Everyday Oral Surgery

Coming out of residency, oral surgeons are instantly faced with the need to be business savvy as they navigate the professional world, particularly if they’re looking to go private. Unfortunately, most of us lack a background in business. Today, we are joined by Dr. Paul Rollins, one of three partners at Falls Oral Surgery and Dental Implant Center, to investigate how to assess a practice’s operations and evaluate whether they’re a good fit for you. Dr. Rollins breaks down the basic principles of business as they apply to oral surgery, from the difference between production and collections to how to calculate your overhead costs. We discuss the value of time and dependable employees, as well as how to gauge the profitability of a practice for you as an individual. If you’ve decided to pursue a private practice but aren’t sure which steps to take, this episode is for you! Tune in to hear all you need to know about analyzing a private practice you’re looking to join or purchase.Key Points From This Episode:Introducing our guest, Dr. Paul Rollins.The challenges of pursuing a private practice with no business background.Dr. Rollins’ business background.Basic business principles and advice for getting into private practice.How to evaluate a practice to ensure it’s a good fit for you.What you’re buying into when you buy a practice.The difference between production and collections/revenue.The biggest expenses OMS practices incur.How to calculate your overhead costs.How the number of partners impacts the overhead of a practice.Salaries versus distributions.The difference between operating income and net income.How to gauge the profitability of a practice for you as a partner.The importance of having a good lawyer and accountant on board.Examples of fixed, variable, and mixed costs.Dr. Rollins’ current practice setup at Falls Oral Surgery and Dental Implant Center.How to calculate return on investment in the oral surgery world.The value of having good employees.The importance of prioritizing time value for yourself and your employees. The importance of comparing various practices before making a decision.Final words of advice for residents looking to join or acquire a private practice.     Links Mentioned in Today’s Episode:Dr. Paul Rollins on LinkedIn — https://www.linkedin.com/in/paul-rollins-25248848/Dr. Paul Rollins Email —Falls Oral Surgery and Dental Implant Center — https://www.fallsoralsurgery.com/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Placing dental implants is a complicated and delicate procedure that requires absolute accuracy. Depending on the situation, this can be difficult and time-consuming and requires the patient to be operated on for uncomfortably long periods. What if there was a way to improve the accuracy of the procedure while making it faster and less invasive for patients? In this episode, we speak to Dr. Ryan Kriwanek about his experience using X-Nav, an exciting technology helping improve implant procedures. Dr. Ryan Kriwanek is an Oral and Maxillofacial surgeon practicing in Newport Beach, California, and has a keen interest in implant surgery, related bone grafting procedures, and orthognathic surgery. In our conversation, we learn everything you need to know about X-Nav based on Dr. Kriwanek’s experience using the system. We learn about the steps involved with using X-Nav, the challenges and limitations of the system, what types of procedures it can be used for, the associated learning curve, how to bill patients, and much more! Tune in to learn about the pros and cons of an exciting new technology changing the way implants are done with expert Dr. Ryan Kriwanek!Key Points From This Episode:Introduction about Dr. Kriwanek’s professional background.What type of procedures takes most of his time.He outlines his experience of using the X-Nav system.A breakdown of the steps involved in using the X-Nav system.The challenges and limitations of using X-Nav in his practice.Reasons why he does not sedate patients while using the system.Examples of the types of procedures that X-Nav can be used for.Whether Dr. Kriwanek uses the system in conjunction with a guide.Dr. Kriwanek explains the instances when he does not use the system.Other technologies in dental surgery that Dr. Kriwanek has come across.How he calculates the cost of using the system for billing patients. Advice Dr. Kriwanek has for young surgeons interested in using the technology.How long it takes to set up the practice and train staff on the X-Nav system.The support that is provided for surgeons using the system. Dr. Kriwanek shares a story about when using X-Nav did not go to plan.We end the show with some rapid-fire questions for Dr. Kriwanek.Links Mentioned in Today’s Episode:Dr. Ryan Kriwanek on LinkedIn — https://www.linkedin.com/in/ryan-kriwanek-aab62b4b/Dr. Ryan Kriwanek Email — rkriwanek@gmail.comX-Nav Technologies — https://x-navtech.com/Nobel Biocare — https://www.nobelbiocare.com/en-usEveryday 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 Everyday Oral Surgery! Joining us in conversation today is Dr. David Hirsch, an oral and maxillofacial surgeon practicing in New York. During today’s conversation, you’ll hear about Dr. Hirsch’s journey of building his expertise leading up to today. Learn about the role of 3D printing in changing the dental industry, and how he has used the ‘Jaw in a Day’ technique since the early days of its inception. This episode is brimming with advice for young surgeons about training, collaboration, and ego. Dr. Hirsch is driven by passion and reminds listeners that following your heart is an essential component of creating a successful career. Get a book recommendation from Dr. Hirsch’s senior colleague, find out which unexpected unrelated activity improves his dexterity as a surgeon, and much more today! Key Points From This Episode:An introduction to Dr. David Hirsch, oral and maxillofacial surgeon practicing in New York.His education at NYU followed by a Head and Neck Fellowship with Dr. Eric Dierks. The ten years he spent managing practices in NYU before moving to Lennox Hill Hospital.Selling his private practice during the heat of COVID to become Senior Vice President of dental medicine at Northwell.His background in wrestling and his role as the unofficial team doctor. How the advent of 3D printing has changed the dental industry.The ‘Jaw in a Day’ technique and how he has used it through his evolution. What it has been like to be the first oral and maxillofacial surgeon to do head and neck surgery in NYC.The importance of putting your ego aside, collaborating and learning from others.Why being in a competitive environment makes him better at his job. His advice for oral surgeons choosing a direction: you have to do what you love!Why young surgeons should take the opportunity to train as much as they can. The best book Dr. Hirsch has read in the past year: After the Roof Caved In.How Dr. Hirsch’s fly fishing skills improve his dexterity as an oral and maxillofacial surgeon.Which forceps he uses to extract Tooth 14: a standard 150.His favorite film: Vision Quest.Why Dr. Hirsch is excited to hear from surgeons and patients across America. Links Mentioned in Today’s Episode:Dr. David Hirsch Email — dhirsch5@northwell.eduDr. David Hirsch on LinkedIn — https://www.linkedin.com/in/david-hirsch-126210bb/Dr. David Hirsch on Instagram — https://www.instagram.com/doctor.davidhirsch/Head and Neck Surgical Associates — https://head-neck.com/After the Roof Caved In — https://www.amazon.com/After-Roof-Caved-Immigrants-Journey/dp/1951627245Everyday 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 joined by Jake Stucki to discuss some tips on using nitrous and oral sedation effectively. In this short episode, you’ll hear about the impetus for today’s topic, what could be happening when a patient says the nitrous isn’t working, and the pros and cons of using nitrous, as well as why you shouldn’t just crank it higher. We also discuss a potentially better method of sedation than anesthesia, some of our experiences of using oral sedation, and the importance of using proper dosage, plus some tips for handling pediatric sedation and the importance of knowing who is a good candidate for what type of sedation. Finally, we mention why oral surgeons often avoid the use of nitrous. To hear all this and more, tune in now!Key Points From This Episode:The impetus for today’s topic: a discussion about nitrous oxide with Jake.What could be happening when a patient says the nitrous isn’t working. The benefits of nitrous. The negative effects of nitrous. The importance of inspecting the system before cranking it higher if patients aren’t feeling it.The dangers of diffusion hypoxia with nitrous.Why a lower dosage of oral sedative combined with nitrous may be better than anesthesia. A look at when you shouldn’t use nitrous. What we have experienced when it comes to oral sedation. The importance of being aware of dosage and laws in different states. How we handle pediatric sedation. Why we put an IV in, regardless of the sedation method, when the patient falls asleep. The importance of knowing what patients need what type of sedation and how much.Why oral surgeons often avoid nitrous: the size and bulkiness of it.Links Mentioned in Today’s Episode:Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/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

Note writing feels like the bane of every oral surgeon’s existence, but is essential for your protection. Every aspect of your note could be used to help you in a medical-legal situation or hurt you. Today, we are joined by Connecticut-based OMS, David Salomon to discuss how to avoid and combat medical-legal issues with efficient note writing. We talk about the importance of forming good note-writing habits, and what those are, including tips for making the process as painless and efficient as possible. We break down what to include in your notes to avoid medical-legal issues, and share an example of notes being examined in a malpractice case. To further protect yourself, clear communication and an empathetic bedside manner are key, and in this episode, we cover the best ways to communicate with your patients before, during, and after a procedure, particularly in the case of a complication. Tune in to find out how best to protect yourself from medical-legal complications and be the best OMS you can be!Key Points From This Episode:Introducing today’s guest, Dr. David Salomon.Today’s topics: how to avoid and combat medical-legal issues.How we feel about the process of note writing.The importance of starting early and forming good habits, when it comes to note writing.The multifunctional purpose of note writing.Tips for making the process more efficient and painless.The skill required for writing succinct notes.What to include in your notes to avoid medical-legal issues.An example of notes being examined in a malpractice case.Why it’s important for oral surgeons to prioritize good note writing.Why it’s advisable to include probing depths in your notes, as well as reasons for extraction.The importance of making individualized notes for each patient and including everything that was discussed with the patient prior to the procedure.How to approach note writing for procedures involving anesthesia.Where to find suitable note templates!Why time-stamped, descriptive computer-written notes are preferable.How best to communicate with patients before and after a procedure to avoid legal complications.How to communicate a surgical complication to a patient during and post-procedure.The advantage of empathy and a good bedside manner.Dr. Stucki’s experience of an extortion attempt by a patient and how he handled it.Links Mentioned in Today’s Episode:Dr. David Salomon — https://www.linkedin.com/in/david-salomon-b8ab1431/OMSNIC — https://www.omsnic.com/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Our guest today, Dr. Raza Hussain, is a firm believer that Oral and Maxillofacial Surgeons who run their own private practices possess a unique set of skills that set them up to be excellent leaders. This can be especially relevant to public institutions like hospitals. Running your own private practice enables you to be an expert, not just in oral surgery, but also in the business side of things, like sourcing equipment, managing finances, and instituting an HR department. Tuning in you’ll hear Dr. Hussain unpack what he’s learned from his experiences working in public hospitals, the leadership training he underwent, and what his association with the Department of Veterans Affairs has taught him about leadership. We delve into what it takes to run a private practice, the benefits of being skilled in multiple areas, and the difficult decisions leaders in healthcare need to make on a regular basis. Dr. Hussain also shares his advice for young surgeons who are interested in leadership and why he would like to see more Oral and Maxillofacial Surgeons taking up leadership positions. Tune in for a deep dive into what it means to be a leader, the importance of being involved in public health leadership, and much more!Key Points From This Episode:Get to know our returning guest, Dr. Raza Hussain.How hospital committees affect the level of care healthcare professionals can provide for their patients.The leadership training Dr. Hussain underwent, sponsored by the Department of Veterans Affairs.What Dr. Hussain learned about the budgeting process for public institutions like hospitals.Why Oral and Maxillofacial Surgeons who have run their own private practices are uniquely suited to leadership positions in hospitals.The differences and similarities between running a private practice and working in a public institution.Dr. Hussain’s advice for young surgeons who are interested in leadership.Some of the difficult decisions you need to make as a leader.The precision and analytical skills that ​Oral and Maxillofacial Surgeons possess and why they are beneficial as a leader.The importance of being a good leader no matter what setting you’re in.Why healthcare providers need to be involved with budgeting and leadership decisions.Examples of how to educate your patients when they query costs or procedures.Why Dr. Hussain believes Oral and Maxillofacial Surgeons need to become more involved in broader healthcare leadership, both locally and globally.Links Mentioned in Today’s Episode:Dr. Raza Hussain — https://dentistry.uic.edu/raza-hussainUniversity of Illinois at Chicago (UIC) College of Dentistry — https://dentistry.uic.edu/Dr. Raza Hussain email — raza.hussain@va.govEveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Welcome back to the Everyday Oral Surgery Podcast! During today’s episode, we are joined by Dr. Bill Jordan, an oral and maxillofacial surgeon practicing in Sugar Land, Texas. He is here today to discuss the rise of management groups and venture capital groups in recent years. Join us today to hear how to determine if bringing in practice management or a venture capital group is right for you. Dr. Jordan shares his own experience and goes into detail about how US Oral Surgery Management partners with practices. You’ll learn why it’s important for you to understand some of how your practice will be valued from a private equity standpoint and get some great tips on assessing whether a company is right for you to bring in. We touch on a management company’s role in providing support for reaching your goals, the reality of debt among young surgeons, and limiting burnout through hiring the assistance you need. Join us to hear all this and more today! Key Points From This Episode:An introduction to today’s guest, Dr. Bill Jordan, oral and maxillofacial surgeon. Today’s topic: the rise of management groups and venture capital groups in the last few years.Dr. Jordan weighs in on the first question you should ask yourself: is this right for me?His experience in dealing with practice management and venture capital. What US Oral Surgery does when they consult with your business. Why you need to understand some of how your practice will be valued from a private equity perspective.The importance of looking at a company’s management history before bringing them in.Why, if you are offered dividends, you really need to understand what that entails.The reality of debt among young surgeons.How the support of practice management can help you achieve your goals.Why your work as a surgeon will be saddled by the debt you have to repay.Limiting burnout by relying on management support.The unique opportunity to network with other surgeons.A word of caution around rules around itinerant surgery and post-ops according to the CPC.Why it is so important to be reachable for your patients.How what you do as a surgeon can impact the entire community of oral and maxillofacial surgeons.Links Mentioned in Today’s Episode:US Oral Surgery Management — https://www.usosm.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Erik Nuveen has built a life and a career that he truly loves, but getting to this point came with its own set of challenges. Listen to this episode where Erik candidly shares the ups and downs that he has faced along his journey, why his time at dental school has been invaluable to him as a full-body cosmetic surgeon, and what it takes to achieve true operational efficiency and sustain a thriving business. Erik does approximately 1400 major surgeries a year, and he has trained over 200 physicians and OMS residents over the past 20 years! His lack of fear is one of the fundamental factors which he attributes to his success. Whether or not you are interested in cosmetic surgery, this episode will leave you feeling inspired to take your career into your own hands and truly make the most of whatever path you choose! Key Points From This Episode:Erik shares the story of his residency transfer.Why he credits his success as a cosmetic surgeon to dental school.The average number of major surgeries that Erik does per year. How our guest achieves such a high degree of operational efficiency. The factors that he sees as fundamental to success.Erik’s drive to improve the way things are done in the medical field.Advice for any listeners interested in becoming a cosmetic surgeon.Erik’s ultimate goal that he hopes to achieve through training other surgeons.Personal struggles that he has overcome, and how his past has impacted the way he lives his life now.Examples of ways to give back to society.The primary investment endeavors that our guest is focused on at the moment. Why now is an interesting time to be involved in the oral surgery profession.Tips for running a flourishing business (yes, you can do it!).An overview of the ideal practice setup.The value that lies in having a business partner.Examples of how to demonstrate a high level of commitment to your career. Erik’s plans for the future.24000: the total number of surgeries that Erik has done! Links Mentioned in Today’s Episode:Erik Nuveen Email Address — drnuveen@gmail.comErik Nuveen on LinkedIn — https://www.linkedin.com/in/erik-nuveen-599920a1/ Cosmetic Surgery Affiliates — https://csaok.com/ American Academy of Cosmetic Surgery — https://www.cosmeticsurgery.org/default.aspx Everyday Oral Surgery — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hlEveryday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

During this episode of our Resident Series of the Everyday Oral Surgery Podcast, Jake and I walk you through the process of treating an odontogenic infection. We discuss everything from the factors that indicate the severity of an infection at the initial patient consultation (including systemic issues), to the difference between moderate and severe spaces, to the technical details about how to drain an abscess. These things will come up on a regular basis during your oral surgery career, so it is vital to understand them properly. If you are currently doing your OMS residency, this episode will help you feel more at ease when dealing with odontogenic infections!Key Points From This Episode:Factors to take into consideration to determine how severe an infection is. Some of the most important tests to order for a patient with an infection. Benefits of looking at a patient’s imaging prior to reading their report. What air looks like on a CT scan.Examples of things that are a cause for concern on a CT scan. What a more developed abscess looks like.Moderate versus severe spaces.How infections can compromise airways. The importance of understanding a patient’s systemic problems (if they have any). Indications that a patient should be admitted to hospital. Technical tips for draining an abscess. Advice for how to approach post-operative care of your patients.Examples of severe complications that can arise from untreated odontogenic infections. A description of each of the stages of infection.Links Mentioned in Today’s Episode:Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

If you run a business, in this day and age, you need social media. Not necessarily to drive business, but to support and enhance your brand. Joining us today to share his thoughts on the subject is Dr. Jason Auerbach AKA Bloody Tooth Guy, OMS of Riverside Oral Surgery in New Jersey who happens to have gained 181k organic followers on his Bloody Tooth Guy Instagram account! In this episode, we find out how his online presence has benefited his physical practice, and how best to use social media to enhance your brand. We learn about Dr. Auerbach’s commitment to optimizing the patient experience and the ways in which he’s achieved his goal, as well as his tips for optimal referral management. Tune in to find out more about Dr. Auerbach’s journey and his inspiring philosophies on both social media and oral surgery!Key Points From This Episode:Dr. Jason Auerbach’s training history and current practice setup.How Dr. Auerbach developed Bloody Tooth Guy on Instagram.How he gained 181k organic followers!How his online presence has benefited his practice.Dr. Auerbach’s intention to scale his practice from the get-go.Ways in which he’s optimized the patient experience.The infrastructure of Riverside Oral Surgery.How to ensure optimal referral management.Dr. Auerbach’s advice for young doctors determining their niche in the field.How to use social media as a tool for your practice. The importance of being authentic on social media.Dr. Auerbach’s book recommendation, favorite non-oral surgery-related activity, favorite film, and which forceps he uses to extract tooth number 20!Links Mentioned in Today’s Episode:Dr. Jason Auerbach Email — jma@riversideoralsurgery.com or bloodytoothguy@gmail.comDr. Jason Auerbach on LinkedIn — https://www.linkedin.com/in/jason-m-auerbach-dds-392a0b39/Bloody Tooth Guy — https://bloodytoothguy.com/Bloody Tooth Guy on Instagram — https://www.instagram.com/bloodytoothguyRiverside Oral Surgery — https://www.riversideoralsurgery.com/TBS Dental — https://www.tbsdental.com/TBS Dental on Instagram — https://www.instagram.com/tbsinstrumentsDavid and Goliath by Malcolm Gladwell — https://www.amazon.com/David-Goliath-Underdogs-Misfits-Battling/dp/0316204374Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059