Everyday Oral Surgery

Ameloblastomas are one of the most common benign tumors that Oral Maxillofacial Surgeons face. The technique used to treat them usually involves a continuity resection in the mandible or the maxilla where the nerve is taken out leaving the patient numb, followed by a reconstruction that requires harvesting autologous bone from the hip or fibula. This process usually has a significant rate of morbidity and length of hospitalization. Today we are joined by Dr. Robert Marx, an oral and maxillofacial surgeon from the University of Miami Millar School of Medicine. He shares with us a revolutionary new method to treat ameloblastomas using stem cell biology and a product called the Marrow Marksman that harvests autologous stem cells to regenerate large quantities of bone. Not only does this process eliminate the need to remove bone from the hip or fibula, but it also preserves the nerve, reduces hospitalization, and produces a much better result. To hear Dr. Marx walk us through three sample cases, tune in today!Key Points From This Episode:An introduction to ameloblastomas and how they have traditionally been treated.How Dr. Marx is using autologous stem cells to regenerate large quantities of bone. The first of three sample cases: The results of a patient that had Ameloblastoma removed, kept the nerve intact, and didn’t need to have bone removed from hip or fibula.The second of three sample cases: an ameloblastoma treated extraorally. How recent discoveries have proved that ameloblastomas don’t have the capability to invade a neural sheath and there is, therefore, no reason to take out the nerve. Some of the features and benefits of the Marrow Marksman. How the whole paradigm of treating ameloblastomas has changed. Some of the benefits of this treatment include: less hospitalization, better results, and excellent bone.A third sample case. Statistics about the success rate of these surgeries over the past five years.Whether or not there is a size of lesion that precludes the use of this technique to treat it.Links Mentioned in Today’s Episode:Dr. Robert Marx on LinkedIn — https://www.linkedin.com/in/robert-e-marx/ Miller School of Medicine — https://med.miami.edu/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Jacob Stucki is an oral maxillofacial surgeon in residency at the Case Western Cleveland Program and he joins us today to discuss his experience of navigating medical school. He talks us through his program and the benefits of a dual degree, as well as what he’s personally gained from his OMS residency thus far. We learn how different institutions structure their residencies and how Jake feels his medical studies are applicable to his OMS practice. Jake shares practical advice for dental students looking to follow a similar path and the philosophies that drive him to learn. We learn about the structure of shelf exams and USMLEs, including some great preparation tips! Tune in to hear more about Jake’s medical school experience and find out how he’s keeping up to scratch with oral surgery throughout!Key Points From This Episode:Dr. Jacob Stucki describes the medical program he’s enrolled in at Case Western.Why Jake wanted to do a dual degree in dental school.What he’s learned and gained from his OMS residency thus far.How the other med students perceive him when they discover he is a dentist.How different institutions structure their residencies.Advice for dental students who have decided to go on to do a six-year medical program.What Jake has done to make the most out of his time as a medical student.The benefits of being proactive with your learning.How Jake frames what he’s learning as being applicable to his surgery.What shelf exams are and how Jake prepares for them.How Jake predicts his medical school experience will affect his OMS practice.How moonlighting has kept him up to scratch with oral surgery while studying medicine.Which clerkships Jake has done, is doing, and will do in the future.Jake’s experience of working with patients in palliative care.The value of internal medicine.Jake’s experience of preparing for his USMLE exams.Dr. Grant Stucki’s experience of doing surgery rotations with other medical teams without having done other clerkships.Links Mentioned in Today’s Episode:Dr. Jacob Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059United States Medical Licensing Examination —https://www.usmle.org/ 

Today we're thrilled to sit down with a vastly experienced and widely respected leader in the field: Dr. Deepak Krishnan. He is the Chair and Division Director of Oral Maxillofacial Surgery at the University of Cincinnati and the Chairman of their Cincinnati OMS Program (the oldest residency program in the country). In this episode, we do a deep dive into his role at the IAOMS and their innovative newsletter, before delving into the program itself. Dr. Krishnan shares how the focus around clinical material and experience makes this a residency, not a fellowship, and why being the program's director is the best job in the world! You'll also hear about their weekly schedule, team make up, and what exciting things the practice is focusing on at the moment. Tune in to discover Dr. Krishnan's philosophy on the importance of giving back, hear why he thinks academic surgery has changed (and is changing) for the better, and learn what he looks for in a residency hire! From home brewing and Wes Anderson movies to newsletter highlights of truly revolutionary technology on the verge of getting FDA approved, join us for another insightful conversation on Everyday Oral Surgery. Key Points From This Episode:Hear about Dr. Deepak Krishnan's training, the move to Lousiana from Bangalore, and his practice setup.About the Cincinnati OMS Program and the needs of the tri-state area that the practice serves.Why he pursued academics, and some of the role models that inspired him.How he got involved with the IAOMS, plus the multiple hats he wears to serve the specialty.Some interesting insight into simulation training.Extending gratitude to all the global listeners of this podcast!He shares how he scratches his creative itch: with writing and the creation of a newsletter.A shoutout to his talented newsletter team!Get a sneak-peek into what he's planning for the next edition, plus hear his favorite highlights.Talking about IBCSOMS, art, tattoos, and more!Dr. Krishnan shares his philosophy on the importance of volunteering and giving back.A rundown of their weekly schedule and why they are heavily focussed on clinical material in action. His travels to back to India and the program's work with an incredible Smile Train unit there.On home-brewing, being semi-ambidextrous, and why he's a Slytherin!Some hilarious closing comments on the best anesthetics to use and why. Links Mentioned in Today’s Episode:Dr. Deepak Krishnan on LinkedIn —  https://www.linkedin.com/in/deepak-krishnan-1a2a6618b/Cincinnati OMS Program — https://med.uc.edu/depart/surgery/residency-training/oral-and-maxillofacial-surgery/about-the-programInternational Association of Oral and Maxillofacial Surgeons — https://www.iaoms.org/Dr. Bryan Bell on Twitter — https://twitter.com/rbryanbellDr. Pam Yelick on LinkedIn — https://www.linkedin.com/in/pamela-yelick-20595b12/Smile Train India — https://www.smiletrainindia.org/The Complete Joy of Homebrewing — https://www.goodreads.com/book/show/292055.The_Complete_Joy_of_HomebrewingDarjeeling Limited — https://www.imdb.com/title/tt0838221/The French Dispatch — https://www.imdb.com/title/tt8847712/Dr. Grant Stuc

People in the field of dentistry and oral surgery often have a very specific skillset, and trust the running of their practices and their financial management to office managers and other staff. The problem is that when you stop paying attention, you make it easy for people to steal from you. Today’s guest understands this all too well. Dr. Don Lewis was the victim of embezzlement when his office manager stole thousands of dollars out of his practice over the space of three and a half years. Dr. Lewis is an Oral and Maxillofacial Surgeon as well as a Professor of Oral and Maxillofacial Surgery at Case Western Reserve University School of Dental Medicine. After his unfortunate experience, he is now also a certified fraud examiner. In this episode, Dr. Lewis shares how he came to be a victim of embezzlement and what red flags he overlooked before explaining how you can avoid becoming a victim like him. Tuning in you’ll hear about the top five things to look out for that suggest an employee may be embezzling, how fraud can make your patients feel like victims too, the importance of looking at reports, and many other helpful tips to protect yourself. To find out the most common ways people can steal from you, what controls to implement to prevent this, and what to do if you discover fraud in your practice, tune in today!Key Points From This Episode:The story of how Dr. Don Lewis’s office manager embezzled money out of his practice.A red flag that Dr. Lewis overlooked at the time of the embezzlement. Thoughts on having a healthy level of suspicion with the people you work with. The first of Dr. Lewis’s two main internal controls that you can implement in your practice: the diversification of duties.  The second main internal control: insist that your staff take vacations.How to overcome pushback when staff don’t want to learn each other’s roles.How to educate yourself about the computer and payment systems used in your practice. The importance of looking at reports.The most common way someone can steal from you in the office setting: the zero charge.Some of the other ways people can siphon off your money.How this can impact the patients and leave them feeling like victims too.How Dr. Lewis grew as a person and benefited from this unfortunate experience. What to do to prevent fraud. Internal controls involving computer security.The top five things to look out for that suggest an employee may be embezzling. How greed, ambition, and arrogance play out in embezzling. What to do if you discover fraud in your practice: hire a certified forensic accountant.Learn about how basketball officiating helps Dr. Lewis with his oral surgery skills in the rapid-fire questions. Links Mentioned in Today’s Episode:Dr. Don Lewis — https://www.ohsurgery.com/meet-us/meet-the-doctor/dr-donald-p-lewis-jr/ Zygomatic Implants From A To Z — https://4minstitute.com/product/zygomatic-implants-from-a-to-z-cadaver-lab/ 4MInstitute — https://4minstitute.com/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Osteoradionecrosis is a condition in the field of oral surgery that seems to be shrouded in fear and confusion. To help us gain clarity on this subject, today we are joined by Dr. Thomas Schlieve to discuss this problem, as well as how to prevent and treat it when it occurs in the jaw. Dr. Schlieve is an Oral & Maxillofacial Surgeon practicing in Dallas and currently the Director of the Parkland Oral Surgery Program. As an expert on osteonecrosis, today he explains exactly what osteoradionecrosis is, how to identify it, and the importance of testing early. Tuning in you’ll hear about the factors to consider when it comes to the degree of dosage and location of radiation, how to prepare your patient for all possible outcomes of treatment, and some of the reasons why osteoradionecrosis treatment may not work. You’ll also discover the benefits of hyperbaric oxygen therapy and Pentoxifylline in treating a patient who is at high risk for osteoradionecrosis as well as Dr. Schlieve’s ‘Kitchen sink’ approach. To find out how he treats a patient that already has exposed bone, how he treats a patient with a pathologic fracture at the angle, and other important factors to consider concerning this condition, tune in today!Key Points From This Episode:Dr. Thomas Schlieve defines what osteoradionecrosis is. The importance of testing early so you don’t get a lawsuit for failure to diagnose or delayed diagnosis.The percentage of cancer patients that experience osteoradionecrosis.Factors to consider when it comes to the degree of dosage and location of radiation.How to find out exactly what part of the bone was radiated.From what angles a radiation oncologist will deliver radiation to a tonsillar lesion. What type of prep should be taken for tooth surgery on a patient who is at high risk for osteoradionecrosis. Insight into Dr. Schlieve’s ‘Kitchen sink’ approach to surgery on a patient who is high risk for osteoradionecrosis.  The benefits of hyperbaric oxygen therapy and Pentoxifylline.How he treats a patient that already has exposed bone.When insurance will and will not cover hyperbaric oxygen therapy in Dr. Schlieve’s patients.How he treats patients with a pathologic fracture at the angle.Some of the reasons why osteoradionecrosis treatment may not work.  The importance of properly informing your patients with osteoradionecrosis of all the possible results before you begin treatment.What tips the scale from other forms of treatment to surgery in a patient at high risk for osteoradionecrosis.The role of infection as a risk factor for osteoradionecrosis.Why you need to educate your staff and understand your patient’s full history prior to surgery.Whether or not you’re more likely to have complications as the result of radiation as more time passes.Hear about Dr. Schlieve’s favorite book and one of his favorite movies in the rapid-fire questions. Links Mentioned in Today’s Episode:Dr. Thomas Schlieve — https://www.drthomasschlieve.com/ Email Dr. Thomas Schlieve — https://www.drthomasschlieve.com/new-page-2 How to Win Friends & Influence People —https://www.amazon.com/How-Win-Friends-Influence-People/dp/0671027034 Space Balls — https://www.imdb.com/title/tt0094012/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Although different countries use different medical terms and numbering systems, a broken jaw is still a broken jaw, a point made by today’s guest, South African dentist Dr. Kavir Rajkumar. We start the episode with how Kavir ended up working in a state hospital in one of the coastal provinces, and the type of cases he works on. To understand the wide range of trauma cases Kavir sees, he gives us a quick rundown of how the healthcare system works in South Africa, and how dental and oromaxillofacial qualifications differ from the USA. From there we launch into the socioeconomic factors that add a layer of complexity to the cases he sees: from gunshot wounds to animal mauling and super rare malignancies. Kavir explains why it’s so important for oral healthcare providers to step up and hold a place in trauma cases, and how your attitude towards doing what needs to be done is key to succeeding in a challenging setting. There is a reason South African healthcare practitioners are some of the most experienced in the world… So, to find out more, tune in today!Key Points From This Episode:A reminder to sign up to learn zygomatic and pterygoid implants with Dr. Arshiya Sharafi.Welcome to Dr. Kavir Rajkumar, what he does, and how he ended up working in a state hospital in South Africa. The broad range of cases that Kavir sees, and how the South African healthcare system works.The two pathways to qualify as an oromaxillofacial surgeon in South Africa, how they differ from the American system.How socioeconomic factors impact the type of cases that Kavir sees. The malunion case Kavir saw the other day, and why oral healthcare providers need to hold their place in trauma scenarios. The importance of speaking the same language globally in healthcare.Some of the challenges that South African surgeons face, from staff shortages to equipment availability.Making a plan with what you have: using gun oil to maintain handpieces. Grant’s experience of mission trips and adjusting your mindset to do the job at hand.Why Kavir feels doctors should know what their therapies feel like. The role of a South African oromaxillofacial surgeon in malignant pathologies. Handling social communication issues in a country with 11 official languages, and appreciating the beliefs intrinsic to different cultures.How to remove a knife from a face: operating like James Bond. The state of oromaxillofacial surgery in South Africa.Rapid-fire questions: the book that made Kavir realize his idol’s mortality, how multitasking as a parent helps dentistry, and why Kavir loves a Couplands Elevator. Links Mentioned in Today’s Episode:Dr. Kavir Rajkumar Email — kavirraj@gmail.comDr. Kavir Rajkumar Phone — +27-817-074-970Zygomatic Implants From A To Z with Dr. Arshiya Sharafi — https://4minstitute.com/product/zygomatic-implants-from-a-to-z-cadaver-lab/Every Day Oral Surgery with Dr. Arshiya Sharafi — https://www.audible.com/pd/Dr-Arshiya-SharafiDr. Kavir Rajkumar on Instagram — https://www.instagram.com/dr_kavir_rajkumar/When Breath Becomes Air — https://www.amazon.com/When-Breath-Becomes-Paul-KalanithiDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Board exams can feel like the end of the world, with examiners hoping that you fail and questions designed to trip you up! This is not the reality, and today we talk to Drs. Aaron Figueroa, Rishad Shaikh, and Joe Ivory about how to manage the fear of board exams so that you can put your best foot forward. Tune in to hear all about the board exam training course that Aaron, Rishad, and Joe have developed, and why it's so different from the rest. We hear from each of these surgeons about their experiences of their own exams, and their advice on how to stay calm and play the game. Aaron, Rishad, Joe and I discuss the best pieces of advice we were given leading up to our exams, and the advice that each of us passes on to young surgeons now. Find out why most examiners actually want you to do well, and the general rule on when it’s okay to say “I don’t know”. So, if your board exams are approaching and you’re feeling overwhelmed, this is the episode for you!Key Points From This Episode:Where you can learn zygomatic and pterygoid implants with Arshyad Sharafi.Welcome to Drs. Aaron Figueroa, Rishad Shaikh, and Joe Ivory: where they trained and how they met. How their oral board review course came to be. The breakdown of the format of the course, and what makes it different from the others out there. Why it’s so important to prepare for the oral aspect of the board exams and the need for speedy responses.Benefits of the oral board exam.Why it can be a positive to get to the level of questions where the answer is “I don’t know”.Cutting your losses in lower-level questions. Understanding that the examiners are not your enemy. Joe and Rishad’s experiences of their board exams and the lessons they learned. What helped each of these Drs in their oral exams: presentation practice, organized answers, broad experience, repetition, and the right mentors.Why Joe advises residents to appreciate their residency. Understanding the game and playing the system to your favor when you get asked Zebras.Why failing is not the end of the world. The benefits of having practicing surgeons on the board. Rapid-fire questions and answers: the non-warm and fuzzy book recommendations, the healthy hobbies that help with surgery, favorite forceps, and more!Links Mentioned in Today’s Episode:Dr. Aaron Figueroa Phone — 800-777-8442Dr. Rishad Shaikh Phone — 636-875-1277Dr. Joe Ivory Phone — 314-822-6725Drs Figueroa, Shaikh, and Ivory Email — stlboardreview@gmail.comSt. Louis Oral & Maxillofacial Surgery Review Course Website — stlomfsreview.comEvery Day Oral Surgery Podcast with Drs. Reti, Findlay, and Tentido: benefits of doing full scope fellowship (in St. Louis) — podcasts.apple.comOral Board Review for Oral and Maxillofacial Surgery: A Study Guide for the Oral Boards — www.amazon.com/Oral-Board-Review-Maxillofacial-Surgery-ebook4MInstitude — https://4minstitute.com/product/zygomatic-implants-from-a-to-z-with-cadaver-lab-copy/ When Breath Becomes Air — www.amazon.com/When-Breath-Becomes-Paul-KalanithiThe Gulag Archipelago — www.amazon.com/Gulag-Archipelago-Three-set-volumesDr. Grant St

Pediatric Cleft and craniofacial surgery in kids is a needed, but very niche specialty. Talking to us today about his experience as professor and Chair of Oral & Maxillofacial Surgery, Neurosurgery, and Surgery at the University at Buffalo, as well as a surgeon in Western New York Craniofacial Center, is Dr. Michael Markiewicz. We cover everything from what the average day looks like for him, to the achievements he is most proud of as Department Chair. We hear about the structure of the program he runs, why it's not just a cancer residency, and the exposure he provides for his residents. He breaks down the three most common routes to becoming a cleft and craniofacial surgeon and gives some great advice for anyone looking to move into the field. Tune in to find out the pros and cons of working with children (and their parents), and why staying active and watching Seinfeld are so crucial to living a balanced life!Key Points From This Episode:Who Dr. Michael Markiewicz is, where and what he studied, and how he ended up as a Department Chair.What the average day looks like for Michael. How Michael decided to do a fellowship: following his interest in surgery. Tackling the position of Chair as a young surgeon and managing being in practice and his academic duties. What Michael is most proud of as chair, and his biggest challenges. The structure of the program and its main focus, from cancer to orthognathics and general practice. Leaving Chicago for Buffalo and creating a family atmosphere where everyone gets a say.The primary cases that Michael’s team does: cleft lip repair, craniostenosis, and more.Why it’s important to include other healthcare professionals in your practice. How Michael exposes residents to his specialty without offering a fellowship program. How to become a cleft and craniofacial surgeon: the three avenues (plastic surgery, otolaryngology, and maxillofacial surgery). Michael’s thoughts on whether an MD is necessary to get into craniofacial surgery. How Michael knows Mark Inglestad, and what makes him the ultimate educator. The pros and cons of working with children. Understanding the parents’ perspectives and managing them through the process. Why it’s so crucial to include the functional aspects of growth and development when working with kids. Michael’s advice for anyone interested in craniofacial surgery: take advantage of all that you can, and do a fellowship. What Michael feels the role of a craniofacial surgeon is, and the overlap between different specialties. Where you can contact Michael.Michael’s response to Grant’s rapid-fire questions: Being Mortal, taking time for yourself, and how to live the rest of your years being bald. Links Mentioned in Today’s Episode:Dr. Michael Markiewicz Email — mrm25@buffalo.eduDr. Michael Markiewicz Phone — 716-829-6230Being Mortal — https://www.amazon.com/Being-Mortal-Medicine-What-MattersDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Residency is one of the hardest parts of becoming an oromaxillofacial surgeon, made even harder when trying to juggle a work-life-family balance. Talking to us today about finding this balance, is Dr. Brent Ward, father, surgeon, man of God, and Chalmers J. Lyons Professor Section Head and Chairman of Oral and Maxillofacial Surgery at the University of Michigan. Through his extensive career in academia, Brent has had the opportunity to advise and learn from students, fellows, registrars, and surgeons alike, and he has taken it all in! We hear about the clinical research he is currently involved in, and why a group of people is always smarter than a single person. Brent also gives his perspective on the world of academia and the pros and cons of it, compared to private practice. We hear the advice he gives to young surgeons about chasing success and money, and why it's so important to collaborate with your fellows. For all this, and so much more, tune in today!Key Points From This Episode:Welcome to Dr. Brent Ward, Chalmers J. Lyons Professor Section Head and Chairman of Oral and Maxillofacial Surgery at the University of Michigan.How Brent found his passion for oromaxillofacial surgery via medical school. Managing a family during a residency and what Brent’s kids are doing now. Opioid vs non-opioid in third molar situations: Brent’s experience and why he is so interested in researching the dosage of opioids OMFS should use. Where the field is heading in terms of opioid use and prescription.The breakdown of the Opioid Analgesic Reduction Study.The importance of realizing that a group of people is always smarter than a single person. Why Grant started this podcast, and his goals of creating discourse, sharing, and humility, in the profession. Making careful choices whether you compete, avoid, accommodate, compromise or collaborate. Why you need to choose your first hundred cases wisely.Grant and Brent’s positive experiences of sharing cases and advice with other surgeons. Considering academia or private practice: Brent’s advice on weighing up the pros and cons. Brent’s advice on the financial disparity between private practice and academia, and what fellowship programs are doing to bridge the gap. Debunking the misconception that surgeons in academia work longer hours. Making a difference every day: what Brent’s favorite quote is, and why.The difference between happiness and joy. Links Mentioned in Today’s Episode:Dr. Brent Ward Email — bward@umich.eduDr. Brent Ward Phone — 734-936-5950The Opioid Analgesic Reduction Study — https://clinicaltrials.gov/ct2/show/NCT04452344Dr. Brent Ward’s Slide on Compete, Avoid, Accommodate, Compromise or Collaborate —https://www.negotiations.com/articles/negotiation-conflict-profiles/Oral/Head and Neck Oncologic and Reconstructive Surgery Fellowship Training Programs: Transformation of the Specialty From 2005 to 2015: Report from the AAOMS Committee on Maxillofacial Oncology and Reconstructive SurgeryThinking, Fast and SlowDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

One of the hardest parts of doing implants is simulating the outcome accurately. Addressing this challenge is a new technology, InstaRisa! Using 3D facial scanning, InstaRisa is revolutionizing oral surgery and destroying the need for disclaimers around patient simulations. Tune in today to hear from co-founder and general dentist, Dr. Art Mirelez, and principal oromaxillofacial surgeon at InstaRisa, Dr. John Brokloff. Discover how Art and John met, and how heading down the wrong tracks inspired Art’s passion for dental implants. We find out how InstaRisa works, what you can use it for (everything!), and why it’s worth the investment (from patient satisfaction to improved productivity). Art talks about the importance of staging a Big Reveal for his patients, and why he does implants over two days. To hear all this and so much more, join us for this exciting episode.Key Points From This Episode:A brief history of Drs. John Brokloff and Art Mirelez, and how they met each other. How Art discovered his passion for the dental implant industry by being on the wrong track!What InstaRisa is, how it works, and why Art founded it. John’s comments on InstaRisa from the perspective of an oromaxillofacial surgeon. Why conversions are a stumbling block in restorations, and how InstaRisa overcomes these. The benefits of capturing the vertical before surgery.Understanding the advantages of doing extra-oral scanning, and integrating the imaging and the dental work. Why InstaRisa doesn’t have to use photogrammetry, and how it improves practice. What’s involved in the workup using InstaRisa, and the broad applications to oral surgeons. Minimizing in-office time: why next-day delivery of restorations is a benefit to your practice. How Art makes the reveal an impactful experience. What it takes to set this system up in your office: the basic control scanner and the facial scanner. The added benefits that you won’t expect from using InstaRisa. Where you can find out more about InstaRisa (www.instarisa.com).The origins of the name “InstaRisa”: combining “insta”, and “smile” in Spanish.Rapid-fire questions: book recommendations, non-oral surgery-related habits that hone dental skills, and favorite quotes!Links Mentioned in Today’s Episode:InstaRisaDr. Art MirelezDr. Art Mirelez Phone — 559-435-3113Dr. John Brokloff on LinkedInDr. John Brokloff Email — drbrokloff@instarisa.comDr. John Brokloff Phone — 330-668-1001TitanJohn AdamsThe Great BridgeDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059