Everyday Oral Surgery

If you’re a young surgeon who has been taught to believe that starting a dental business is incredibly difficult, you are far from alone. Our guest today, Dr. Jeffrey Carter, is here to explain why this is not the case, and how his company makes it much easier for oral surgeons to become independent contractors. Jeffrey’s vision for OMS Logistics is to provide a platform where surgeons can network, expand their services, and provide collateral support to one another, without the need to buy expensive equipment or make rigid time commitments. This conversation covers numerous topics, including the value of anaesthesia tracking in the oral surgery space, the technology that Jeffrey is implementing which could change the discomfort that the medical world feels with around oral surgeons using anaesthetics, trends that Jeffrey has noticed amongst the younger population of dentists that are looking for work, and the gaps in terms of dentists’ understanding of their capabilities. Tune in for a deep dive into all of this and more! Key Points From This Episode:Hear about Jeffrey’s education and his career trajectory. What Jeffrey’s company, OMS Logistics, does, and how it has grown over the years.Pairings that Jeffrey has experimented with through OMS.Reasons it benefits surgeons to work through OMS Logistics, rather than directly with a DSO. Why OMS has had a lot of success with surgeons who are on active duty in the military.Anaesthesia registries; what they are and why they are so useful.Discomfort that the medical world feels about oral surgeons doing anaesthesia. Where you can find industry norms for anaesthetic deaths and transfer rates. The importance of the rule of large numbers.Trends that Jeffrey is seeing amongst people who are looking for work. Advice for young oral surgeons who are on the job search. Why the garden-variety oral surgeon isn’t attractive to hospitals.Young dentists have been brainwashed to believe it’s incredibly difficult to run a business.How OMS Logistics does quality control on the people who are hired. One of the major gaps in academic oral surgery. Jeffrey’s surprise at the range of productivity levels amongst dentists across the United States.The importance of understanding what your capabilities are, and the huge knowledge gap that exists with regard to this. Links Mentioned in Today’s Episode:Dr. Jeffrey Carter OMS LogisticsJeffrey Carter Email — jbc@jbcarterinc.comDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059

If you are interested in learning how to make the most of your time as a dental professional, this is the episode for you! Dr. Aaron Liddell has managed to get to a point where almost all of his time is productively spent, and he has a team of people positioned around him to do the rest. Aaron explains how he ended up taking the road less traveled in terms of the dentistry fields that exist, and although it may be the more difficult path, the passion he has for his work is unwavering. Among other topics, our discussion covers the benefits of partnerships (when you are ready for them), why it sometimes makes much more sense to hire mid-level practitioners than associates, and Aaron’s thoughts on why there aren’t more dentists doing the kind of work that he does. Work out what you want to do, how you are going to do it, and stick to it! Key Points From This Episode:Aaron’s educational and professional background, and where he is currently working. How Aaron found his way into the field of dentistry that most dentists don’t get a chance to work in. Types of procedures that Aaron usually does. Benefits of being part of Trauma and Emergency Subspecialty Surgeons (TESS).Why partnerships are so key in Aaron’s field of dentistry.How Aaron and his partners deal with revenue. Gaps between production and collections in Aaron’s specific line of work.Bringing in partners; how this process works in Aaron’s practice.Advantages that have come through the merger with US Oral Surgery Management. The importance of being ready for a partner before you bring anyone on.Aaron’s experience as an associate. Value that you can bring to your practice by hiring mid-level practitioners.Research work that Aaron gets involved with. Why we don’t see more dentists doing the work that Aaron does. What cycling has taught Aaron that he carries into all spheres of his life. Links Mentioned in Today’s Episode:Dr. Aaron Liddell Colorado Oral SurgeryTESSUS Oral Surgery ManagementCan’t Hurt Me Dr. Grant StuckiDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059

It takes a lot of hard work to become a doctor, but to be a doctor who has also found massive success in other careers is something else entirely. Dr. Robert Guyette is one of those people. Today he joins us to talk about his approach to life and how it led him to have fruitful careers not just in medicine but in real estate and professional basketball too! Before our guest got his MD he was Bob Guyette, the American professional basketball player, who played five seasons in the Spanish League. But before hearing the story behind this, we kick off our conversation with Dr. Guyette's training and how he became qualified to offer both oral and facial cosmetic surgeries. From there we hear about Dr. Guyette’s days as a professional basketball player and he tells stories about being selected by the NBA, ending up signing for FC Barcelona and spending a few exciting years traveling Europe. Next up we get into Dr. Guyette’s passion for real estate, hearing him weigh in on how he got interested in the field and got a loan for his first duplex when he wasn’t much older than 20. Moving back onto the subject of Dr. Guyette’s medical career, we chat to him about the long road he traveled on the way to inventing the Porter Silhouette Nasal Mask. So for an inspiring conversation about saying yes to life, working hard to reach your dreams, and the fruits of that labor, tune in today!Key Points From This Episode:A brief history of Dr. Guyette’s training, dental career, and current practice setup.How Dr. Guyette learned cosmetic surgery which supplements his oral maxillofacial services.A story about how Dr. Guyette joined the Arizona Board of Medical Examiners.A lesson in the advantages of saying yes to things and taking opportunities.Dr. Guyette’s experiences playing professional basketball and how he got to this level.Experiences Dr. Guyette had in Europe while playing professional basketball there.How Dr. Guyette got into real estate at a young age and the value of cash-flowing assets.The story behind how Dr. Guyette invented the Porter Silhouette Nasal Mask.How Dr. Guyette found the motivation to push through the time it took to invent the mask.Dr. Guyette weighs in on one of the projects he started that was not a wild success!Advice from Dr. Guyette about persistence and not giving up on your dreams.Links Mentioned in Today’s Episode:Dr. Robert GuyetteArizona Board of Medical ExaminersFrancisco FrancoRobert KiyosakiPorter Silhouette Nasal MaskJordan PetersonDr. Grant StuckiDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059

We’re calling today’s episode the one-upper! Tuning in, you’ll hear Dr. Grant Stucki and Dr. Mike Hall share some of their best dental stories, partly for comedic relief but also to impart some important lessons about client communication, adequate sedation techniques, and careful employee selection, as well as what you can learn from your patients about different cultures and mindsets (and kinks). We hope that this episode leaves you with a lot to ponder and, hopefully, is as insightful as it is hilarious. Make sure not to miss it!Key Points From This Episode:Why Dr. Hall thinks that dentists should be keeping a record of their best stories.While we all want our practice to appear professional, Dr. Stucki believes there is a lot to be learned from mistakes.Dr. Hall’s first funny oral surgery story, which involves a Halcion-induced parking lot accident.The moral of the story: always over-communicate with patients taking oral sedation meds!Dr. Stucki shares a propofol sedation story about a wisdom extraction that required an osteotome on a military veteran.Why adequate sedation is crucial, especially when the patient poses a physical threat!Dr. Hall’s next story is more of a classic office drama regarding false accusations of an affair.The importance of careful employee selection and having a good no-tolerance policy.The funny next story comes from the time Dr. Stucki’s brother was shadowing him in Tucson.The unbelievable things patients will say and do that make for a good story and introduce you to different cultures and mindsets.Dr. Stucki’s last story involves a somewhat different Jamaican interpretation of his last name.How grinding down a patient’s molars taught Dr. Hall a lot about that patient’s kinks!Find out why Dr. Stucki is considering creating an “Only in dentistry!” bumper sticker.Links Mentioned in Today’s Episode:Dr. Mike Hall on LinkedIn — linkedin.com/in/michael-hall-aa8379109Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059

Today on the show the dynamic gets reversed because this is a recording of Dr. Stucki being interviewed by the famous Dr. Howard Farran! Dr. Farran is arguably the titan of dental podcasting, as he is the host of the widely loved Dentistry Uncensored show, and he also wrote Uncomplicate Business which Dr. Stucki is a big fan of. Dr. Stucki originally reached out to Dr. Farran, asking him to be a guest on Every Day Oral Surgery but to Dr. Stucki’s surprise, Dr. Farran asked him if he wanted to be a guest on Dentistry Uncensored instead! In today’s show, we get to know Dr. Stucki a little bit better, hearing Dr. Farran ask him about his experiences on residency, approach to a wide range of challenges oral surgeons face, the mission behind his podcast, and a whole lot more. Dr. Stucki weighs in on why he chose oral surgery as a specialization, how to overcome fear and do what it takes to get the job done, and how he manages his chronic lower back pain through posture and exercise. We hear about Dr. Stucki’s approach to sharing expertise, handling troublesome implant cases, and the question of whether oral surgeons should anesthetize their patients. We cover a whole lot more ground today, also getting the chance to hear Dr. Farran’s views on how dentistry and society as a whole could be a little more egalitarian! So for all this and more on today’s high-energy exchange between Dr. Stucki and Dr. Farran, be sure to tune in!Key Points From This Episode:Introducing Dr. Stucki, his qualifications, and how helpful his podcast is.The fruitful challenge of having kids and our guest and host’s experiences of this.Dr. Stucki’s perspectives on how to manage the difficult practice of implantology.The best postures and recovery methods Dr. Stucki used for his back trouble.Tips for dentists in situations where patients might rather need an oral surgeon.Rectifying hierarchies ingrained at dental residency and the focus of Dr. Stucki’s podcast.Getting past territorialism and ambition in the field by putting the patient first.Dr. Stucki’s recommendations for the best implant brands to use.Possible links between implant failure and the COVID vaccine.Toeing the line between atraumatic procedures and time-efficient surgery.The issue of oral surgeons sedating their own patients and how Dr. Stucki views this.The risks of totally removing a root and when it is okay to leave part of it in the gum.Whether CBCTs are needed for surgeries or if the panorex is enough.Complications in the surgery room due to patients who are smoking marijuana.Dr. Stucki’s perspectives on prescribing narcotics and using bone grafting material.Whether to remove a tooth or prescribe antibiotics to patients with infected teeth.Dr. Stucki’s experiences working at Pacific Dental Services and traveling between the offices.Links Mentioned in Today’s Episode:Dr. Howard FarranDentistry UncensoredUncomplicate BusinessPacific Dental ServicesDr. Grant StuckiDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059

If an oral surgeon gets to the point where they cannot get a healing abutment off, or conversely, it keeps falling off, it can be a frustrating experience for all involved parties. So for this episode of Everyday Oral Surgery, we are exploring the things that can go wrong with healing abutments and what to do about them! We begin with the situation where a healing abutment has been screwed on too tightly and just won't budge. We lay out the possible reasons for why this could have happened, suggesting that the force of finger torque is more than enough for this part of the implant process. If for some reason it won’t come off, the techniques we cover range from using a torque wrench to the brute force method of cutting a new path in the abutment with a round bur. Moving onto the second scenario of the abutment that won’t stay on, we highlight that in most cases this is due to bone or tissue impingement. It is therefore always a good idea to make sure that your abutment is not being impinged by anything when you first install it. In this segment, we also cover the best kinds of kits to use regarding bone milling and adaptable implants. So make sure you join us today and get all the info you need for successfully installing healing abutments!Key Points From This Episode:Using a torque wrench and what to do if a healing abutment is not coming off.Errors that can happen when the dentist is taking the impression.Using endo ice on the abutment when the torque wrench won’t work.Scenarios where the driver port in the healing abutment gets stripped.Cutting a new path with a round bur or using an ultrasonic scaler.What to do when the healing abutment keeps falling off.Impingement on bone and why healing abutments can come off frequently.Bone mill kits and how to get the implant process right the first time.Changing hands and other reasons why the implant can come off.Straumann kits and the value of having a more adaptable kit.The best kinds of healing abutments to use and when to use one rather than a cover screw.Links Mentioned in Today’s Episode:Dr. Scott WeiskopfDr. Grant StuckiDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059

The full mouth extraction process can be a daunting and traumatic one for patients. However through the right care and communication, it can be managed in a healthy and safe way, and joining to talk about exactly how he does this, is Dr. Scott Weiskopf! Scott is an oral and maxillofacial surgeon, currently practicing in Memphis, and we get to hear all about the way he approaches his work in full mouth extractions. He talks about dentures, suturing, procedures, precautions, and more. The main point that our guest makes is around setting the patient at ease before and after the surgery, through communication and the proper care. Scott also shares some of his thoughts on alveoloplasty surgery before talking a bit about the follow-up process and how this differs from patient to patient. So for all this and then some, join us on the show!Key Points From This Episode:Lessons that Scott has learned over the years to make a full mouth extraction a little easier for patients.The improvement that is offered by the installation of dentures for extraction patients.Conversations around the available denture options and Scott's usual recommendations.The surgical component of the full mouth extraction; how Scott makes his way around the mouth.Extra measures and precautions that Scott takes to safeguard against sharp spots. Scott best tips for quick and successful suturing.How Scott goes about his alveoloplasty surgery and the extra attention he pays to his files.Scott's usual post-operation instructions to patients about their dentures. Follow-up appointments and how Scott prioritizes these measures where necessary.Links Mentioned in Today’s Episode:Dr. Scott WeiskopfDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720 441 6059

Dr. Bryan White has spent the past eight years as a traveling surgeon with Pacific Dental Services (PDS), and has accumulated a lot of knowledge along the way. He joins us on the show today to share his pearls of wisdom with regard to preparation, surrounding oneself with a great team, and transporting equipment. There are over 100 surgeons who are employed by PDS, and Bryan is one of the top producers. Additionally, he has recently started a business with his brother, which you’ll learn more about in this episode too! Bryan appreciates that being a traveling surgeon is not for everyone and it does come with its challenges, but he explains the benefits of working in this type of environment and the types of surgeons who he feels will thrive in a role like his. You’ll also hear about one of Bryan’s career goals, and why working out is a practice that benefits him in his profession. If you’re considering a career as a traveling surgeon, this episode may help you make up your mind! Key Points From This Episode:Areas where Bryan works.Hear about Bryan’s educational and work background. An explanation of how Pacific Dental Services (PDS), where Bryan works, is set up. Why Bryan enjoys being a traveling oral surgeon. Bryan shares tips for anyone who wants to work the way he does. Challenges that come with being a traveling surgeon, and how Bryan overcomes these. The goal Bryan has for himself with regard to his working hours. How PDS compares to other groups that work in the same way.Differences between the tools that Bryan and Grant use in their practices. The way the PDS tax system works and how to get the most benefit out of it. Stresses that surgeons experience in private practice that doesn’t exist at PDS. Find other doctors with who you can communicate, and stick with them. Traveling surgery isn’t for everyone but Bryan describes those who he thinks will thrive in this setting.Dealing with equipment while traveling. How working out benefits Bryan professionally.The exciting new business that Bryan has started with his brother. Links Mentioned in Today’s Episode:Pacific Dental ServicesNSK Ti-Max Bien-AirOSTEOSETTed LassoCobra KaiHow to Win Friends and Influence PeopleLululemonBirdie Scrubs

Oral surgery residency is a time of growth for dental students and but also an opportunity for those students to shape the program itself. It is important for there to be a good fit between the student and the institution so that a mutually beneficial dynamic is created. Today on the show we invite Dr. Michael Miloro, Program Chairman at the University of Illinois at Chicago, to shed some light on what students can expect and how they can best prepare themselves for their residency experience. Dr. Miloro has put a lot of work into making the program at UIC as high-quality as possible. He sketches out the broad range of facilities to be found and the ethos about the types of graduates they aim to produce there. The institution provides an atmosphere that encourages residents to be assertive and make an impact on the program itself. The program at UIC strives to give rise to leaders in the field who can practice a broad scope of surgeries. Dr. Miloro talks about how he vets new candidates and gives a few great tips for students about the kind of attitude they should bring to their residency and how to make the best impression on the interview committee. For a discussion packed with insight about how to make a residency experience as fruitful as possible be sure to tune in today!Key Points From This Episode:A window into Dr. Miloro’s education and the institutions he has worked at.Dr. Miloro’s work adjusting the residency program at UIC and the openness to change he encountered there.The spirit of aspiring to be leaders in the field encouraged at the UIC program.What the residency program at UIC looks for in candidates and how it vets them.Perspectives on the balanced approach that makes the UIC residency program great.The wide range of facilities at UIC, and the procedures they conduct and specialize in.How the UIC residency program prepares residents for the business aspect of surgery.A trend where many graduates end up operating in a narrow scope in private practice.Advice for a resident who wants to take control of their learning.The transformation Dr. Miloro sees in students during their residency at UIC.How residents who go into private practice can still give back.Rapid round with Dr. Miloro: self-care tips, forceps use, favorite quote, and more. Links Mentioned in Today’s Episode:Dr. Michael Miloro University of Illinois at Chicago‘The Perfect Match’The Catcher in the Rye

Today on the Everyday Oral Surgery Podcast we are joined by Dr. David Saloman to discuss post-extraction bleeding and how to handle bleeding complications. As postoperative bleeding is most commonly experienced by the elderly on anticoagulants or blood thinners, the doctors discuss how best to deal with these patients before, during, and after any extractions. They talk about the role of medication as both a cause and a treatment for bleeding. They also discuss how to treat a patient who bleeds heavily during surgery, is still bleeding hours after surgery, or develops a liver clot post-extraction. Different tools, equipment, and products, the role of cautery and lasers, and even the best way to use gauze are all covered in today’s show, so don’t miss it!Key Points From This Episode:Hear about the different types of post-operative bleeding.The effect of anti-coagulants and blood thinners on post-extraction bleeding. The importance of post-operative instructionsThe relevance and timing of INR testing for patients on anticoagulants and blood thinners.The benefits of staging extractions for patients with a high bleeding risk. When to stop or bridge anticoagulant medication. The types of anticoagulants and blood thinners that cause the most problems. How to deal with a patient who is still bleeding hours after an extraction.The different tools, equipment, and products that can be used to stop the bleeding.How dentures may affect the extraction site post-operatively. The importance of informing patients how to care for themselves post-extraction. Extra measures that can be taken for high-bleeding risk patients.How to deal with Liver clots.When lasers and cautery can be used to stop bleeding.Whether or not to moisten gauze.Links Mentioned in Today’s Episode:Dr. David SalomonDr. Grant StuckiDr. Grant Stucki EmailDr. Grant Stucki Phone Number — +1 720-775-5843