Everyday Oral Surgery

Dr. Michael DeLuke is back on the show with Dr. Stucki for today’s episode of Everyday Oral Surgery. Dr. DeLuke is an orthodontist stationed out of Florida, the founder of DeLuke Orthodontic Coaching (DOC), and host of The DOC Podcast. He is an adjunct faculty member in NSU Florida’s Department of Orthodontics. After launching DeLuke Orthodontics in 2005, he built it into a multi-million dollar single-doctor practice within a decade. A national lecturer on topics like clinical efficiency, interceptive treatment, and practice management, he founded DOC in 2022 to help colleagues achieve clinical excellence, business success, and financial growth. Today’s topic of conversation centers around airway improvement goals in orthodontics, and they dive into where it all begins, the importance of looking beyond the teeth, and he challenges his colleagues to dig deep and ask questions. They examine the evidence surrounding the impact of tooth removal on further airway issues, he shares his thoughts on when to consider surgery and dives into a discussion on the age component of accomplishing the goal of normalizing anatomy. To learn more about his recommendations, thoughts, and advice on this topic, be sure not to miss out on this episode. Thanks for tuning in!Key Points From This Episode:Welcome back, Dr. Michael DeLuke, here today to discuss airway goals in orthodontics.He kicks off the episode with his initial thoughts on today’s topic.Where it all begins: the multifactorial aspects of adenoid facies.The importance of looking beyond the teeth and asking questions.We examine evidence on the possibility of tooth removal contributing to further airway issues.His insights on knowing when to consider surgery after exhausting orthodontic options: a focus on normalizing anatomyThe age component: how old it is too old (or too young) to accomplish the goal with orthodontics.His recommendations to an OMS who finds themselves in a tough referral situation (to extract or not to extract).A quick discussion on the AAO White Paper.Last words of encouragement to listeners. Links Mentioned in Today’s Episode:Dr. Michael DeLuke — https://theorthocoach.com/about-dr-deluke/ Dr. Michael DeLuke on LinkedIn — https://www.linkedin.com/in/michael-deluke-3191296/ DeLuke Orthodontic Coaching (DOC) — https://www.youtube.com/@delukeorthodonticcoaching Dr. Michael DeLuke on Instagram — https://www.instagram.com/theorthocoach/ Dr. Michael DeLuke CE Courses — https://theorthocoach.com/ce-courses/ Bridging the Gap Between Dentistry & Sleep Medicine (w/Drs. Simmons & Carstensen) [Ep.90] — www.youtube.com//watch?v=VbYX0Da3EW8 Ways to Establish Financial Freedom and Realize Your Long-Term Goals (with Dr. Michael DeLuke) — (Not yet published) Mentioned Studies —‘Obstructive sleep apnea and orthodontics: An American Association of Orthodontists White Paper’ — https://www.ajodo.org/article/S0889-5406(19)30278-1/abstract  American Association of Orthodontists — https://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 —

Realizing your long-term goals starts with visualizing what you want to achieve. No one knows that better than today’s guest, Dr. Michael DeLuke, who at the start of his career set himself the goal of having the option to retire by age 50. This goal has been a guide in his remarkable career, from building up his orthodontic practice to impressive heights to making the difficult decision to phase it down to taking the financial leap and transitioning into the next phase of his career. Tuning in, you’ll hear all the details of Dr. DeLuke’s journey as he breaks down how he financially transitioned out of private practice into a new chapter that balances academia, content creation, and orthodontic coaching. Discover how to navigate student debt and achieve financial freedom, the importance of investment and delayed gratification, why having a financial advisor is so valuable, and much more. Don’t miss out on this fascinating conversation with Dr. Michael DeLuke!  Key Points From This Episode:Background on Dr. DeLuke and his remarkable family legacy in dentistry. How he built up his practice and made the difficult decision to phase it down.Dr. DeLuke’s journey into balancing content creation and academia. Insights on taking the financial leap to transition out of private practice.Putting together a financial plan and having a vision for your future.Advice to young surgeons on how to navigate debt and achieve financial freedom.The power of investment and delayed gratification in your financial life.How a financial advisor can help you manage your money and your investments.Understanding the toll that modern dentistry takes on your mind and body.The importance of sharing your financial vision with your significant other.Dr. DeLuke’s answers to our rapid-fire questions!Links Mentioned in Today’s Episode:DeLuke Orthodontic Coaching — https://theorthocoach.com/DeLuke Orthodontic Coaching on Instagram — https://www.instagram.com/theorthocoach/ The Doc Podcast with Dr. Mike DeLuke — https://www.youtube.com/channel/UC_LCNiTq7I0VeniRxenHIyQDr. Michael DeLuke on LinkedIn — https://www.linkedin.com/in/michael-deluke-3191296/Rich Dad Poor Dad — https://www.richdad.com/Cash Flow Quadrant — https://www.richdad.com/cashflow-quadrant-fundamentalsOutlive: The Science and Art of Longevity — https://www.amazon.com/Outlive-Longevity-Peter-Attia-MD/dp/0593236599Never Finished: Unshackle Your Mind and Win the War Within — https://www.amazon.com/Never-Finished-Unshackle-Your-Within/dp/1544534086Everyday 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

Can reversing sedation be too much of a good thing? Flumazenil is a powerful benzodiazepine antagonist, but its use comes with both benefits and risks. In this episode of Everyday Oral Surgery, we welcome back Dr. Jake Stucki, a resident doctor at Case Western Reserve University School of Dental Medicine, to break down the benefits and drawbacks of flumazenil. In our conversation, we delve into the benefits, risks, cost considerations, and usage of flumazenil in oral surgery sedation. We explore using naloxone, its potential to reverse opioid effects, the associated costs of using it, and its potential for residual sedation. You'll also learn about the common misconceptions surrounding flumazenil, patient contraindications, guidelines on best practices, and more. Join us to learn about the fundamentals of flumazenil and how to use it effectively and safely in your practice with Dr. Jake Stucki. Tune in now!Key Points From This Episode:Learn about flumazenil's usage, its effects on patients, and why it is important.The associated costs, how it can be administered, and the correct dosage to use.Explore the benefits of flumazenil in oral surgery and patient recovery.  Uncover the potential risks surrounding re-sedation and other vital considerations.When not to use the drug and how it is commonly used in clinical practice.Find out about the downsides of using flumazenil and the complications it can cause.Hear about The Joint Commission’s perspective on the use of flumazenil.Naloxone and how its usage and dosage are different from flumazenil.Discover an alternative approach for extracting maxillary upper third molars.Links Mentioned in Today’s Episode:Dr. Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/  Case Western Reserve University School of Dental Medicine — https://case.edu/medicine/The Joint Commission — https://www.jointcommission.org/Dexter — https://www.imdb.com/title/tt0773262/Cobra Kai — https://www.imdb.com/title/tt7221388/Talking to Strangers — https://www.amazon.com/Talking-Strangers-Should-about-People/dp/0316478520/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

Today, we review the 2024 article that details the study of the risk factors associated with IAN injury after third molar removal. We welcome Dr. Jake Stucki back to the show – resident doctor at Case Western Reserve University School of Dental Medicine – as he outlines the study design of today’s article in review. We unpack the variables focused on in the study, the risk factors that are revealed, how to mitigate these risks, and why the dental instruments for surgery need to be carefully chosen. To end, Dr. Jake walks us through other notable outcomes from the study, and we discover more ways to prevent nerve injuries during third molar removals.    Key Points From This Episode:The study design of the article in review: IAN injury risk factors after third molar removal.Patient demographics and other variables of focus in the study.  Where risk begins, how it grows, and how to minimize it.  Why the instruments you choose to use matter.   Other significant outcomes from the study and helpful supplementary resources.   Important advice for preventing nerve injuries. Dr. Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/  Case Western Reserve University School of Dental Medicine — https://case.edu/medicine/ ‘Risk Factors Associated with Inferior Alveolar Nerve Injury after Extraction of Impacted Lower Mandibular Third Molars: A Prospective Cohort Study’ — https://www.joms.org/article/S0278-2391(24)00295-7/abstract  ‘The Radiological Prediction of Inferior Alveolar Nerve Injury during Third Molar Surgery’ — https://pubmed.ncbi.nlm.nih.gov/2322523/  ‘Radiographic Predictors of Postoperative Inferior Alveolar Nerve Injury in Mandibular Third Molar Surgery’ — https://www.joms.org/article/S0278-2391(24)00866-8/abstract ‘Dr. Tony Pogrel: Nuances of Coronectomy and Intentional Root Retention during Extraction’ — https://www.buzzsprout.com/1404670/episodes/10507025-dr-tony-pogrel-nuances-of-coronectomy-and-intentional-root-retention-during-extraction.mp3  Journal of Oral Maxillofacial Surgery — https://www.joms.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

Dr. Roger Levin, CEO of Levin Group and an expert in dental practice growth, discusses the pitfalls of referral marketing for oral surgeons. He emphasizes the need for surgeons to become local leaders and rely on other doctors. Dr. Levin shares why having at least 15 strategies is crucial and warns against poor-quality methods. He advocates for professional relations coordinators to boost referrals and the significance of effective customer service training. The conversation also touches on the importance of nurturing all referral sources to ensure sustained success.

Advances in technology have significantly improved the efficiency and accuracy of patient care, but anesthesia and sedation complications can also be minimized using simple checklists and adherence to the five Ps: Proper Planning Prevents Poor Performance! Joining us today is Dr. Travis Coulter, who breaks down how anesthesia recording software works and how it can transform your practice. In this episode, we explore why Dr. Coulter relies heavily on modern tools in his own practice, how he uses them effectively, and how checklists and meticulous record-keeping improve both efficiency and patient outcomes. We also examine the barriers, including greed and human error, that limit the full potential of medical technology. To close, Dr. Coulter introduces Xchart.com, the cloud-based software platform he cofounded to streamline anesthesia charting and record-keeping for healthcare providers. He also shares his favorite books, his thoughts on data privacy, and how his farming background influences his work today. Tune in to discover the importance of preparedness, awareness, and technology in preventing anesthesia and sedation complications!Key Points From This Episode:Insight into Dr. Coulter’s professional background and current practice setup.Preparedness, awareness, and the technologies that help prevent anesthesia mishaps. Why Dr. Coulter embraces modern technology in his practice and how he uses it.  Checklists, by-the-minute communication, efficiency, accuracy, and thorough record-keeping. How the human condition can stand in the way of using technology to its full potential.The ins and outs of Xchart.com. Supercommunicators, Blinkist, data privacy, hemodynamic monitoring, farming, and more! Links Mentioned in Today’s Episode:Dr. Travis Coulter — https://coulterdentistry.com/ Dr. Travis Coulter on LinkedIn — https://www.linkedin.com/in/travis-coulter-dds-70192467/ Dr. Travis Coulter Email — travis@xchart.com Xchart.com — https://xchart.com/  Dr. Henry “Butch” Ferguson on LinkedIn — https://www.linkedin.com/in/henry-butch-ferguson-b3b279b5/   The Checklist Manifesto — https://atulgawande.com/book/the-checklist-manifesto/ Supercommunicators — https://www.amazon.com/dp/0593243919  Blinkist — https://www.blinkist.com/  ChatGPT — https://chatgpt.com/  VitalStream® — https://caretakermedical.net/vitalstream/ Gladiator — https://www.imdb.com/title/tt0172495/  Extreme Ownership — https://www.amazon.com/dp/1250067057 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.

Today’s episode is a slight departure from our usual undertaking as we focus more on the wonder of flight than dentistry. But of course, there’s always a link to oral and maxillofacial surgery as we discover how the basics of aviation parallel the work of oral surgeons. We're joined by Dr. Bill Runyon, Jr., DDS, cofounder of Allied OMS and partner at Fort Worth Oral Surgery. Dr. Bill begins by detailing his journey to becoming a pilot before explaining exactly what it takes to become certified. We learn about the pros and cons of private travel versus public transit, how instrument flying paints a good comparison between piloting and oral surgery, other ways in which aviation parallels dentistry, and what you can expect to pay when buying an aircraft in today’s economy. We end with Dr. Bill’s helpful advice for first-time pilots and new OMS graduates and discover how time in the military can improve your private dentistry practice. Tune in for all this and more!Key Points From This Episode:Dr. Bill walks us through his current practice setup. How he became a pilot and what it takes to be certified. Why he chooses to fly and the pros and cons of flying private versus public transit. How oral surgery parallels aviation, starting with the challenges of flying through weather.Why details matter, the power of checklists, and a persistent desire to learn more. The age implications of flying a plane and more information about Dr. Bill’s personal aircraft. Unpacking the price range of modern planes.Dr. Bill’s advice for first-time pilots and words of encouragement for new OMS graduates. How military experiences can improve and enhance private practice exploits. The British Are Coming, The Boys in the Boat, staying healthy, and extraction forceps. Links Mentioned in Today’s Episode:Dr. Bill Runyon on LinkedIn — https://www.linkedin.com/in/william-f-runyon-jr-dds/ Allied OMS — https://alliedoms.com/  Fort Worth Oral Surgery — https://fortworthoralsurgery.com/ AAOMS — https://aaoms.org/  Flying Dentists Association — https://flyingdentists.org/ EAA AirVenture Oshkosh — https://www.eaa.org/airventure Rick Atkinson Books — https://rickatkinson.com/  The British Are Coming — https://www.amazon.com/dp/1627790438 The Boys in the Boat — https://www.amazon.com/dp/0143125478 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 engaging discussion, Dr. David Salomon, an oral maxillofacial surgeon from Connecticut, dives into the newly released 2024 AHA/ACC guidelines for pre-op anesthesia assessment. He highlights the key differences from the 2014 guidelines and explains their impact on surgical risk management. Listeners will learn how to identify high-risk surgeries, the importance of patient functional capacity, and when to avoid over-testing. Dr. Salomon's insights provide valuable knowledge for practitioners aiming to enhance patient safety in oral surgery.

Join Dr. Andrew Jenzer, an expert running a mock boards course for residents, and Dr. Maxwell Lloyd, a Boston-based hematologic oncologist specializing in breast cancer, as they explore blood and coagulation. They delve into the intricacies of hemostasis, the significance of lab interpretations, and common bleeding disorders like Von Willebrand's disease. Highlights include diagnostic tools for surgical safety, factors impacting coagulation tests, and the implications of key trials on treatment practices. It's a fascinating discussion that brings clarity to complex blood-related issues!

There has always been a staffing problem in oral surgery but it has become more aggravated recently and needs to be solved so that revenue can be optimized. Today on Everyday Oral Surgery, Dr. Roger Levin joins us again to discuss how to build and keep an incredible team in order to increase revenue. Tuning in, you’ll hear all about how staffing issues are contributing to decreased revenue, how to solve this problem (on paper), the importance of learning how to interview potential staff, how to go about interviewing candidates, and more! We delve into how to go about asking more negative questions in positive ways before discussing the importance of the onboarding process and how to navigate it using mentorship. Dr. Levin even shares a list of things a leader has to do in order to treat his/her team well, why transparency with staff is imperative, and the benefit of delegating tasks. Finally, Dr. Levin reminds us of the impact we have on people’s lives, inspires us to make that impact positive, reminds us to thank people, and suggests that we avoid blame. You don’t want to miss this episode, so be sure to press play now!Key Points From This Episode:Welcoming Dr. Roger Levin back to the show. Why staffing problems are contributing to decreased revenue in oral surgery. The staffing concept that will bring you tremendous success. Why surgeons need to be trained in interviewing staff and some interviewing tips. Dr. Levin walks us through an ideal interview process. Who should be in the interview and when to give an offer. How to ask ‘negative’ questions in positive ways during an interview. Navigating onboarding a new employee and why this process is so important. The importance of focusing on increasing team longevity. A list of things to do as a leader in order to treat your team well. Why transparency with your staff is absolutely imperative. How to manage all of these things as busy surgeons and when to delegate. The impact we all have on other people’s lives. How to motivate a team when you aren’t their boss. The importance of thanking people and avoiding blame. Links Mentioned in Today’s Episode:Dr. Roger Levin on LinkedIn — https://www.linkedin.com/in/roger-levin-69ab744/ Dr. Roger Levin Email Address — rlevinconf@levingroup.com Levin Group — https://levingroup.com/ The Tim Ferriss Show — https://podcasts.apple.com/us/podcast/the-tim-ferriss-show/id863897795 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