a light).The types of procedures Dr. Evanson uses his loupes for.We discuss different loupes specifications and costing. Navigating prescription glasses and loupes.Sutures and loupes and navigating the small vision field. We talk about adjustments and their effect on posture and neck pain.Our thoughts on loupes lights, headlights, and battery packs.A thought on how loupes can help patients maintain good posture during procedures.Other tools Dr. Evanson has seen in his years of practice: lighted retractors and saddle chairs. How weight training has changed the game for Dr. Evanson’s back pain. Links Mentioned in Today’s Episode:Dr. Justin Evanson on LinkedIn — https://www.linkedin.com/in/justin-evanson-209a5138/ Dr. Justin Evanson Email — justinevanson@gmail.comPacific Dental Services — https://www.pacificdentalservices.com/ Designs for Vision — https://www.designsforvision.com/ AAOMS — https://www.aaoms.org/meetings-exhibitions/exhibitors/2023-annual-meeting Orascopic — https://www.orascoptic.com/ Orascopic XL Endeavour Light — orascoptic.com/en-uk/endeavour-xl LumaDent — https://www.lumadent.com/ KLS Martin — https://www.klsmartin.com/en/ KLS Martin Headlights — https://www.klsmartin.com/en/products/headlights/ Starting Strength — https://startingstrength.com/ TRX Training — https://www.trxtraining.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

Being a solo dentist in a small town offers a chance to be an essential healthcare provider in the community, build strong patient relationships, and experience professional growth. While it comes with its challenges, the experience can be personally and professionally gratifying for dentists who have a passion for community service and patient care. Joining us today to share his experience of working as a solo practitioner in a rural setting is Dr. Brad W. Ray, an Oral and Maxillofacial Surgeon based at Plattsburgh Oral Surgery, PC in the North Country. We start by hearing about his OMFS training and professional career journey, from an overseas exchange program to working at prestigious institutions, and his overall approach to dentistry. Then, we unpack the nuances of working as a solo practitioner and what it takes to run a successful dental practice in a rural setting. We discuss Dr. Ray's patient-centric approach, the secrets to thriving in a small community, and his cutting-edge guided implant surgery method. Gain valuable insights into the Canadian dental surgery scene, implant protocols, 3D printing dental implants, essential advice for aspiring oral surgeons, and so much more! Tune in today as we unravel the solo dentist's success story in a small town with Dr. Brad W. Ray. Key Points From This Episode:Background about Dr. Ray, his diverse training, and practice setup.What he enjoys most about his job: meeting new people.A look at his approach to onboarding patients.Benefits of creating a positive environment for patients.The secret to growing a dental practice in a small community.Differences in competition between urban and rural settings.Ups and downs of working as a solo practitioner in a rural setting.Dr. Ray's unique and cost-effective guided implant surgery method.Insights into his implant protocol and how he leverages 3D printing.Essential advice about patience and dedication for aspiring oral surgeons.An insider’s look at the Canadian dental surgery scene.Steps to becoming professionally recognized in Canada.Finding your niche in the dental profession.We end with a set of fun, rapid-fire questions!Links Mentioned in Today’s Episode:Dr. Brad W. Ray on LinkedIn — https://www.linkedin.com/in/brad-w-ray-b2125a57/Dr. Brad W. Ray Email — dr.bradray@gmail.com Plattsburgh Oral Surgery, PC — https://www.plattsburghoralsurgery.com/McGill University — https://www.mcgill.ca/SprintRay — https://sprintray.comICOMS 2023 – https://www.iaoms.org/education/icoms-2023-vancouver/Good Night, and Good Luck — https://www.imdb.com/title/tt0433383/KLS Martin (Promo Code: EOSSummer2023) — https://www.klsmartin.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Performing surgeries in a private office (as opposed to a hospital) requires a great deal of infrastructure. Joining us today to discuss the ins and outs of in-office orthognathic surgeries is Dr. Andy Loetscher of Atlanta Oral & Maxillofacial Surgery and Dental Implant Center. In this episode, we discover how his private office is set up to facilitate these surgeries and the benefits of performing them in-house for the continuity of care. Dr. Loetscher explains how he has streamlined his surgical techniques to reduce costs and improve efficiency and shares advice for young doctors aiming for a similar in-office surgical setup. Tune in to learn more about Dr. Loetscher's technique and experience in performing in-office orthognathic surgery, with bonus insights into anesthesia and plate selection.Key Points From This Episode:Introducing Atlanta-based oral and maxillofacial surgeon Dr. Andy Loetscher.Dr. Loetscher’s three main reasons for doing orthognathic surgery.How his private office is set up to facilitate orthognathic surgery.Why he prefers to use pure inhalation anesthesia when performing orthognathic surgeries.His preferred equipment and use of bone morphogenetic protein (BMP) sponges for bone grafting.The benefits of doing orthognathic surgeries in his office instead of a hospital setting.Dr. Loetscher’s post-op regimen.The importance of having a skilled and well-trained team.How he has streamlined his surgical techniques to reduce costs and improve efficiency.His experience treating sleep apnea patients with orthognathic surgery.Staffing and infrastructure challenges faced in the office.Dr. Loetscher’s advice for those aiming to perform complex surgeries in-office.He recounts a successfully-handled medical emergency during surgery.Why he advises using an anesthesiologist for more complex cases.Links Mentioned in Today’s Episode:Dr. Andy Loetscher Cell: 678-938-4053Dr. Andy Loetscher Email:  jawimplant@aol.com Dr. Andy Loetscher on LinkedIn — https://www.linkedin.com/in/atlantaoralsurgery/ Atlanta Oral & Maxillofacial Surgery and Dental Implant Center — https://www.jawimplant.com/ KLS Martin Bien-Air Special (Promo code: EOSSummer2023) —https://www.klsmartin.com/en-na/products/power-systems/bien-air/ KLS Martin Arnett-FAB-Orthognathic-System — https://www.klsmartin.com/en/products/implants-cmf/titanium-osteosynthesis/ 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, Dr. Aaron Liddell is here to discuss a few real-world closed claim anesthesia cases with the aim of understanding where things went wrong and what could possibly have been done differently to facilitate a more positive outcome. At the end of the day, so many of the issues that occur during operations are due to poor patient selection. After listening to this conversation, you will be more inclined to think twice before sedating someone, and as Aaron makes very clear, choosing not to operate doesn’t make you any less of a surgeon! It took a lot of blood, sweat, and tears to get the hospital privileges that oral surgeons have today, and now that those privileges are under threat, it makes it all the more imperative that we are as prudent as possible when it comes to administering anesthesia.Key Points From This Episode:An overview of a real-world closed claim anesthesia case.Fears that all oral surgeons have around litigation.How Aaron would have handled the case differently if the patient had been his. One of the most common causes of anesthesia-related complications. Why oral surgeons are under a lot of scrutiny right now. An overview of another real-world close claim anesthesia case.Factors that Aaron always takes into consideration before sedating a patient.Aaron’s thoughts on preoperative medications.Why Aaron doesn’t use a pump in his practice. The value in setting time limits for your procedures.Final words of advice from Aaron around anesthetizing patients. Links Mentioned in Today’s Episode:Promo Code for KLS Martin Bien Air — EOSSummer2023Dr. Aaron Liddell on LinkedIn — https://www.linkedin.com/in/aaronliddell/ASA Physical Status Classification System — https://www.asahq.org/standards-and-guidelinesEveryday 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

At every stage of your career, there are important aspects of your financial life to be conscientious about, and the sooner that residents and young doctors can start on a path toward financial literacy and preparedness, the easier things will be later on. On the show today to talk about the basics of asset protection and wealth building is David Mandell from OJM Group. David does a great job of laying out the landscape and highlighting the most fundamental areas to address, from insurance and taxation to interest and personnel; listeners will come away with both motivation and actionable tips to implement immediately. David speaks about how he found his way to his current role, how to go about assessing potential financial advisors, and central procedures at OJM Group. He shares a special offer on their resources that you will not want to miss, so make sure to tune in to this great show!Key Points From This Episode:David talks about his recent webinar on retirement planning. A look at David's career path and route from law school to his current focus in wealth management. Financial advice from David for residents and the early stages of a career. Compound interest, taxation buckets, and making the best decisions about time and energy.The most important factors and questions to consider when finding a financial advisor. David explains the meaning of the word fiduciary. Comments on the pros and cons of a 401k and its alternatives. Understanding 'tax-free' or 'cash-value' life insurance and the literature David has published on the subject. Getting hold of some of David's amazing resources and the special he is offering listeners! A little about the subscription service that OJM is launching soon for young doctors. Links Mentioned in Today’s Episode:KLS Martin — https://www.klsmartin.comOJM Group — https://www.ojmgroup.comDavid Mandell Email — David@ojmgroup.comOJM Group Bookstore — https://www.ojmgroup.com/education/bookstoreDiscount Code for Free Books — EOS23 Subscription Wealth Management Survey — https://www.ojmgroup.com/contact/subscription-wealth-management-surveyWealth Planning for the Modern Physician Podcast — https://podcasts.apple.com/podcast/wealth-planning-for-the-modern-physician/id1533682175The doctor's asset protection guide — https://www.amazon.com/doctors-asset-protection-guide-practice/dp/1890415057MassMutual — https://www.massmutual.comVanguard — https://investor.vanguard.com/corporate-portalRobert Kiyosaki — https://www.richdad.comEveryday 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/EverydayOralSurgeryDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Today we have two guests on the show: Dr. Matthew Pham who practices in South Carolina, and Dr. Brian Farrell who practices in North Carolina, both of whom are part of the Carolina’s Centre for Oral and Facial Surgery (CCFOS) Group. We sit down to talk about the expansion of their practice, their thoughts on the role of the surgeon in the growth of the business, and embracing the benefit of both the clinical and administrative sides. We hear about the importance of finding ways to stay involved and hone your skills in the areas you enjoy, and they expand on the advantages of the model they use and the group’s recruiting approach. To hear more about the educational arm of their group and their prospective resource, the Rising Chiefs Course, don’t miss out on this episode of Everyday Oral Surgery.Key Points From This Episode:Dr. Pham sheds light on the expansion of their business.The benefit of having talented individuals on the administrative side of the business.Dr. Farrell's thoughts on the role of the surgeon in the growth of the business.Having the benefit of both the clinical and administrative sides. The importance of advocating for patients.Dr. Farrell explains what to focus on, regarding insurance appeals.Dr. Pham’s advice to residents navigating what group to join. The uphill battle of adding to an already existing scope of practice. Finding ways to stay involved in areas that you enjoy doing and keeping those skills active. The beauty of the expansion of their business model. The advantage of their practice setup for doing in-office surgeries. The scale and growth trajectory of the CCFOS group.A note to those listeners looking into doing TMJ. They talk about the group’s recruiting approach and process. We jump ship and talk about the educational arm of their group and the courses available.Dr. Farrell expands on their Rising Chiefs Course and what they hope to achieve with it.A “kudos” to all those that have graduated residency this year!Links Mentioned in Today’s Episode:Dr. Matthew Pham on LinkedIn — https://www.linkedin.com/in/matthew-pham-999b20242/ Dr. Matthew Pham Carolina’s Centre — https://mycenters.com/about/our-doctors/matthew-h-pham-dmd-md/Dr. Matthew Pham on Instagram — https://www.instagram.com/phamomfs/ Dr. Brian Farrell on LinkedIn — https://www.linkedin.com/in/brian-farrell-16a38615/ Dr. Brian Farrell Carolina’s Centre — https://mycenters.com/about/our-doctors/brian-farrell-dds-md-facs/ Carolina’s Centre for Oral and Facial Surgery — https://mycenters.com/ Rising Chiefs Course November 11th and 12th — PROMO CODE: EOSSummer2023Everyday 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 student loans you face as a dental and medical student can feel overwhelming. But there are more ways to minimize and manage it than you may think. Joining us today to talk about the nuances of paying back student loans and building credit is Dr. Paul Rollins, an oral and maxillofacial surgeon practicing in Ohio. In our conversation, Paul provides an extensive and easy-to-understand breakdown of the type of costs you can expect on this journey, how to make decisions that will minimize the cost of your loans, and the best options for repayments. We take a closer look at the income-driven repayment plans that make the most sense for residents, the advantages of a pay-as-you-earn repayment plan, and what you can do to qualify for public service loan forgiveness. Paul then goes on to elaborate on building credit, his recommended tools for learning about credit and how to manage it, along with an informative breakdown of high, medium, and low impact factors that can affect your credit score. We also discuss your expected debt-to-income ratio when you first come out of residency, how this will affect your rates, and advice on how to adapt. For a concise breakdown of everything related to loans, credit, and why you shouldn’t let the fear of student loans determine your career path, be sure to tune in today!Key Points From This Episode:A warm welcome to returning guest, Dr. Paul Rollins.Disclaimer: Paul is not a financial advisor.Getting a realistic idea of your overall costs.The variables that can affect the costs of your residency.A breakdown of the overall costs you can expect for dental tuition and medical school.The role that interest plays in your final numbers.Unpacking the concept of capitalization of interest (and how it works against you).Advice on how to minimize capitalization of interest.The income-driven repayment plans that make the most sense for residents.An overview of a pay-as-you-earn repayment plan and its many advantages.How to qualify for public service loan forgiveness.Why you shouldn’t let the fear of student loans determine your career path.Recommended tools for learning about credit and how to manage it.Advice on how to start building credit.Using credit monitoring to protect yourself.Your debt-to-income ratio and how this affects your rates.Find out what Paul is reading right now and what he has learned about longevity.Links Mentioned in Today’s Episode:Dr. Paul Rollins on LinkedIn — https://www.linkedin.com/in/paul-rollins-25248848/Falls Oral Surgery — https://www.fallsoralsurgery.com/Paul’s email — paul.rollins29@gmail.comDr. Paul Rollins: The Benefits of Using an LMA and Sevo as Your Anesthetic Technique — https://podcasts.apple.com/us/podcast/dr-paul-rollins-the-benefits-of-using-an-lma-and/id1535284898?i=1000536757096Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059KLS Martin (Promo Code: EOSSummer2023) — https://www.klsmartin.com/Bien-Air Surgical Devices — https://www.klsmartin.com/en-na/products/power-systems/bien-air/