Everyday Oral Surgery

Returning for another insightful episode, Dr. Ben Hechler is here to delve into the intricacies of throat packs, addressing the when, why, and how.  Join the conversation as we explore the various scenarios where a throat pack is warranted, when it's advisable to refrain from using them, and how to approach using throat packs in the different levels of anesthesia and sedation. We then dive into a discussion on the various techniques for doing throat packs, and hear our thoughts on navigating patients or patient groups who are high-risk or have severe gag reflexes. Tune in for a deep dive into throat packs with Dr. Ben Hechler.Key Points From This Episode:His thoughts on the topic of throat packs.Categories in which you would use throat packs.He explains what a definitive airway is.When he would not use throat packs. Throat packs for local anesthesia and sedation.We discuss the various techniques for doing throat packs.Our thoughts on using gauze versus the sponge. Patient demographics where using a throat pack is unadvisable (or high risk). How to approach patients who have severe gag reflexes. Last-minute book or movie recommendations from Dr. Hechler. Links Mentioned in Today’s Episode:Save 35% on my favourite instruments - KLS MartinDr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ KLS Martin — https://www.klsmartin.com/en/Suits — https://www.netflix.com/za/title/70195800 Trolls — https://www.dreamworks.com/trolls Elemental — https://www.pixar.com/elementalTurning Red — https://www.pixar.com/turning-red Coco — https://www.pixar.com/feature-films/coco Spiderman: Across the Spider-verse — https://tv.apple.com/us/movie/spider-man-across-the-spider-verse/umc.cmc.2zphwshxw2ejh2znevhod0u01 Sing 2 — https://tv.apple.com/us/movie/sing-2/umc.cmc.590s95h5e9b3mmn5fdt38m15c Puss in Boots 2 — https://www.dreamworks.com/movies/puss-in-boots-the-last-wishBoss Baby — https://www.netflix.com/za/title/80146758  Kung Fu Panda — https://www.dreamworks.com/movies/kung-fu-panda 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 —

In the world of anesthesia, Articaine is a product riddled with controversy. Whilst recent studies have proved that Articaine is relatively safe to use, many are still skeptical due to the previous narrative that Articaine has a higher chance of causing paralysis than Lidocaine and other anesthetics. So today, we sit down with Oral and Maxillofacial Surgeon, Dr. Ben Hechler, to get to the bottom of Articaine’s safety by unpacking a few studies that were published in the last five years.  Our first study denotes that on an absolute scale, Articaine is not riskier to use than Lidocaine, and Dr. Ben explains why he agrees wholeheartedly. We also discuss anesthetic efficiency and discover that, once again, there is little to separate Articaine and Lidocaine. To end, both our host and guest detail how they use Articaine in their practices and Dr. Ben explains why every oral surgeon should be embracing Articaine instead of running away from it.Key Points From This Episode:Why we’ve chosen to speak about Articaine and we dive into our first case study. Dr. Ben explains what he likes about the study in question.How there’s no definitive proof that Articaine causes paralysis more than Lidocaine. The second article that we discuss explores anesthetic efficiency. How Articaine is slightly more effective than Lidocaine (within certain parameters).The way Doctors Ben and Grant use Articaine in their practices. Why Articaine should be embraced by all oral surgeons. Links Mentioned in Today’s Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/   ‘Does the Use of Articaine Increase the Risk of Hypesthesia in Lower Third Molar Surgery? A Systematic Review and Meta-Analysis’ — https://pubmed.ncbi.nlm.nih.gov/32976834/  ‘Anesthetic Efficiency of Articaine Versus Lidocaine in the Extraction of Lower Third Molars: A Meta-Analysis and Systematic Review’ — https://pubmed.ncbi.nlm.nih.gov/30267700/ KLS Martin — https://www.klsmartin.com/en/ 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 the US, the majority of oral maxillofacial surgeons work in private practice settings, where anesthesia is a mainstay of their practice. This has led to the development of strict in-office anesthesia models, evaluations, and guidelines. Joining us to offer his perspective on preparing for in-office anesthesia evaluations, emergency drills, and more is Dr. Dean DeLuke, an oral maxillofacial surgeon practicing in Richmond, Virginia, and a professor in the Department of Oral and Maxillofacial Surgery at the Virginia Commonwealth University (VCU) School of Dentistry. In today’s episode, Dr. DeLuke highlights the importance of being well-organized, doing regular emergency drills, empowering your staff as vital members of your team, building relationships with your local emergency response team, and more. For tips to enhance your in-office anesthesia safety, skills, administration, and monitoring, tune in today!Key Points From This Episode:Outlining the purpose of in-office anesthesia evaluations.New regulations in the anesthesia space, including quarterly mock emergency drills.Tips for preparing your team for an in-office anesthesia evaluation.Guidelines for organizing your emergency drug kit.Common anesthesia mistakes and how to avoid them.Practical resources and recommendations for surgeons doing daily anesthetics.Challenges presented by GLP-1 receptor agonist drugs and how to navigate them.Responding to anesthesia complications related to obesity and other comorbidities.Recommended reads, things to watch, and more!Links Mentioned in Today’s Episode:Dr. Dean DeLuke — https://dentistry.vcu.edu/contacts/profile/dean-deluke/Dr. Dean DeLuke on LinkedIn — https://www.linkedin.com/in/dean-deluke-631b1b19/Dr. Dean DeLuke Email — dmdeluke@vcu.eduOMSNIC — https://www.omsnic.com/American Association of Oral and Maxillofacial Surgeons (AAOMS) — https://myoms.org/Dr. Robert C. Bosack — https://www.bosack.net/Carl Hiaasen — https://carlhiaasen.com/Bad Monkey — https://www.amazon.com/dp/B00AP2VR8WThe In-Between — https://www.amazon.com/dp/059349993XEveryday 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 — 720-441-6059KLS Martin — https://www.klsmartin.com/

Beyond dentistry, pathological expertise can be necessary to treat certain oral and maxillofacial conditions. During this episode, Oral and Maxillofacial Pathologist Dr. Paras Patel joins us to discuss how to diagnose and treat Lichenoid Mucositis. Kicking off our conversation, Dr. Patel defines the diagnosis, before exploring common causes. Next, he unpacks why communicating with a pathologist is key as a dental practitioner and explains why he recommends a two-week washout process. We discuss diagnosis preferences and dive into immediate and ongoing treatment strategies, the role of dermatology, and more. The conversation also touches on anti-inflammatory diets, drug-induced reactions and waiting periods, and much more. Tune in today to hear insights from an expert in dental pathology. Key Points From This Episode:Introducing Dr. Paras Patel, Oral and Maxillofacial Pathologist. His introduction to dentistry with a focus on pathology and clinical disease.Defining lichenoid mucositis.Common causes of lichenoid mucositis and its relationship with autoimmune disease.Why communication with pathologists is key. Recommendations for performing the biopsy. Why it is important to make sure you have an adequate amount of connective tissue.When to prepare samples for immunofluorescence.Why it is important to have a two-week wash-out process.Why Dr. Patel’s preference is to give a definitive diagnosis. How to treat lichenoid mucositis.Why he recommends that patients change their visits to three to four times a year. Removing irritations as part of a patient’s prognosis.Understanding that dermatology might need to be involved.Why it’s important to look for dissimilar areas when you are biopsying a patient. A multi-focal precancerous disease process: pyogenic vertebral osteomyelitis.The role of an anti-inflammatory diet.Drug-induced reactions and the time period necessary for medication to be effective.Links Mentioned in Today’s Episode:Dr. Paras Patel — https://www.linkedin.com/in/paras-patel-6023a7a1/Dr. Paras Patel Email — oraldiagnosticsdfw@gmail.comDr. Paras Patel Phone Number — 806-535-5859ProPath — https://www.propath.com/Sonic Healthcare — https://www.sonichealthcare.com/Tom’s of Maine Children’s Silly Strawberry — https://www.tomsofmaine.com/products/oral-care/childrens-toothpaste/silly-strawberryEveryday 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

Clinical work tends to be siloed, but the connection between mouth and body accounts for a lot of what goes wrong. During this conversation, we are joined by Dr. Katie Lee, a General Dentist practicing in Denver, and the author of Saved by the Mouth, a book educating patients and practitioners on the relationship between the health of the mouth and the rest of the body. You’ll hear about Dr. Lee’s book and its intended audiences, bad bacteria, and the risk that inflammation and infection pose during surgery. We discuss testing prior to operating, why disease prevention is extra important when a patient has implants, and how diet and nutrition impact inflammation. Our discussion also touches on the appropriate number of incisions, why it is essential to understand that insurers are not clinically qualified, and much more. Thanks for joining us! Key Points From This Episode:Introducing this episode’s guest, Dr. Katie Lee, a General Dentist practicing in Denver, Colorado. Her book, Saved by the Mouth, and the audience it is intended for. Mitigating inflammation by improving oral health.The relationship between bad bacteria and MMPA. The risk that inflammation and infection pose during surgery. How providers can support patients to protect them during the process.Why she encourages clinicians to use bacteria testing, with a preference for IL6 Gene Mutation Test.Why disease prevention is extra important when there are implants.Making sure that a patient starts at the lowest level of inflammation possible.The role of diet in causing inflammation and what you can do to prevent it.Why it is so important to understand that insurance companies are not clinicians. The relationship between incisions and infection. Why Dr. Lee would do oral DNA tests, vitamin readings, and SRP prior to surgery. Her coaching work with clinicians helping them to integrate these practices. Links Mentioned in Today’s Episode:Dr. Katie McCann Lee — https://katieleedds.com/Dr. Katie Lee on LinkedIn — https://www.linkedin.com/in/katieleedds/Dr. Katie Lee on Instagram — https://www.instagram.com/katieleedds/Dr. Katie Lee Email — katie@katieleedds.comSaved by the Mouth — https://www.amazon.com/dp/B0CHL7QZF9Everyday 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

When undergoing any medical procedure, it is normal to have questions and want to know what to expect but often, physicians do not have the time to provide extensive answers to these questions. Today on Everday Oral Surgery, we are joined by a man at the forefront of enhancing patient communication and saving surgeon time, CEO of WUWTA, Jonathan Sachs. Tuning in, you’ll hear about what inspired Jonathan to get into health care, how he got involved in WUWTA, what they do, their mission, what the acronym stands for, and how they enhance patient communication. We even delve into the two-way communication they have created between patient and doctor before Jonathan explains the process of recording videos to explain procedures and pre and post-operative care. Finally, Jonathan tells us how you can get started with WUWTA. Thanks for listening in!Key Points From This Episode:Introducing today’s guest, Jonathan Sachs. Jonathan tells us about how his ill family members inspired him to get involved in health care. How he became the CEO of WUWTA, what they do, and what the acronym stands for. How WUWTA enhances patient communication. Why they use patient testimonials, where they record physician videos, and their animations.How WUWTA fosters two-way communication between patient and doctor. How to get started with WUWTA as a physician and how they are leveraging AI. How many videos they make on average, how long recording takes, and how long they are.Links Mentioned in Today’s Episode:Jonathan Sachs — https://jonathansachs.net/Jonathan Sachs Email — jsachs@wuwta.comJonathan Sachs on LinkedIn — https://www.linkedin.com/in/sachs-jonathan/Jonathan Sachs on X — https://twitter.com/jonathansachsJonathan Sachs Phone — 415-585-4695WUWTA — https://getwuwta.com/WUWTA Address — 435 Pacific Ave, Ste 350, San Francisco, CA 94133WUWTA Phone — 855-507-2753KLS Martin — https://www.klsmartin.com/en/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

Liver disorders affect oral surgery greatly, and in this episode of Everyday Oral Surgery, Dr. Andrew Jenzer joins us to do a medicine review of liver disorders. Tuning in, you’ll hear all about the function of the liver, how bile flows through the body, liver function tests, the different kinds of liver damage, and how the gallbladder affects the liver. We also discuss a couple of interesting liver disorders before Andrew tells us how patients with liver dysfunction are evaluated and managed by oral surgeons. Finally, our guest does a review of medication used to treat liver dysfunction patients and their side effects and even reminds us to be conservative with medication for patients with moderate to severe liver damage. To hear all this and so much more, press play now!Key Points From This Episode:Welcoming today’s guest, Dr. Andrew Jenzer.The functions of the liver, what bile is, and how it flows through the body. The dangers of asymptomatic jaundice. What increases unconjugated and conjugated bilirubin levels. Liver function tests, what they include, and what they indicate. The different types of liver damage that can occur and elevations indicating liver injury. How gallbladder blockages affect the liver and bile movements. Cirrhosis, the categories of it, and what happens when it occurs. Andrew tells us about the interesting disorder, hepatic encephalopathy, and how it’s treated. How patients with liver dysfunction are evaluated and managed by oral health professionals. A review of medication that can be used for liver dysfunction patients and their side effects.  The importance of being conservative with medicine for moderate to severe liver dysfunction. Links Mentioned in Today’s Episode:Dr. Andrew Jenzer Email Address — andrew.jenzer@gmail.comDr. Andrew Jenzer — https://www.healthgrades.com/dentist/dr-andrew-jenzer-xylmd8rKLS Martin — https://www.klsmartin.com/en/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

Residency pro Sebastian Graca and experienced oral surgeon Benja share tips for succeeding in residency and building strong relationships with co-residents. They discuss effective communication, selecting the right program, finding your niche within oral surgery, and even how to make a spectacular roast video. The discussion also covers stress management, exercise, hobbies, favorite TV shows, comedians, and quotes. This episode provides a wealth of insights to enrich your residency journey.

Dry socket, also known as alveolar osteitis, is a painful condition that can occur after tooth extraction. It is characterized by the partial or total loss of the blood clot that forms in the socket after tooth extraction, leading to exposure of the underlying bone and nerve endings. This condition can cause severe pain and discomfort. In this episode, we focus on the pathogenesis, etiology, prevention, and treatment of dry socket with Dr. Jake Stucki (brother of Dr. Grant Stucki), an oral maxillofacial surgery resident in Cleveland at The Case School of Dental Medicine. In our conversation, we discuss the causes of dry socket and possible prevention strategies. We delve into the role of bacteria, poor oral hygiene, surgical trauma, and smoking in its development. We also touch on medications and anatomical factors contributing to this condition, alongside valuable approaches for reducing the risk and managing dry socket. We also highlight seminal work on the subject and provide listeners with key insights from the articles to help them stay ahead of the latest research. Join us for an in-depth and engaging discussion on dry socket, and gain a wealth of knowledge with Dr. Jake Stucki!Key Points From This Episode:Introduction and brief background to today’s special guest, Dr. Jake Stucki.Dr. Jake Stucki provides an overview of alveolar osteitis and its symptoms.Reasons why dry socket is difficult to diagnose.What symptoms patients can expect when experiencing dry socket.Steps to distinguish dry socket from inflammation in the socket.The main causes of dry socket and how to prevent it from happening.Discover the role of bacteria in the development of alveolar osteitis.Explore the link between poor oral hygiene and the incidence of dry socket.Learn how surgical trauma can induce the development of alveolar osteitis.How the mechanical and chemical aspects of smoking can create dry socket.Medications linked to higher occurrences of alveolar osteitis in patients.Anatomical and age considerations for the onset of dry socket.Approaches for reducing the risk of alveolar osteitis in patients.Valuable insights into managing and treating dry socket.Recommendations for movies, books, and more!Links Mentioned in Today’s Episode:Dr. Jake Stucki — https://www.linkedin.com/in/jake-stucki-ab19a593/Dr. Jake Stucki — jakestucki@gmail.comThe Case School of Dental Medicine — https://case.edu/dental/'Alveolar Osteitis: A Review of Current Concepts’ — https://pubmed.ncbi.nlm.nih.gov/32348729/KLS Martin — https://www.klsmartin.com/Rick and Morty — https://www.imdb.com/title/tt2861424/Think Again — https://www.amazon.com/Think-Again-Power-Knowing-What/dp/1984878107Everyday 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

Running an oral surgery practice can be grueling work, which is why it’s so important to include partners who will help you build a robust practice that can function optimally for years to come. Joining us today to discuss the powerful impact of nurse practitioners (NPs) and physician assistants (PAs) on oral and maxillofacial surgery practices, is Dr. Paul Shrivers, MD, DMD. We talk with Paul about his residency experiences, how he came to specialize, and his early interest in neck oncology. He shares what he learned about the many benefits of using NPs and PAs in surgeons’ practices, their impressive flexibility, and how their roles can be expanded beyond training assistants, like helping with patient care and administrative burdens. Paul also shares his advice for dental students considering a fellowship, why he wants to dispel the notion that you need to be an academic surgeon, and how to choose something that is going to be consistent with your career goals and work-life integration. To learn more about the impact of NPs and PAs on surgery practices and how to ensure longevity for your practice, be sure to tune in!Key Points From This Episode:Get to know today’s guest, Dr. Paul Shivers.Paul’s residency, his interest in neck oncology, and how he came to specialize.The role of nurse practitioners (NPs) and physician assistants (PAs) in oral surgery.Growing practices with limited resources and the powerful impact of NPs and PAs.How NPs and PAs can help residents get the most out of their residency.An overview of the flexibility of NPs and PAs.The expanded role they can have beyond training assistants.How they can help with patient care and delegation.The benefits of using NPs and PAs in surgeons’ practices.Paul’s one-year fellowship at UVA and what the experience was like for him.Why he wants to dispel the notion that you need to be an academic surgeon.His advice to anyone thinking about a fellowship: get involved early and often.Paul answers our rapid-fire questions!Links Mentioned in Today’s Episode:Paul's email — pshivers@med.umich.eduPaul Shivers MD, DMD at Michigan Medicine — https://www.uofmhealth.org/profile/1972913382/paul-l-shivers-md-dmdBill Simmons sports podcast — https://podcasts.apple.com/ca/podcast/the-bill-simmons-podcast/id1043699613Revisionist History — https://podcasts.apple.com/us/podcast/revisionist-history/id1119389968The Rewatchables — https://podcasts.apple.com/us/podcast/the-rewatchables/id1268527882Resident Series: Osteomyelitis (with Dr. Benjamin Hechler) — https://podcasts.apple.com/ee/podcast/resident-series-osteomyelitis-with-dr-benjamin-hechler/id1535284898?i=1000580659795Everyday 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