https://youtu.be/bxUj2jqHTy8

Key Points From This Episode:

• An introduction to ameloblastomas and how they have traditionally been treated.
• How Dr. Marx is using autologous stem cells to regenerate large quantities of bone. 
• The first of three sample cases: The results of a patient that had Ameloblastoma removed, kept the nerve intact, and didn’t need to have bone removed from hip or fibula.
• The second of three sample cases: an ameloblastoma treated extraorally. 
• How recent discoveries have proved that ameloblastomas don’t have the capability to invade a neural sheath and there is, therefore, no reason to take out the nerve. 
• Some of the features and benefits of the Marrow Marksman. 
• How the whole paradigm of treating ameloblastomas has changed. 
• Some of the benefits of this treatment include: less hospitalization, better results, and excellent bone.
• A third sample case. 
• Statistics about the success rate of these surgeries over the past five years.
• Whether or not there is a size of lesion that precludes the use of this technique to treat it.

Links Mentioned in Today’s Episode:

Dr. Robert Marx on LinkedIn — https://www.linkedin.com/in/robert-e-marx/ 

Miller School of Medicine — https://med.miami.edu/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

https://youtu.be/n-CyMgT9iho

Key Points From This Episode:

• An explanation of what fibro-osseous lesions are.
• Periapical cemental dysplasia: causes and risk factors for this type of lesion.
• How to treat focal cemento-osseous dysplasia.
• When patients with periapical cemental dysplasia or focal cemento-osseous dysplasia will experience pain.
• A rare problem that can occur in patients with florid cemento-osseous dysplasia.
• How to identify fibrous dysplasia. 
• Advice for undertaking an osseo sculpting procedure.
• The potential for regrowth of fibrous dysplasia. 
• Why a quiescent period is recommended when fibrous dysplasia is identified.
• An overview of the four types of fibrous dysplasia.
• The cause of all types of fibrous dysplasias.
• How cherubism got its name. 
• Symptoms of the three different types of cherubism.

Links Mentioned in Today’s Episode:

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

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en 

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

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

As a small community, oral and maxillofacial surgeons need to share what they have learned to ensure everyone's practice thrives. In today’s show, Dr. Raza Hussain gives us insights into the knowledge he has gained through both his academic and faculty surgery work. Raza practices in Chicago, where he is the Chief of Oral and Maxillofacial Surgery at the Jesse Brown Veterans Administration Medical Center. We dive right in, discussing Raza’s approach to dealing with peri-implantitis, where he shares why he uses the controversial implantoplasty as a treatment and the importance of collaborating with the restorative doctor. We then hear about the most difficult cases Raza has encountered working at a VA hospital. From transmandibular implant removal to necrotizing fasciitis, Raza has handled incredibly unique cases that many oral and maxillofacial surgeons are unlikely to encounter over the course of their careers. The conversation then moves onto protecting oral and maxillofacial surgeons’ outpatient anesthesia rights and why the current campaign to remove these rights is unfounded. Raza acknowledges that support staff might not be well-trained, but he believes that it is the practicing surgeon's responsibility to get his team on the same page. He shares what those of us in private practice can do to ensure we will continue to be allowed to do jobs in a way that is best for our patients. To hear this and more, be sure to tune in today!

Key Points From This Episode:

• Get to know Raza, his professional experience, and what he’s up to now. 
• The improvements that Raza has made with his implants over the last few years.
• What Raza does with implants that have two or three threads exposed on the buccal.
• Why Raza uses an implantoplasty to treat implants that have deteriorated.
• The level of bone loss or peri-implantitis which prompts Raza to intervene.
• The importance of having a good relationship with the restorative doctor when treating peri-implantitis.
• Patients are unlikely to change their habits, so surgeons should try new techniques.
• Hear why removing transmandibular implants is so difficult.
• Insights into the trickiest case Raza has had to treat that involved necrotizing fasciitis.
• Why Raza has not changed his third molar extraction technique much over the years.
• Coronectomy versus piezo: Which technique results in greater complication.
• Tried and trusted methods; why Raza sticks with a regular course of antibiotic treatment for third molar extractions.
• How Raza’s anesthetic technique has changed seeing as his wife is an anesthesiologist.
• Why trying to take oral surgeons’ right to outpatient anesthesia is misguided.
• Raza’s firm approach to putting patients to sleep and why he does not tolerate joking around at that time.
• The bad press that oral and maxillofacial surgeons get when anesthesia goes wrong.
• Negative outcomes of not allowing oral and maxillofacial surgeons to administer anesthesia.
• What oral maxillofacial surgeons in private practice can do to support the profession’s rights.
• The complications that Raza has seen with TMJ disorders and his preferred courses of treatment.

Links Mentioned in Today’s Episode:

Dr. Raza Hussain

University of Illinois at Chicago (UIC) College of Dentistry

Jesse Brown VA Medical Center

AAOMS

Keywords: Raza Hussain, Dental Implants, Implantoplasty, Coronectomy, VA, Anesthesia, Academia

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Today Dr. Stucki interviews Dr. Scott Weiskopf, an oral and maxillofacial surgeon practicing in Tennessee in the Memphis area. Ever since he introduced a fully digital workflow and started printing his own surgical guides, his dental surgery practice has been transformed because it allows him to produce and place top-quality implants. In this conversation, Dr. Weiskopf shares how his appointments with patients who need implants typically proceed, when in the process the guides are made, and the handful of cases where placing the implant freehand is still better. Tuning in, listeners will get a sense of the cost implications of printing the guides yourself, how it benefits your patients and practice, and where you can purchase the cheapest – yet effective – 3D printing equipment. Our guest shares details on his grafting techniques and materials, how he approaches third molar extractions, and what he favors in terms of instruments. The two also discuss drugs and dosages and share a bit about their work philosophies. 

Key Points From This Episode:

• What switching over to a fully digital workflow meant for his dental surgery practice. 
• The benefits of having surgical guides when doing implants.
• Get a sense of how the appointments proceed for implant consultations and surgery. 
• The cost implications of printing the guides yourself rather than having it printed by a big lab. 
• Where you can purchase a 3D printer and why you don’t need a dental-specific one. 
• Dr. Weiskopf talks about the handful of times he has had to adjust the guides. 
• Learn why he works almost exclusively with the Straumann Dental Implant System.    
• What his grafting technique looks like and why he switched to a different membrane. 
• Dr. Weiskopf’s graft materials of choice, including allograft, xenograft, and DBM putty. 
• How using the guides differs from placing the implants freehand and when the latter is more appropriate. 
• The benefits of having patients see and ask about the latest in dental technology. 
• How your software determines the ease with which multiple implants can be created. 
• Learn what has changed in his third molar extraction technique since his residency. 
• Dr. Weiskopf talks about his preferred tools and why he picks up the instruments himself. 
• The value of having a second assistant and what his typical drugs and dosages involve. 
• The idea that when you permit something, you are inadvertently promoting it. 

Links Mentioned in Today’s Episode:

Dr. Scott Weiskopf 

Straumann Dental Implant System 

Nobel Biocare

BioXclude 

Keywords: Scott Weiskopf, Digital, Dental implants, 3D printing, Third Molars, Grafting

In this solo episode with your host Dr. Grant Stucki, listeners will hear all about avoiding the mistake of taking out the wrong tooth. While this is not a glamorous topic, it is still an important one since too many patients have left their dentist’s office with the wrong tooth missing. Very little is said and taught on this issue because it seems like such a simple thing to get right. In general surgery, doctors initial the area of the body that will be operated on to ensure that everyone is on the same page and the right part of the body is identified. Even so, there have been instances where a patient who needed a hip replacement left with a tendon repair they didn’t need, so removing the wrong tooth is not so far fetched. Just the idea of making this mistake puts some oral surgeons in a low-grade seizure state, especially if they’ve come close to this experience. Today Dr. Stucki shares examples of some of the cases where you might be more likely to make a mistake or be distracted and discusses some of his trusted procedures to ensure that he gets the right tooth every time. 

Key Points From This Episode:

• Dr. Stucki shares his experience of taking out the wrong tooth during his residency training. 
• How difficult it was for him to get over the mistake and how affected his confidence level. 
• The identifiers he looks for on the referral notes to ensure that he works on the right tooth. 
• Checking the financial agreement to see which procedures have been signed and paid for. 
• The procedure he walks through with every patient to identify and verify the right tooth.  
• What Dr. Stucki does right before he begins working on the tooth.
• The importance of the surgeon, patient, and assistant being on the same page. 
• Awareness of scenarios and cases in which you are more likely to remove the wrong tooth. 
• What plowing down cactuses in Tucson, Arizona, and today’s topic have in common. 
• Examples of high-risk cases for taking out the wrong tooth, including two impacted molars. 
• What you can do to ensure that you have identified the correct supernumerary tooth.  
• How time constraints can contribute to you confusing patients and cases.
• Internal and external distractions that can give way to mistakes during surgery.

Keywords: Grant Stucki, Wrong tooth, Protocol, Complications

Oral surgical procedures are performed to treat impacted teeth, difficult tooth extractions, implants, dentures, or other dental prostheses, and each oral surgeon has their own techniques and preferences when it comes to equipment, anesthesia, and patient reports. Today’s guest is Dr. Eric Blamires, DMD, a Dentistry Practitioner in Colorado Springs, Colorado. In this episode, Eric shares with listeners the lessons and discoveries he has made during his career, including the importance of looking after his own health. He also explains how he relates with patients, how he performs a wisdom tooth extraction, and his views on sutures versus natural healing, as well as gaining insights from other technicians, screws versus tacks, why he uses ketamine, and how he deals with helicopter parents. Tune in today!

Key Points From This Episode:

• What Eric discovered that change his everyday oral care experience – taking care of his health.
• As a dentist who stands or bends over most of the day, taking care of posture is important.
• Standing during surgery, reassuring and connecting with patients are part of Eric’s day-to-day.
• How Eric talks and relates to patients – making personal connections or jokes is valuable.
• Oral surgeons have a reputation for not being good communicators, because patients are under sedation and procedures are quick.
• How Eric has changed his surgical techniques or routines during a wisdom tooth extraction.
• Typically, Eric tries to make every procedure as minimal and conservative as possible.
• Eric explains the importance of having a good relationship with his dental assistants.
• Suturing incisions versus letting them heal and minimizing the risk of post-operative infection.
• Third molars and packing or gel foam – Eric says that he only does so if there is bleeding.
• Gaining insights from others helps Eric clean up his techniques, but he also works intuitively.
• With ongoing time and experience, Eric believes he only gets better at placing implants.
• Eric’s views on screws versus tacks, his preferred surgical equipment, and why he chooses metal.
• Eric uses the frog in a pot analogy to describe the need for new equipment when what he has been using is no longer working.
• How Eric handles being aggressively questioned on his technique, like his use of ketamine.
• Eric’s experience with helicopter parents, and how he deals with them and eases their stress.
• As a surgeon, Eric has to deal with the stress and anxiety of the procedures, and all he can do is do his absolute best.

Links Mentioned in Today’s Episode:

Dr. Eric Blamires on LinkedIn

How to Win Friends and Influence People

KLS Martin

Salvin Dental Specialties

Keywords: Eric Blamires, Private Practice, Suturing, Ketamine, Parents