Everyday Oral Surgery Grant Stucki - oral and maxillofacial surgeon

As an oral surgeon, all aspects of a patient’s medical status and history have to be taken into account. In this episode, we welcome Dr. Andrew Jenzer back to the show to discuss relevant psychological and neurological conditions and the medications used to treat them. Tuning in, you’ll hear an amazing description of some common neurological terms, a breakdown of different mood disorders, perioperative considerations for anti-depressant medications, how headaches differ, and the dangers of serotonin syndrome and neuroleptic malignant syndrome. We also delve into how Andrew handles his patient’s anti-depressant medication routines before discussing seizures, epilepsy, conversion disorder, and the importance of asking as many questions about these disorders as possible as an oral surgeon. To hear all this and even find out how to join the American College of Oral Maxillofacial Surgeons, press play now!


Key Points From This Episode:
ACOMS and the CT Read and MR Read courses. Reviewing and defining some neurological terms that people often get confused about. A breakdown of different types of headaches and their differences. Mood disorders, symptoms of them, and their treatment.Perioperative considerations with common anti-depressant medications. Serotonin syndrome, the problematic side effects of it, and how it’s treated. What neuroleptic malignant syndrome is and why it’s so dangerous.Why Andrew doesn’t interfere with the regular anti-depressant medication routine of patients.A breakdown of different kinds of epileptic seizures and their treatment. What medications to avoid for seizure patients and what conversion disorder is. Andrew’s respect for mental health professionals. The best movie Andrew has watched recently and his favorite books. 

Links Mentioned in Today’s Episode:
Dr. Andrew Jenzer Email — andre w.jenzer@gmail.com
Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer
American College of Oral and Maxillofacial Surgeons — https://www.acoms.org/
CT Read Course — https://www.mrread.ca/courses/ctread-facial-bones
MR Read Course — https://www.mrread.ca/courses/MRRead
Teeth & Titanium on Apple Podcasts — https://podcasts.apple.com/ca/podcast/teeth-titanium/id1514989809
David Goggins — https://davidgoggins.com/
Dune: Part 2 — https://www.dunemovie.net/
The Wheel of Time — https://www.amazon.com/dp/B07F7MLR2R
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.com
Dr. Grant Stucki Phone — 720-441-6059

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.com
Dr. 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/aaronliddell
Dr. Aaron Liddell Email — aaronliddell@gmail.com 
AO Foundation North America — aofoundation.org/aona
AO CMF NA Course: Management of Facial Trauma — events.aona.org/event/eventdetailresp/9880
Speechify — speechify.com
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.com
Dr. 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.com
Dr. Thomas Robbins on TikTok — https://www.tiktok.com/@dr_tjrobbins
The 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.pdf
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.com
Dr. 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: StuckiFavs
KLS 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.com
Dr. 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.com
Southwest Virginia Oral and Maxillofacial Surgery — https://swvirginiaoralsurgery.com/
KLS Martin — https://www.klsmartin.com/
KLS Martin Discount Code — StuckiFavs
Outlive — https://www.amazon.com/Outlive-Longevity-Peter-Attia-MD/dp/0593236599
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.com
Dr. Grant Stucki Phone — 720-441-6059