Everyday Oral Surgery

Neurological and psychiatric expert, Dr. Andrew Jenzer, discusses common neurological terms, mood disorders, perioperative considerations for anti-depressants, headaches, serotonin syndrome, and more. Insightful conversations cover seizures, epilepsy, and the importance of asking questions as an oral surgeon. Banter about sci-fi books and Harry Potter houses adds a fun touch to the episode.

Allergic reactions are as nuanced as they are subjective – there are no blanket treatments for anaphylaxis, and each case needs to be observed in isolation. Today we are joined by the Dental Anesthesiologist, Jonathan Bacon, DDS, to walk us through everything we need to know about anaphylaxis diagnoses and treatments when under anesthesia. After learning more about Dr. Jon, we discover what anaphylaxis is (with a more accurate definition from the World Allergy Organization), what causes it, how to identify it, and how to treat it. We discuss the right dosages for anaphylactic treatments, the factors that affect the severity of attacks, comorbidities and triggers to be aware of, and the relationship between hypertension and anaphylaxis. We end with a deeper examination of anaphylaxis treatment options, how to administer them, and the importance of educating patients to ensure that they know how to deal with anaphylactic attacks at home.Key Points From This Episode:Dr. Jon Bacon’s professional history and current practice setup. What anaphylaxis is and how we deal with it as healthcare providers. The main causes, signs, and symptoms of anaphylaxis. Assessing the right dosage for anaphylactic treatments.  Age and other factors that affect the severity of an anaphylactic attack.A more accurate definition of anaphylaxis, as proposed by the World Allergy Organization. How Dr. Jon handles patients who develop hypertension while under anesthesia. Comorbidities and triggers to be aware of during anaphylactic episodes.   How the type of allergy influences the anaphylactic attack and the required treatment. What we’re looking for from a clinical presentation. How to decipher between isolated hypertension and anaphylactic-induced hypertension. Exploring what happens after an anaphylaxis diagnosis; how to treat it. Mountains Beyond Mountains, Unbroken, painting, Severance, and Top Gun.Links Mentioned in Today’s Episode:Dr. Jon Bacon Email — jpbacondds@gmail.com Just Wisdom Teeth — justwisdomteethdc.com/  World Allergy Organization — worldallergy.org/  ‘Perioperative anaphylaxis – management and outcomes in NAP6’ — bjanaesthesia.org.uk/article/S0007-0912(18)30401-X/fulltext Severance — tv.apple.com/us/show/severance/umc.cmc.1srk2goyh2q2zdxcx605w8vtx  Top Gun: Maverick — https://www.imdb.com/title/tt1745960/ KLS Martin — klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — klsmartin.com/dr-stucki-instruments Everyday Oral Surgery Website — everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Frequently encountered in maxillofacial trauma patients, zygomatic fractures are probably the most common mid-face fracture after a broken nose, so it’s important that you know how to manage them! Joining us today to share some effective strategies is Dr. Aaron Liddell, an oral maxillofacial surgeon at Colorado Oral Surgery and a returning guest to the show. Utilizing a multidisciplinary approach, Dr. Liddell provides facial reconstructive treatment in the Denver metropolitan area, is a consultant surgeon to the Denver Nuggets basketball team, and also serves as faculty for the craniomaxillofacial (CMF) section of AO North America. In today’s episode, Dr. Liddell presents a comprehensive overview of zygomatic complex (ZMC) fractures, how to approach clinical assessment, what primary triage looks like, and optimal surgical or non-surgical treatments following evaluation. We also touch on some helpful tips for communicating frankly with patients about surgical risks and expectations, common post-operative issues, and much more, so be sure not to miss this highly informative conversation!Key Points From This Episode:How zygomatic complex (ZMC) fractures typically occur and how to diagnose them.What a thorough clinical or ophthalmologic assessment of a ZMC fracture entails.OCS and entrapment: two instances that constitute true ophthalmological emergencies.Radiographic evaluation of a ZMC fracture and why CT scans are most common.Surgical and non-surgical interventions (and how to know which one to choose).The importance of speaking openly with patients about surgical risks and expectations.Tips for communicating with patients who are upset about their cosmetic appearance.Insight into the coronal approach to zygomatic arch fractures and how rare it is.Why Dr. Liddell recommends starting with the simplest incision first.A look at some of his preferred types and sizes of plates and screws.The most common long-term post-operative issues that patients encounter.Reasons to be selective when it comes to surgical management of ZMC fractures.Training and fellowships that can benefit those interested in facial trauma.Links Mentioned in Today’s Episode:Dr. Aaron Liddell — coloradooralsurgery.com/meet-us/dr-aaron-t-liddell-md-dmd-facs Dr. Aaron Liddell on LinkedIn — linkedin.com/in/aaronliddellDr. Aaron Liddell Email — aaronliddell@gmail.com AO Foundation North America — aofoundation.org/aonaAO CMF NA Course: Management of Facial Trauma — events.aona.org/event/eventdetailresp/9880Speechify — speechify.comEveryday Oral Surgery Website — everydayoralsurgery.com Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgeryDr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Even when a procedure is done perfectly, dentists can and do cause neuropathic pain. During this episode, we discuss how to diagnose the spectrum of trigeminal neuralgia, how to approach management, and how to mitigate damage during treatment. Expert Dr. Thomas Robbins joins us and shares insights from his vast experience in addressing this condition. From symptoms and the diagnostic process to approaching cases with little to no images, bloodwork, and more, this episode is a detailed crash course on proven strategies and identification techniques. Dr. Robbins touches on different reasons that trigeminal neuropathy may occur and explains why he chooses to focus on this and emphasize it. We also get into the brain’s role in amplifying pain. You’ll also hear about the screening process for temporomandibular disorders. Tune in for a highly informative conversation with today’s expert. Key Points From This Episode:A brief history of Dr. Robbins’ career history and current practice.The experience that led him to focus on facial pain, trigeminal neuralgia, and headaches.How trigeminal neuralgia is diagnosed. Symptoms to expect from different types of trigeminal neuralgia.Why thorough investigation is necessary.How to approach cases where there is little or no imaging.The appropriate time to do bloodwork.Different procedures to address trigeminal neuralgia.Mitigating damage during treatment.How Dr. Robbins differentiates between trigeminal neuralgia and post-procedure neuropathy.Understanding that dentists can and do cause neuropathic pain, even from the most perfectly well done procedure. How the brain can amplify pain.Different reasons that trigeminal neuropathy can occur and why Dr. Robbins emphasizes them.Pain management and medication.Flare ups that may occur and how to treat them.Screening for temporomandibular disorders.Quick-fire questions including Dr. Robbins’ relationship with reading and how he cares for his mental health. Links Mentioned in Today’s Episode:Dr. Thomas Robbins Email — trobbins@mycenters.comDr. Thomas Robbins on TikTok — https://www.tiktok.com/@dr_tjrobbinsThe International Classification of Headache Disorders — https://ichd-3.org/New International Classification of Orofacial Pain — https://orofacialpain.org.uk/wp-content/uploads/2021/10/Link-7-Pigg-et-al-2020-JOE.pdfEveryday 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

Joining Dr. Stucki once again is Dr. Benjamin Hechler, an OMS practicing in North Carolina. On this episode, we wanted to circle back and dive deeper into TMD and TMJ hyper and hypomobility. The conversation kicks off with Dr. Hechler unpacking some of the common causes behind TMJ hypomobility, the definition of a closed lock (CL) including an overview of acute CL and chronic CL, with a quick reference to the anchor-disc phenomenon. We also look at the different flavors of TMJ hypermobility and various types of dislocations. Dr. Hechler details his technique with awake patients, why imaging would be indicated for TMJ mobility, and then delves into a detailed explanation of his approach to TMJ mobility treatment. To hear more about our thoughts on TMJ mobility issues caused by being in the dental chair, our tips and tricks for avoiding them, and what could tip the scale toward a more permanent management solution for these types of issues, be sure to start listening now! Key Points From This Episode:Our goal for today’s episode: TMJ hyper and hypomobility with Dr. Ben Hechler.Dr. Hechler unpacks some of the causes behind TMJ hypomobility. He defines what is a closed lock (CL).The difference between acute CL and chronic CL.A quick look at the anchor-disc phenomenon.Dr. Hechler highlights some different flavors of TMJ hypermobility (and dislocations).He details his technique to get an awake patient back into the proper TMJ relationship.We dive into a discussion on when imaging is required for TMJ mobility.He explicitly details his approach to treatment for this demographic of TMJ patients.His thoughts on how often TMJ mobility issues are caused by being in the dental chair.Dr. Stucki shares some of his tips on avoiding dental chair TMJ mobility issues.TMJ mobility management: when does the scale tip toward a more permanent management/treatment?The multifactorial aspect of connecting patient characteristics and our capabilities as surgeons to formulate the best possible plan.Links Mentioned in Today’s Episode:Dr. Ben Hechler — https://www.linkedin.com/in/ben-hechler Episode 236: Perspectives on Management of TMJ Disease, with Dr. Michael Miloro —https://www.buzzsprout.com/1404670/14614031-perspectives-on-management-of-tmj-disease-with-dr-michael-miloro KLS Martin Promo Code: StuckiFavsKLS Martin Email — usa@klsmartin.com 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

Balancing having a family and career as an oral surgeon can be quite difficult and today’s guest is no stranger to this struggle. Dr. Samuel Scroggins joins us today to share how he manages to find the highs in life while running his own private practice, raising eight children, and going on incredible highpointing adventures. Tuning in, you’ll hear all about our guest’s background and training, what made him interested in highpointing, why he loves it so much, and his plans for his next adventure. We then delve into how he got through residency with his large family before he explains why he chose to open a private practice in a small town and the benefits of doing so. We even discuss how having eight children has helped Dr. Scroggins be a better surgeon! Finally, our guest answers our rapid-fire questions and leaves us with some wonderful words of wisdom about making the most out of life. Thank you for listening in! Key Points From This Episode:Welcoming today’s guest, Dr. Samuel Scroggins. A brief history of Dr. Scroggins’ training and current practice setup. What highpointing is and how Dr. Scroggins got into it. Dr. Scroggins’ plans for his next highpointing adventure. How he got through residency while raising a large family of eight children. Dr. Scroggins shares some tips for building a practice in a small community. The benefits of working in a small town as an oral surgeon. Dr. Scroggins tells us about the best book he’s read in the last year. How having eight children helps him be a better surgeon. The kinds of tools Dr. Scroggins prefers for extractions. A movie Dr. Scroggins watched recently and loved and a standup comedian he likes. Dr. Scroggins shares his favorite quote with listeners. Links Mentioned in Today’s Episode:Dr. Samuel Scroggins on LinkedIn — https://www.linkedin.com/in/sam-scroggins-8063b220/Dr. Samuel Scroggins Email — scrogginsoms@gmail.comSouthwest Virginia Oral and Maxillofacial Surgery — https://swvirginiaoralsurgery.com/KLS Martin — https://www.klsmartin.com/KLS Martin Discount Code — StuckiFavsOutlive — https://www.amazon.com/Outlive-Longevity-Peter-Attia-MD/dp/0593236599Everyday 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

Learn how oral surgeons and periodontists can collaborate effectively, build trust, and improve patient care. Discover the importance of communication, respect, and humility in bridging the gap between the two specialties. Hear about the challenges faced in aesthetic zone implant cases and the value of continuous learning in the oral surgery community.

Dr. Dallen Mills from Peak View Anesthesia joins us once again to cast a wide net over the topic of anesthesia as we discuss beta blockers, ketamine, kidney failure, and a whole lot more! The last time he was here, Dr. Mills walked us through the ins and outs of Precedex. Today, he answers some follow-up questions by explaining how long you can use a Precedex solution after it’s been diluted. Our guest goes on to describe his treatment plan for post-surgery combatant patients, his thoughts on using beta blockers with ketamine, how he uses nitrous oxide as an adjunct to sedation, and how he approaches sedating patients who have kidney complications. To end, Dr. Mills thoroughly examines everything related to taking medication before surgery. Tune in for all this and more!Key Points From This Episode:Dr. Dallen Mills explains the shelf life of a diluted Precedex solution. His go-to treatment for patients who wake up agitated from surgery. What he thinks about routinely using beta blockers with ketamine. How he deals with increased secretions of ketamine. The way Dr. Mills uses nitrous oxide in his daily operations. His protocol for treating patients with kidney failures and those on dialysis. Everything you need to know about taking medication prior to sedation. Links Mentioned in Today’s Episode:Dr. Dallen Mill on LinkedIn — https://www.linkedin.com/in/dallen-mill-055338/ Peak View Anesthesia — https://www.pvanesthesia.com/  ‘The Pros and Cons of Precedex and Remifentanil, Plus a Dive into an Innovative Non-Pharmaceutical Approach (with Dr. Dallen Mill, MD Anesthesiologist)’ — https://www.buzzsprout.com/1404670/14398433-the-pros-and-cons-of-precedex-and-remifentanil-plus-a-dive-into-an-innovative-non-pharmaceutical-approach-with-dr-dallen-mill-md-anesthesiologist.mp3 KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs  Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments 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 

Treating TMJ and TMD in patients can be a daunting prospect for oral surgeons, especially if they weren’t exposed to the relevant treatment procedures during residency. But that doesn’t mean general care can’t be improved upon. In today’s episode, Dr. Michael Miloro joins us to share his expertise on the management of TMD and TMJ and how he believes we can ensure better education among dental students going forward. Find out why Dr. Miloro is such a big proponent of having a multidisciplinary team before learning how he and his colleagues prioritize individualized, conservative, reversible, and minimally invasive patient care. Our conversation also unpacks the evidence-based literature on the topic, how the studies can be improved upon, and why we need to invest in better education at the dental student level in terms of TMD and myofascial pain. To hear Dr. Miloro’s informative advice and thought-provoking insights on TMD, TMJ, and how to give the best patient care possible, tune in now!Key Points From This Episode:An overview of the shortcomings in the academic literature on TMD.The challenges of TMJ and TMD diagnosis and treatment.Dr. Miloro’s philosophy for treating patients who have TMD or TMJ.Why he believes in individualized, conservative, reversible, minimally-invasive patient care.The benefits of being treated in a multidisciplinary setting with a team of specialists.Arthrocentesis; how the procedure can help patients with TMD or TMJ.Determining whether a patient is a good candidate for arthrocentesis.Insight into what helps make arthrocentesis effective and what to avoid during the procedure.What Dr. Miloro considers before undertaking a discopexy or discectomy.Four reasons why Dr. Miloro doesn’t like the idea of disc repositioning.Clinical tips for doing a discectomy and a breakdown of Dr. Miloro’s approach.How many of his patients typically need a unilateral versus bilateral discectomy.Benefits and drawbacks of a modified condylotomy and when to consider it.What it’s like treating patients long-term with the support of a team.Dr. Miloro’s answers to our rapid-fire questions!Links Mentioned in Today’s Episode:Dr. Michael Miloro on Linkedin — https://www.linkedin.com/in/michaelmiloro/UIC College of Dentistry — https://dentistry.uic.edu/Dr. Michael Miloro’s email — mmiloro@uic.eduTMD (Temporomandibular Disorders) — https://www.nidcr.nih.gov/health-info/tmd‘Temporomandibular Joint Disorder Management in Oral and Maxillofacial Surgery’ — https://pubmed.ncbi.nlm.nih.gov/27889533/KLS Martin — https://www.klsmartin.com/en/   KLS Martin 35% Discount Code — StuckiFavs Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instrumentsEveryday 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

Evidence-based practice can substantially improve a clinician’s care and today’s guest, Dr. Brian Carr has compiled an incredible newsletter for dental professionals to get reliable information to enhance their practices. Tuning in, you’ll hear all about our guest’s career, his newsletter ‘Soapbox,’ how he incorporates what he learns into his clinical care, how you can learn from the articles you read, and more. We delve into the research he has been part of before Dr. Carr tells us about the topics he focuses on most often in his newsletter. Finally, he answers our rapid-fire questions. Thanks for listening in! Key Points From This Episode:A brief overview of today’s guest, Dr. Brian Carr. Dr. Carr tells us about his incredible newsletter, the themes, content, and who has access. How Dr. Carr incorporates evidence-based practices from his reading into his clinical care.  Some advice for reading articles and learning from them.The research Dr. Carr has been a part of in his career. How to join Dr. Carr’s amazing newsletter.His focus on Dr. Dead Bone and relevant topics in the newsletter. Finishing off, Dr. Carr answers our rapid-fire questions. Links Mentioned in Today’s Episode:Brian Carr on LinkedIn — https://www.linkedin.com/in/brian-carr-35487a55/Brian Carr PHHS Email Address — Brian.Carr@phhs.orgBrian Carr UT Southwestern — Brian.Carr@Utsouthwestern.eduKLS Martin 35% Discount Code — StuckiFavsDr. Stucki’s Favorite KLS Martin Instruments — https://www.klsmartin.com/dr-stucki-instrumentsEveryday 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