Many oral surgeons overlook perfecting the task of local anesthesia or don’t give it our full attention and in this episode of Everyay Oral Surgery, we are going to share some tips to help you leverage it properly! Dr. Dean DeLuke joins us today to walk through all things local anesthesia. In this conversation, we discuss anesthesia for a full maxillary extraction case, our guest’s thoughts on topical anesthetics, using local anesthetic on pregnant patients, and so much more! We delve into the nuances of allergy testing before talking about the ‘maximum doses’ of these medications. Dr. DeLuke goes on to share what he does to assist patients who do not respond well to anesthesia, how anti-depressant medications contraindicate with anesthesia, and minimizing pain for patients. He even tells us about the benefits of buffering! Finally, Dr. DeLuke shares his recommended books, TV shows, and his perception of writing. Thanks for tuning in! 

Key Points From This Episode:

• Welcoming Dr. Dean DeLuke to the show. 
• How to anesthetize a full maxillary extraction case. 
• Dr. DeLuke shares his thoughts on topical anesthetics. 
• Using local anesthetic on pregnant patients. 
• Two new products and the advantages of them. 
• The nuances of allergy testing. 
• How to know what the safest ‘maximum dose’ is of these drugs. 
• Dr. DeLuke shares how he helps patients who do not get numb. 
• Contraindications with anti-depressant drugs. 
• How to minimize pain for patients. 
• What buffering is and the advantages of utilizing it. 
• Dr. DeLuke’s favorite books, TV shows, and his feelings about writing. 

Links Mentioned in Today’s Episode:

Dr. Dean DeLuke on LinkedIn — https://www.linkedin.com/in/dean-deluke-631b1b19/ 

Dr. Dean DeLuke Email Address — [email protected] 

The Real Doctor Will See You Shortly — https://www.amazon.com/Real-Doctor-Will-See-Shortly/dp/0804138672 

Die With Zero — https://www.amazon.com/Die-Zero-Getting-Your-Money/dp/0358099765 

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 — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

We’re back with more exciting case reviews filled with many valuable lessons and this time, we explore cases that almost ended in disaster for the doctors involved. We are joined again by Oral and Maxillofacial Surgeon Dr. David Salomon – currently practicing at Yale New Haven Hospital, Connecticut – who begins by sharing his thoughts on our first case in review involving an accidental violation of the Hippocratic Oath. Then, we discuss a patient with hypertension who seized mid-operation, why leading with empathy is the foundation for avoiding possible lawsuits, the role of vulnerability between doctors and patients, and how two wrongs never make a right. We end with an extraction gone wrong for an 18-year-old high school softball player, communication and other referral problems that exist across the industry, fail-safes to improve referral protocols, how to address minor patients who feel they’ve been wronged, and why we need to implement more timeouts as standard practice. As a bonus final act, doctors Salomon and Stucki reminisce on when Dr. Salomon saved Dr. Stucki’s life.  

Key Points From This Episode:

• An unfortunate and accidental breach of privacy. 
• The best practices for doctors engaging with patients online, especially on public platforms. 
• Unpacking the malpractice case of a patient who had a seizure on the operating table. 
• How to make amends when things go wrong, and the importance of leading with empathy.
• Why vulnerability matters, and how to avoid adding fuel to the fire. 
• How a wrongful extraction highlights some of the key issues doctors face with referrals.  
• What practitioners can do to ensure referrals receive the same care as self-referrals. 
• The ins and outs of timeouts and their undeniable importance. 
• How Dr. Salomon intervened in Dr. Stucki’s near-fatal encounter! 

Links Mentioned in Today’s Episode:

Dr. David Salomon on LinkedIn — https://www.linkedin.com/in/david-salomon-b8ab1431/ 

Yale New Haven Hospital — https://www.ynhh.org/ 

Coastal Connecticut — https://www.coastalctoms.com/ 

Risk Tips Archive | MedPro Dental — https://oms.medprodental.com/category/risk-tips  

Dr. Ira Satinover on Healthgrades — https://www.healthgrades.com/physician/dr-ira-satinover-y8hpw 

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 — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

What if your career as an oral and maxillofacial surgeon could offer world-class training, financial stability, and the opportunity to serve your country, all while performing full-scope surgery? In this episode of Everyday Oral Surgery, Dr. Andrew Jenzer and Dr. Kevin Smith, both Army OMS program directors, share their journeys in military medicine, detailing the unique benefits of an Army career. They dive into the benefits of a debt-free education, unparalleled hands-on surgical experience, and a patient-first system that prioritizes comprehensive care over financial constraints. Plus, they shed light on leadership development, moonlighting opportunities, and the realities of military life, from deployments to career mobility. Whether you're a student considering your next steps or a practicing surgeon curious about new opportunities, tune in to find out if an Army OMS career is the right fit for you!

Key Points From This Episode:

• Insight into Dr. Smith’s Army background and his transition into OMS.
• The mental toughness and intense training required to become a Ranger.
• An overview of Dr. Jenzer’s career path to Army OMS and his motivations for joining.
• The perks and trade-offs of an Army OMS career.
• What you need to know to get into an Army OMS residency.
• The realities of career mobility and location flexibility.
• Moonlighting opportunities, skill-building, and financial benefits.
• Full-scope surgery without financial barriers: what an Army career in oral surgery offers.
• An insider’s guide to fellowship opportunities and career advancement.
• Potential pathways to joining the Army as an oral surgeon at any stage of your career.
• How an Army OMS career compares to one in VA hospitals.
• Dr. Smith’s experience of serving in a special operations unit in Afghanistan.
• The care and attention paid to resident education and development.
• Life after Army OMS: retirement, career options, and transitioning to private practice.
• Recommended reads, non-oral surgery skills, forceps for tooth number 12, and more!

Links Mentioned in Today’s Episode:

Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer

Dr. Andrew Jenzer Email — [email protected]

Dr. Kevin Smith — https://www.omslakewood.com/meet-us/kevin-d-smith-dmd/

Madigan Army Medical Center — https://madigan.tricare.mil/

OMS Residency Program | Madigan Army Medical Center — https://madigan.tricare.mil/Health-Services/Dental/Dental-Clinics/ORAL-MAXILLOFACIAL-SURGERY-RESIDENCY-PROGRAM

How to Win Friends & Influence People — https://www.amazon.com/dp/0671027034

Once an Eagle — https://www.amazon.com/dp/0062221620/

Band of Brothers — https://www.netflix.com/title/70308702

Eastbound and Down — https://www.imdb.com/title/tt0866442/

Jocko Willing Books — https://jocko.com/books/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook —

In this lighthearted and humorous episode of Everyday Oral Surgery, Dr. Grant Stucki introduces a new segment, Go On, Git, inspired by Jimmy Fallon's comedic bits. In today's episode, he shares a collection of frustrating yet amusing moments that oral surgeons experience daily. Hear about stubborn implant screwdrivers, patients who won’t recline in their chairs, why sutures always seem to break at the worst possible moment, thermostat mishaps, schedulers who book six patients per hour, why overhead lights seem to have a vendetta against oral surgeons, and more! Using his best cowboy accent, Dr. Stucki adds to the humor, making this episode an entertaining take on the unexpected challenges of surgery. Join us to get a dose of surgical comedy and learn how to find laughter in the daily struggles of oral surgery. Tune in now!

Key Points From This Episode:

• Introducing Dr. Stucki's Go On, Git list and the motivation behind creating it.
• How humor can turn the everyday frustrations into moments of laughter.
• Hear about the patient who insists they “can’t lean back.”
• Why bite blocks act like soap bars and dealing with assistants who refuse to take a sick day.
• Implant screws that won’t stay put and root shapes that defy extraction logic.
• Dealing with texting patients who refuse to put their phone down before surgery.
• Learn about the struggle of irrigation ricochet and avoiding a smack from the overhead light.
• An invitation for listeners to submit their own Go On, Git moments.

Links Mentioned in Today’s Episode:

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 — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Blood clots can be life-threatening, but understanding their causes and treatments can save lives. In Part 2 of our Hematology Series, Dr. Andrew Jenzer, DDS, dives deep into thrombosis, breaking down the three key contributing factors and the most common hypercoagulable conditions. We carefully dissect the pathophysiology of pulmonary embolisms, the most important guidelines to know and follow, the difference between provoked and unprovoked hypercoagulable conditions, and everything you need to know about the perioperative management of antithrombotic therapies. To close, Dr. Jenzer highlights the critical risk factors of preoperative anticoagulation and key takeaways from our conversation that should never be forgotten. If you're a healthcare professional or simply someone who values life-saving knowledge, this episode is packed with insights you won't want to miss. Tune in to sharpen your expertise and improve patient outcomes!

Key Points From This Episode:

• Three contributors to thrombosis and the most common hypercoagulable conditions.
• Unpacking the pathophysiology of pulmonary embolisms.
• Wells’ Criteria, CHEST, and other crucial guidelines to follow. 
• The difference between provoked and unprovoked hypercoagulable conditions.  
• Anticoagulation therapies and important surgical considerations.
• Risk factors associated with the perioperative management of antithrombotic therapy. 
• Recapping the key takeaways from today’s conversation. 

Links Mentioned in Today’s Episode:

Dr. Andrew Jenzer Email — [email protected] 

Dr. Andrew Jenzer | Duke Surgery — https://surgery.duke.edu/profile/andrew-clark-jenzer  

ACOMS | Annual Winter Meeting — https://www.acoms.org/Events/Winter-Meeting/About 

Wells' Criteria for Pulmonary Embolism — https://www.mdcalc.com/calc/115/wells-criteria-pulmonary-embolism 

Wells' Criteria for DVT — https://www.mdcalc.com/calc/362/wells-criteria-dvt  

American College of Chest Physicians — https://www.chestnet.org/  

‘Perioperative Management of Antithrombotic Therapy’ — https://www.chestnet.org/guidelines-and-topic-collections/guidelines/pulmonary-vascular/perioperative-management-of-antithrombotic-therapy  

‘Perioperative Management of Patients with Atrial Fibrillation Receiving a Direct Oral Anticoagulant’ — https://pubmed.ncbi.nlm.nih.gov/31380891/  

‘Perioperative Optimization and Management of the Oral and Maxillofacial Surgical Patient’ — https://pubmed.ncbi.nlm.nih.gov/38103577/ 

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 — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Dr. Michael DeLuke is back on the show with Dr. Stucki for today’s episode of Everyday Oral Surgery. Dr. DeLuke is an orthodontist stationed out of Florida, the founder of DeLuke Orthodontic Coaching (DOC), and host of The DOC Podcast. He is an adjunct faculty member in NSU Florida’s Department of Orthodontics. After launching DeLuke Orthodontics in 2005, he built it into a multi-million dollar single-doctor practice within a decade. A national lecturer on topics like clinical efficiency, interceptive treatment, and practice management, he founded DOC in 2022 to help colleagues achieve clinical excellence, business success, and financial growth. Today’s topic of conversation centers around airway improvement goals in orthodontics, and they dive into where it all begins, the importance of looking beyond the teeth, and he challenges his colleagues to dig deep and ask questions. They examine the evidence surrounding the impact of tooth removal on further airway issues, he shares his thoughts on when to consider surgery and dives into a discussion on the age component of accomplishing the goal of normalizing anatomy. To learn more about his recommendations, thoughts, and advice on this topic, be sure not to miss out on this episode. Thanks for tuning in!

Key Points From This Episode:

• Welcome back, Dr. Michael DeLuke, here today to discuss airway goals in orthodontics.
• He kicks off the episode with his initial thoughts on today’s topic.
• Where it all begins: the multifactorial aspects of adenoid facies.
• The importance of looking beyond the teeth and asking questions.
• We examine evidence on the possibility of tooth removal contributing to further airway issues.
• His insights on knowing when to consider surgery after exhausting orthodontic options: a focus on normalizing anatomy
• The age component: how old it is too old (or too young) to accomplish the goal with orthodontics.
• His recommendations to an OMS who finds themselves in a tough referral situation (to extract or not to extract).
• A quick discussion on the AAO White Paper.
• Last words of encouragement to listeners. 

Links Mentioned in Today’s Episode:

Dr. Michael DeLuke — https://theorthocoach.com/about-dr-deluke/ 

Dr. Michael DeLuke on LinkedIn — https://www.linkedin.com/in/michael-deluke-3191296/ 

DeLuke Orthodontic Coaching (DOC) — https://www.youtube.com/@delukeorthodonticcoaching Dr. Michael DeLuke on Instagram — https://www.instagram.com/theorthocoach/ 

Dr. Michael DeLuke CE Courses — https://theorthocoach.com/ce-courses/ 

Bridging the Gap Between Dentistry & Sleep Medicine (w/Drs. Simmons & Carstensen) [Ep.90] — www.youtube.com//watch?v=VbYX0Da3EW8
 Ways to Establish Financial Freedom and Realize Your Long-Term Goals (with Dr. Michael DeLuke) — (Not yet published) 

Mentioned Studies —

‘Obstructive sleep apnea and orthodontics: An American Association of Orthodontists White Paper’ — https://www.ajodo.org/article/S0889-5406(19)30278-1/abstract  

American Association of Orthodontists — https://aaoinfo.org/ 

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook —

Realizing your long-term goals starts with visualizing what you want to achieve. No one knows that better than today’s guest, Dr. Michael DeLuke, who at the start of his career set himself the goal of having the option to retire by age 50. This goal has been a guide in his remarkable career, from building up his orthodontic practice to impressive heights to making the difficult decision to phase it down to taking the financial leap and transitioning into the next phase of his career. Tuning in, you’ll hear all the details of Dr. DeLuke’s journey as he breaks down how he financially transitioned out of private practice into a new chapter that balances academia, content creation, and orthodontic coaching. Discover how to navigate student debt and achieve financial freedom, the importance of investment and delayed gratification, why having a financial advisor is so valuable, and much more. Don’t miss out on this fascinating conversation with Dr. Michael DeLuke!
 
 Key Points From This Episode:

• Background on Dr. DeLuke and his remarkable family legacy in dentistry. 
• How he built up his practice and made the difficult decision to phase it down.
• Dr. DeLuke’s journey into balancing content creation and academia. 
• Insights on taking the financial leap to transition out of private practice.
• Putting together a financial plan and having a vision for your future.
• Advice to young surgeons on how to navigate debt and achieve financial freedom.
• The power of investment and delayed gratification in your financial life.
• How a financial advisor can help you manage your money and your investments.
• Understanding the toll that modern dentistry takes on your mind and body.
• The importance of sharing your financial vision with your significant other.
• Dr. DeLuke’s answers to our rapid-fire questions!

Links Mentioned in Today’s Episode:

DeLuke Orthodontic Coaching — https://theorthocoach.com/

DeLuke Orthodontic Coaching on Instagram — https://www.instagram.com/theorthocoach/
The Doc Podcast with Dr. Mike DeLuke — https://www.youtube.com/channel/UC_LCNiTq7I0VeniRxenHIyQ

Dr. Michael DeLuke on LinkedIn — https://www.linkedin.com/in/michael-deluke-3191296/

Rich Dad Poor Dad — https://www.richdad.com/

Cash Flow Quadrant — https://www.richdad.com/cashflow-quadrant-fundamentals

Outlive: The Science and Art of Longevity — https://www.amazon.com/Outlive-Longevity-Peter-Attia-MD/dp/0593236599

Never Finished: Unshackle Your Mind and Win the War Within — https://www.amazon.com/Never-Finished-Unshackle-Your-Within/dp/1544534086

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 — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Can reversing sedation be too much of a good thing? Flumazenil is a powerful benzodiazepine antagonist, but its use comes with both benefits and risks. In this episode of Everyday Oral Surgery, we welcome back Dr. Jake Stucki, a resident doctor at Case Western Reserve University School of Dental Medicine, to break down the benefits and drawbacks of flumazenil. 

In our conversation, we delve into the benefits, risks, cost considerations, and usage of flumazenil in oral surgery sedation. We explore using naloxone, its potential to reverse opioid effects, the associated costs of using it, and its potential for residual sedation. You'll also learn about the common misconceptions surrounding flumazenil, patient contraindications, guidelines on best practices, and more. Join us to learn about the fundamentals of flumazenil and how to use it effectively and safely in your practice with Dr. Jake Stucki. Tune in now!

Key Points From This Episode:

• Learn about flumazenil's usage, its effects on patients, and why it is important.
• The associated costs, how it can be administered, and the correct dosage to use.
• Explore the benefits of flumazenil in oral surgery and patient recovery.  
• Uncover the potential risks surrounding re-sedation and other vital considerations.
• When not to use the drug and how it is commonly used in clinical practice.
• Find out about the downsides of using flumazenil and the complications it can cause.
• Hear about The Joint Commission’s perspective on the use of flumazenil.
• Naloxone and how its usage and dosage are different from flumazenil.
• Discover an alternative approach for extracting maxillary upper third molars.

Links Mentioned in Today’s Episode:

Dr. Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/  

Case Western Reserve University School of Dental Medicine — https://case.edu/medicine/

The Joint Commission — https://www.jointcommission.org/

Dexter — https://www.imdb.com/title/tt0773262/

Cobra Kai — https://www.imdb.com/title/tt7221388/

Talking to Strangers — https://www.amazon.com/Talking-Strangers-Should-about-People/dp/0316478520/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Today, we review the 2024 article that details the study of the risk factors associated with IAN injury after third molar removal. We welcome Dr. Jake Stucki back to the show – resident doctor at Case Western Reserve University School of Dental Medicine – as he outlines the study design of today’s article in review. We unpack the variables focused on in the study, the risk factors that are revealed, how to mitigate these risks, and why the dental instruments for surgery need to be carefully chosen. To end, Dr. Jake walks us through other notable outcomes from the study, and we discover more ways to prevent nerve injuries during third molar removals.    

Key Points From This Episode:

• The study design of the article in review: IAN injury risk factors after third molar removal.
• Patient demographics and other variables of focus in the study.  
• Where risk begins, how it grows, and how to minimize it.  
• Why the instruments you choose to use matter.   
• Other significant outcomes from the study and helpful supplementary resources.   
• Important advice for preventing nerve injuries. 

Dr. Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/  

Case Western Reserve University School of Dental Medicine — https://case.edu/medicine/ 

‘Risk Factors Associated with Inferior Alveolar Nerve Injury after Extraction of Impacted Lower Mandibular Third Molars: A Prospective Cohort Study’ — https://www.joms.org/article/S0278-2391(24)00295-7/abstract  

‘The Radiological Prediction of Inferior Alveolar Nerve Injury during Third Molar Surgery’ — https://pubmed.ncbi.nlm.nih.gov/2322523/  

‘Radiographic Predictors of Postoperative Inferior Alveolar Nerve Injury in Mandibular Third Molar Surgery’ — https://www.joms.org/article/S0278-2391(24)00866-8/abstract 

‘Dr. Tony Pogrel: Nuances of Coronectomy and Intentional Root Retention during Extraction’ — https://www.buzzsprout.com/1404670/episodes/10507025-dr-tony-pogrel-nuances-of-coronectomy-and-intentional-root-retention-during-extraction.mp3  

Journal of Oral Maxillofacial Surgery — https://www.joms.org/ 

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Referrals are the most important factor that influences the success of an oral surgeon’s practice. In today’s conversation, Dr. Roger Levin of the Levin Group comes back to discuss things that can cause your referral marketing program to fail, how to avoid those things, and what you can learn from them. Listening in, you’ll hear why every surgeon should work towards being the dominant surgeon in their area, the importance of depending on your fellow doctors, why you need to have at least 15 strategies in your referral marketing program, the danger of poor-quality strategies, why you need a professional relations coordinator, and so much more! We delve into how to stay motivated in your referral marketing program before discussing the power of delegation and sticking to what you do best. We even discuss the levels of referrals and why you cannot ignore your ‘Cs and Ds’, the importance of being likable as a surgeon, why your staff needs to be trained in customer service, and why a well-trained professional relations coordinator is imperative. To hear all this and more, be sure to tune in now and keep your eyes peeled for part two of this discussion! 

Key Points From This Episode:

• Welcoming Dr. Roger Levin back to the show. 
• Why every surgeon should try to become the dominant surgeon in their area. 
• Recognizing your dependence on other doctors.
• How not having enough strategies can cause your referral marketing program to fail. 
• The detrimental nature of poor-quality strategies. 
• The importance of having a professional relations coordinator. 
• How your marketing spend can be indicative of your success.
• Roger shares some tips to keep doctors motivated in their marketing program. 
• The power of delegation and only doing what you do best.
• How ignoring your ‘Cs and Ds’ can cause referral marketing failure. 
• Why you have to be likable and what that looks like. 
• Having great front-desk dental staff that’s trained in customer service.
• What may happen to the practice without a well-trained professional relations coordinator. 

Links Mentioned in Today’s Episode:

Dr. Roger Levin on LinkedIn — https://www.linkedin.com/in/roger-levin-69ab744/ 

Levin Group — https://levingroup.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 — [email protected]

Dr. Grant Stucki Phone — 720-441-6059