Everyday Oral Surgery

Today on Everyday Oral Surgery, we sit down with Dr. Chad Petersen, an oral maxillofacial surgeon practicing in Cheyenne, Wyoming, as he offers his perspective on thriving as an OMS in a more rural area. We discuss some strategies for getting more referrals, catering to patients who have to travel long distances, and coordinating implants with surgeons in different states. Dr. Petersen also makes the case for custom healing abutments and explains why he has chosen to incorporate them into his practice. If you’re looking to not only reduce patient visits but provide better outcomes and differentiate your surgical specialty practice, this is the episode for you! Dr. Petersen shares a number of valuable tips, tools, and techniques for creating custom healing abutments and offers some insight into what this process has taught him about tissue health, implant placement, and emergence profiles. Tune in today for all this and more!Key Points From This Episode:A brief overview of Dr. Petersen's training and how his practice is set up.Challenges of practicing in a more rural city like Cheyenne, Wyoming. Insight into what a typical day at Cheyenne OMS looks like.How Dr. Petersen has modified his practice to cater to patients that have to travel to see him.A look at who his typical referrals are and where they are located.How Dr. Petersen coordinates implants with referrals in different states.Why he has chosen to incorporate custom healing abutments.The tools and techniques Dr. Petersen uses to create custom healing abutments.What he has learned from some of the mistakes he made initially.Tips for making the custom healing abutment better mimic the final crown.How Dr. Petersen uses the Cervico kit to create custom abutments.Some of the benefits of this customized technique down the line.Recommended reads, the perks of fixing cars, Dr. Petersen’s preferred extraction tool, and more in our rapid-fire segment!The trusting relationships that Dr. Petersen has developed with his patients.An encouraging quote to live by to close the episode: what if it all works out?Links Mentioned in Today’s Episode:Cheyenne OMS — https://www.cheyenneoms.com/Dr. Chad Petersen Email — petersen.chad@gmail.comCervico by VPI — https://www.vpicervico.com/Project Hail Mary — https://www.amazon.com/Project-Hail-Mary-Andy-Weir/dp/0593135202The Psychology of Money — https://www.amazon.com/Psychology-Money-Timeless-lessons-happiness/dp/0857197681Everyday 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 — 720-441-6059KLS Martin Extraction Instruments Promo Code: EOSExo22 — https://www.klsmartin.com/ KLS Martin Portable Head Light Promo Code: KLSPHL — https://www.klsmartin.com/

Early diagnosis and early treatment are the keys to managing any immune-based disease. But, how do oral diseases differ? Dr. Robert Marx, OMFS, podcast host and author, extensively discusses immune-based diseases which are specific to the oral cavity. It is important to understand why normal physicians tend to discard any significant signs or symptoms specific to oral diseases (typically due to a lack of knowledge) and why, as an OMFS, you cannot make the same mistakes. Dr. Marx talks in detail about different diseases, specifically aphthous stomatitis, peri-implantitis, pemphigus vulgaris, erythema multiforme, and pemphigoid. Dr. Marx explains why he is an advocate for using prednisone, how to successfully biopsy and when you need to consult an immunologist. From recognition to diagnosis and then different treatment plans, this episode is a comprehensive look at how to properly manage immune-based oral diseases.  Key Points From This Episode:The different types of immune-based diseases.Why physicians discard information specific to oral diseases.The importance of knowing your patient’s medical history/background.How to recognize and diagnose pemphigus vulgaris.The difference between pemphigus vulgaris and bullous pemphigoid.Tzanck cells: are they worth noting?The different types of lesions that occur in the oral cavity.Why you should work with an immunologist when prescribing certain medications.Dr. Marx’s opinions on decadron versus prednisone.How to properly prescribe and create a prednisone treatment plan. How to recognize pemphigoid and whom to consult.Where and how to biopsy properly.Dr. Marx’s experience treating erythema multiforme.The different types and treatments for implantitis.What to note about aphthous stomatitis.Management of C1 esterase inhibitor deficiency.Dr. Marx’s opinions on the causes of immune-based diseases.Recognition versus diagnosis.A look at Dr. Marx’s podcasts and books.Why Dr. Marx is passionate about climate change.Links Mentioned in Today’s Episode:Dr. Robert Marx on Twitter — https://twitter.com/drrobertemarxDr. Robert Marx on LinkedIn — https://www.linkedin.com/in/robert-e-marx/Dr. Robert Marx on Facebook — https://www.facebook.com/robertemarx/Dr. Robert Marx Podcast — https://open.spotify.com/show/55bZc3HsfzFXRzBkDrbPklClimate Change: The Real Story — https://www.amazon.com/Climate-Change-Dr-Robert-Marx/dp/B0BLTKF5YR/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 — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ KLS Martin promo code KLSPHL— https://www.klsmartin.com/

Today we are joined by North Carolina-based oral maxillofacial surgeon, Dr. Ben Hechler to discuss all things TMD/TMJ. Dr. Hechler shares his philosophies on treating TMD and performing TMJ surgery, as well as some intricate treatment details. We learn about his standardized TMD/TMJ examination and diagnosis process, and how he determines whether a patient qualifies for TMJ surgery. Dr. Hechler breaks down the conservative non-surgical TMD treatments available to patients and how to manage long-term TMD-related problems for patients. In the case of arthroplasty, post-surgery care and counseling are essential and this episode outlines how best to provide that for your patients, along with the outcomes of a successful surgery. Tune in as we cover the basics of TMD, from the pathology to the treatment and beyond! Dr. Hechler also provides great insight into how to prepare for the oral board exam, the benefits of early arthrocentesis, and much more. Key Points From This Episode:Dr. Ben Hechler’s standardized TMD/TMJ examination and diagnosis process.How to identify extracapsular versus intracapsular problems.How Dr. Hechler determines whether a patient qualifies for TMJ surgery.Alternative non-surgical TMD treatments.The benefits of early arthrocentesis.In which cases post-arthrocentesis adjunctive physiotherapy should be considered.How to curb/manage long-term TMD-related problems for patients.Causes of TMD and who is at a higher risk.What to do in the case of unsuccessful arthrocentesis.Under what circumstances further surgery is necessary.When arthroplasty/ joint replacement is appropriate.The purpose of performing an eminectomy.Post-surgery care and counseling for arthroplasty patients.The outcomes of a successful surgery.The role of the oral maxillofacial surgeon when dealing with non-surgical candidates.The challenges of treating non-surgical TMD patients.The common pathology present in the joints of TMD patients.The interesting disease process of PVNS.Dr. Hechler’s advice for those preparing for the oral board exam.Hypo- versus hypermobility problems.Links Mentioned in Today’s Episode:Dr. Ben Hechler — https://www.dukehealth.org/find-doctors-physicians/benjamin-l-hechler-md-ddsDr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/DC/TMD updated guidelines — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478082/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 — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ KLS Martin portable headlight batteries coupon code KLSPHL — https://www.klsmartin.com/en/products/headlights/

Treating patients for cleft lips and palates can be a long road filled with multiple surgeries and long recovery periods. They also need support in multiple areas, from feeding to speech therapy. That is why it’s so important for patients to have a skilled and diverse team assisting them; including nurses, speech-language pathologists (SLPs,) and of course, Oral and Maxillofacial Surgeons. Today on the show we catch up with the returning guest, Dr. Michael Markiewicz, to discuss the intricacies of diagnosing and treating patients born with a cleft lip or palate. Tuning in you’ll hear about the work Michael does at his practice and how he and his team work together to treat and support patients. He goes on to provide a detailed breakdown of the most popular techniques for lip and cleft repair, including how they were first developed and the benefits and drawbacks of each approach. Michael also discusses the important role of dentists in treating cancer patients, the life-changing impact of orthognathic surgery, and what he finds most challenging as a surgeon. Be sure to tune in as Michael shares his expansive wisdom and insight on these important topics! Key Points From This Episode:Hear about the exciting discount that listeners can receive on instruments at KLS Martin.We catch up with the returning guest, Dr. Michael Markiewicz.An overview of how to diagnose and treat babies born with a cleft lip or palate.What to address first in patients with cleft lips and palates.The effect that cleft palates can have on speech.The integral role of nurses and speech-language pathologists (SLPs) in treating patients with a cleft lip or palate.Why feeding is a top priority for babies and young children treated for a cleft lip or palate.How the age and weight of a baby affect dosage and treatment.What scarring to expect after surgery for a cleft lip.How surgeries need to be timed based on critical development stages.Recommendations on when to perform single or double jaw surgery.A rundown of the most popular techniques for lip and palate repair.Which sutures Michael prefers to use.The most successful techniques for alveolar cleft repair.Why cleft bone grafting is so challenging.How Michael prepares for orthognathic surgery.Michael’s additional tips and tricks for treating patients.The importance of having a dedicated team for patients.The critical role of dentists in treating cancer patients.The life-changing impact of orthognathic surgery.Links Mentioned in Today’s Episode:Dr. Michael Markiewicz - mrm25@buffalo.edu Dr. Michael Markiewicz — https://www.michaelmarkiewiczddsmd.com/Dr. Michael Markiewicz on Linkedin — https://www.linkedin.com/in/michael-markiewiczEveryday 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 — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/

Dr. Ben Hechler, an OMFS, shares tips on leadership during residency, emphasizing the importance of community, responsibility, and effective communication. He discusses the power of collaborative work, planning, and risk mitigation, and defines a good leader as one who empowers, enables, and enhances. The podcast also briefly touches on television show preferences and the danger of selectively seeking information.

The path to where we want to be is not always linear. Dr. Carlos Moretta, a practicing Oral and Maxilla Facial Surgeon (OMFS), went through clinical internships, residency, an unhappy experience in pediatric surgery, and a year of research before he ended up where he felt like he belonged. While discussing his career history, Dr. Moretta describes his mission trips to Central America, South America, Africa, and Asia and how these were life-changing personal and professional growth experiences. We hear how he learned hard truths and important knowledge he still makes use of today. Dr. Moretta’s inspiring journey is one that was driven by passion and dedication: from practicing as an oral hygienist, dentist, and eventually an OMFS, Dr. Moretta is able to offer expert insight into all spheres of the world of dentistry.Key Points From This Episode:Dr. Carlos Moretta’s history in dentistry.Dr. Moretta’s experience as an oral hygienist, dentist, and eventually qualifying as an OMFS.People who had an impact on Dr. Moretta’s career in OS (oral surgery). Dr. Moretta’s experience in pediatric surgery.Why Dr. Moretta ended up doing a year of research.Practicing in academics: why Dr. Moretta uses private practice to supplement his income.Dr. Moretta’s recommendations for young surgeons interested in mission trips.The potential challenges when going on mission trips.When Dr. Moretta took his mission trips and where he went.Dr. Moretta’s experience with learning and practicing compassion.How people are all alike, despite diversity.Why teaching is so rewarding.How to find learning and mission trip opportunities.Why you don’t need to reinvent the mission trip wheel.Dr. Moretta answers some rapid-fire questions!Links Mentioned in Today’s Episode:Dr. Carlos Morett Email — cmoretta@llu.eduUnforsaken — https://www.amazon.com/Unforsaken-Zdravko-Stefanovic-ebook/dp/B09RQDBS4TEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.linkedin.com/in/david-hirsch-126210bb/Everyday Oral Surgery on LinkedIn — 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 — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ 

There are two important aspects when dealing with stress and burnout: what it is and how you perceive and respond to it. Dr. Ben Hechler, a third-generation dentist, is here to share his knowledge and personal experiences as comfort and support for those struggling. Ben leads the conversation by exploring his dealings with verbal abuse, bullying, and managing patients’ unrealistic expectations about availability, patient-doctor contact, and priorities. Changes in technology, western culture, and ideas of individual importance have put more pressure on doctors than ever before. There is a common feeling of not having enough hours in a day, struggling to find a balance between home life and work, and the inability to manage documentation, administration, and prescriptions. Ben discusses the pros and cons of academic medicine, how to control your schedule, changing your perspective, and determining your perception of your own success. It is time to start advocating for your income, acknowledging your value, and setting expectations for your own life!Key Points From This Episode:Ben’s main stressors as a surgeon.Seven reasons doctors are leaving medicine.The common occurrence of difficult, rude patients.The non-stop abuse of availability and expectations.The most common form of patient bullying Ben experiences.What is leading to patients’ skewed ideas of a doctor's priorities. The importance of upfront expectations and transparency. The effects of OR availability shortages.How Ben has dealt with long hours and lack of family time.Why you need to remember that after residency you are in control of your schedule.Why surgeons tend to think they can achieve balancing everything.How Ben manages the administrative loads and electronic/written records.The general consensus is that salaries are not matching workloads.What keeps Ben feeling joyful in his life.The pros and cons of being in academic medicine.Burnout: how to avoid it during your daily grind of work.It is time to change your perception!Ben gives advice to residents: there is a light at the end of the tunnel.How to perceive other people's negativity.Links Mentioned in Today’s Episode:Dr. Ben Hechler on Linkedin — https://www.linkedin.com/in/ben-hechler/‘7 Reasons Doctors Are Leaving Medicine' — https://www.healthgrades.com/pro/7-reasons-doctors-are-leaving-medicineTransformative Healthcare — https://www.amazon.com/Transformative-Healthcare-Physician-Led-Prescription-AdventHealth/dp/1734298499KLS Martin promo code EOSExo22 — https://www.klsmartin.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.linkedin.com/in/david-hirsch-126210bb/Everyday Oral Surgery on LinkedIn — 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

Is there a way to make MMF easier, faster, and safer? Dr. Andrew Jenzer and Dr. Joe Ivory are exploring the introduction of dental occlusion ties for maxillomandibular fixation and they are joining us to discuss their findings today on Every Day Oral Surgery. Tuning in, you’ll hear all about what a dental occlusion tie is, how they work, what they can be used for, their benefits, their challenges, and when you may not be able to use them. We also discuss Andrew and Joe’s textbook (coming soon) before they tell us all about their new and exciting ventures in the world of oral surgery. Being a dental resident is incredibly difficult and in this episode, our guests share some wonderful advice and words of wisdom about the importance of learning constantly, finding out what holds value to you, and staying humble. We also talk about their favorite books, movies, and what hobbies make them better surgeons. Finally, Andrew shares an interesting music tip with residents before Joe inspires us with an incredible quote. You will even get a discount code for KLS Martin instruments! You don’t want to miss out on this one!Key Points From This Episode:An exciting promotion code from KLS Martin instruments for listeners. An introduction to today’s guests, Dr. Andrew Jenzer and Dr. Joe Ivory. Andrew explains what a dental occlusion tie is.What Andrew and Joe’s article on dental occlusion ties is all about. How the occlusion tie works.The challenges with dental occlusion ties and the benefits of using them instead of wires.What Andrew and Joe use the ties for most often.Why the use of post-operative elastics and splints may prevent you from using dental occlusion ties.What their textbook is about, how they decided to create it, and when it will be available. Joe tells us about his new practice and surgery center. Andrew tells us about his fellowship at Duke University.They share advice for people in their residency: stay humble and learn as much as possible.Andrew tells us how he ended up at Duke and why he is so passionate about teaching.Andrew and Joe’s favorite movies. Andrew shares an amazing (unexpected) tip for residents. Links Mentioned in Today’s Episode:Discount code for 40% off of the basic kit from KLS Martin — EOSExo22KLS Martin — https://www.klsmartin.com/en/ Dr. Andrew Jenzer — https://www.augustahealth.org/provider/andrew-jenzerDr. Andrew Jenzer Email Address — andrew.jenzer@duke.eduDr. Joe Ivory on LinkedIn — https://www.linkedin.com/in/joseph-ivory-163736a7/ The Rise and Triumph of the Modern Self — https://www.amazon.com/Rise-Triumph-Modern-Self-Individualism/dp/1433556332 Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.linkedin.com/in/david-hirsch-126210bb/Everyday Oral Surgery on LinkedIn — 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

Today’s episode is all about what happens when things go wrong in the salivary glands, and what to do about it! As Dr. Ben Hechler explains, there are two categories of salivary gland disease (infectious and tumor masses), and retrograde tracking of bacteria is overwhelmingly the most common cause. You will hear about the different factors that lead to the retrograde tracking of bacteria, other factors that result in salivary gland disease, the typical symptoms that a patient with a salivary gland infection will present with, and the ways to diagnose and treat that infection. Ben also talks about the types of tumors that are most often found in the salivary glands, why it is easier to diagnose a tumor in the minor salivary glands (of which there are hundreds) than in the major carotid and submandibular glands, and how to deal with trauma to the salivary glands.Key Points From This Episode:Our three major salivary glands.The two broad categories of salivary gland disease.Symptoms that a patient with salivary gland disease will typically present with. The first steps that you should take if you suspect a patient may have salivary gland disease.Types of imaging that Ben suggests using to assess the situation.Different causes of salivary infections in the submandibular gland and the carotid gland. How to treat salivary gland infections.Some of the systemic diseases that affect the salivary glands. An explanation of what psilosis is (and what causes it).The most common types of tumors found in the salivary glands.The challenge of diagnosing tumors in the major salivary glands. Why Ben always advocates for complete transparency with patients. Ben’s approach when biopsy and MRI results don’t match up. The indications for considering neck dissections for salivary gland tumors.Advice for dealing with trauma to the salivary glands. How to diagnose and treat a ranula.  Problems that can occur in the accessory parotid gland.Links Mentioned in Today’s Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ Understanding Consciousness by Max Velmans — https://www.amazon.com/Understanding-Consciousness-Max-Velmans/Do No Harm by Henry Marsh — https://bookshop.org/p/books/do-no-harm-stories-of-life-death-and-brain-surgery-henry-marsThe Watcher — https://www.imdb.com/title/tt14852808/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.linkedin.com/in/david-hirsch-126210bb/Everyday Oral Surgery on LinkedIn — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Welcome to another episode of Every Day Oral Surgery! Today we are discussing what it’s like for women in surgery to be part of the “good ole boys club”, with the phenomenal surgeon, Dr. Erin Sheffield. We discuss what her residency was like as a woman, how she gained the confidence to assert herself and establish boundaries, how her first real job coincided with an important IVF appointment, and how being abused by a patient as a surgical intern made sexism in medicine obvious to her. You will hear all about Erin’s experience as a female surgeon, examples of microaggressions that can build up for women, how to address those microaggressions, and the competition felt amongst female surgeons. Erin also tells us about the discrimination she has endured, how language can perpetuate stereotypes and sexism, the pay gap experienced by women, and how having a family can affect your surgical career. It is exceptionally important for male surgeons to support, assert, and advocate for their female colleagues and Erin helps us understand why women can often come across as intimidating in medicine. We also delve into the importance of being authentic and true to yourself in order to be a successful surgeon, before looking at why vulnerability with patients can be a positive thing. Lastly, we talk about the way surgery is changing and why we need to make provisions for that change by having less rigid expectations of surgeons. You don’t want to miss out on this incredibly insightful conversation so tune in now!Key Points From This Episode:Introducing today’s guest, Dr. Erin Sheffield. Dr. Sheffield shares her experience of being a woman in the world of oral surgery. What her experience was like in residency and why microaggressions must be addressed. Some examples of microaggressions in the workplace and how to combat sexism. One: Establishing yourself as a doctor. Two: Being overlooked in favor of male doctors. Three: Being too feminine vs. being unprofessional. How Erin has dealt with feeling like an outsider as a female doctor. Why male colleagues should help assert their female colleagues as well. The ‘intimidating’ label women gain in surgery and why. Why being a female surgeon can be competitive among other women. The difficulties Erin faced with discrimination in the workplace. Why you need to set boundaries as a female surgical resident.Why being vulnerable with patients can be so beneficial. The pay gap for women in surgery. The importance of finding a mentor as a woman in surgery. Links Mentioned in Today’s Episode:Dr. Erin Sheffield on Quincy Medical Group — https://quincymedgroup.com/people/erin-sheffield-d-d-s/Dr. Erin Sheffield on Twitter — https://twitter.com/dresheffDr. Erin Sheffield on Instagram — https://www.instagram.com/erinsdds/Dr. Erin Sheffield on TikTok — https://www.tiktok.com/@dresheffieldEveryday 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