Welcome to another segment of the ‘Know Your Drugs’ series on Everyday Oral Surgery! Today, Drs. Jake and Grant Stucki are discussing fentanyl. Tuning in, you’ll hear all about what fentanyl is and what it does, its advantages, common uses, and more! We delve into the dosage of fentanyl before discussing how much more comfortable fentanyl makes patients feel. We even touch on potential fentanyl contraindications, how surgeons can treat respiratory depression caused by fentanyl, and why surgeons should be cautious about using fentanyl in combination with nitrous oxide. Finally, we talk about fentanyl’s price point. Thanks for listening in!

Key Points From This Episode:

• Today’s topic of discussion: fentanyl.
• What fentanyl is and what it does.
• Some of the advantages of fentanyl.
• How it should be used and common dosing.
• Contraindications when using fentanyl.
• Treating respiratory depression from fentanyl.
• High doses and post-op nausea and vomiting.
• Using fentanyl and nitrous oxide together.
• A reminder of the price point of fentanyl.

Links Mentioned in Today’s Episode:

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

Dr. Jake Stucki Email — jakestucki@gmail.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

Complex facial trauma can look overwhelming, but the best outcomes often begin with resisting the urge to do too much, too soon. In this episode of Everyday Oral Surgery, Dr. Grant Stucki is joined by Drs. Andrew Jenzer and Damian Findlay for the final installment in the podcast’s trauma series, focusing on panfacial fractures and gunshot wounds. They break down how to approach these high-stakes cases systematically, from stabilizing the patient and coordinating with other specialties to identifying reliable reference points and planning reconstruction from stable structures outward. The conversation also explores surgical sequencing, staged procedures, virtual surgical planning, and the unique tissue damage and contamination associated with ballistic injuries. Throughout, they emphasize careful planning, knowing when to reassess, and avoiding “hero surgery,” namely, attempting a complex reconstruction all at once when it may be better handled in stages. Listen in for a practical discussion on managing complex panfacial trauma with patience, structure, and sound surgical judgment.

Key Points From This Episode:

• Defining panfacial fractures and the challenges of restoring facial structure and function.
• Prioritizing stabilization and multidisciplinary care in early trauma management.
• Planning airway management, nutrition, imaging, and surgery in complex facial trauma cases.
• Why careful planning and staged surgery can be safer than rushing into major reconstruction.
• Using stable anatomical reference points to guide panfacial reconstruction.
• Comparing bottom-up, top-down, outside-in, and inside-out sequencing.
• How virtual surgical planning and 3D tools can support complex cases.
• When severe panfacial trauma may be better managed across multiple operations.
• How ballistic injuries differ from other forms of facial trauma.
• Understanding entry and exit wounds, cavitation, tissue damage, and delayed tissue death.
• Why gunshot wounds require aggressive irrigation, debridement, and infection management.
• Managing bullet fragments and preserving chain of custody.
• Reconstructing hard- and soft-tissue defects after severe ballistic trauma.
• Applying the same core principles across panfacial and gunshot trauma: stabilize, assess, plan, and build from stable to unstable.
• Why surgeons should avoid “hero surgery,” ask for help, and accept that secondary reconstruction may be necessary.

Links Mentioned in Today’s Episode:

Dr. Damian Findlay — https://ofsinstitute.com/damian-findlay/

Dr. Damian Findlay Email — damianfindlay@gmail.com

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

Dr. Andrew Jenzer – andrew.jenzer@gmail.com

St. Louis Oral & Maxillofacial Surgery Review — https://stlomfsreview.com/

Oral Board Review for Oral and Maxillofacial Surgery — https://www.amazon.com/dp/3030488799?lv=shuf&channelId=500&plpRedirect=mhFallback

ImmersiveTouch — immersivetouch.com

Zimmer Biomet CMF Trauma & Reconstruction — https://www.zimmerbiomet.eu/en/product-range/cmf-trauma-and-reconstruction

AROMS® (Advancing Resources of OMS) — goaroms.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

In this episode of Everyday Oral Surgery, Dr. Grant Stucki sits down with Dr. Roger Levin, CEO of Levin Group, for part two of their discussion on the role of the Implant Treatment Coordinator (ITC). Dr. Levin explains why the ITC should be viewed as a professionally trained position rather than a role simply added to an existing team member’s responsibilities. The conversation explores the core competencies needed for success, including exceptional interpersonal skills, case presentation, negotiation, customer service, and clinical knowledge, as well as the 19 core responsibilities that make an ITC an essential part of an implant-focused oral surgery practice. Dr. Stucki and Dr. Levin also explore other key aspects of the ITC role, including hospitality, financial conversations, follow-up, patient education, and the importance of strong referring-doctor relationships. Ultimately, Dr. Levin presents the ITC as a patient-focused liaison who enhances the consultation experience, supports treatment acceptance, and allows surgeons to remain focused on clinical care. The episode highlights how the right ITC can become an integral part of delivering a thoughtful, patient-centered implant experience.

Key Points From This Episode:

• Introducing today’s (return!) guest. Dr. Roger Levin.
• A quick recap of the previous implant treatment coordinator episode.
• More about what to expect from today’s conversation.
• How the economy impacts the OMS field.
• Dr. Levin dives into the five core competencies of an ITC.
  Exceptional interpersonal skills
• Remarkable case presentation skills
• Sharp negotiating ability
• Convenient, customer-service-focused patient care
• Clinical knowledge
• He unpacks the 19 core competencies of the ITC (listed below).
• A few final thoughts and comments on the key roles of the ITC.

19 Core Competencies/Responsibilities of an Implant Treatment Coordinator:

1. Increase implant referrals.
2. Confirm consultations.
3. Prepare consultation room.
4. Review new patients.
5. Create a positive first impression.
6. Collect insurance details.
7. Tour patients through the practice.
8. Complete required radiographs and records.
9. Thorough initial interview.
10. 10.Assess patient needs.
11. 11.Adapt communication to the patient's behavioral style.
12. 12.Explain implant benefits.
13. 13.Maintain complete notes.
14. 14.Explain treatment options clearly.
15. 15.Promote surgeon expertise.
16. 16.Support patient confidence in treatment.
17. 17.Have financial discussions.
18. 18.Obtain informed consent.
19. 19.Strengthen referral relationships.

Links Mentioned in Today’s Episode:

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

Dr. Roger Levin Email — rlevinconf@levingroup.com

Levin Group — https://levingroup.com/

The Implant Treatment Coordinator: The Missing Piece in Your Implant Practice (with Dr. Roger Levin) — https://www.buzzsprout.com/1404670/episodes/19797797-the-implant-treatment-coordinator-the-missing-piece-in-your-implant-practice-with-dr-roger-levin.mp3

Levin Group Books — https://levingroup.com/books-for-oms-practices/

Unreasonable Hospitality: The Remarkable Power of Giving People More Than They Expect (The Unreasonable Hospitality Collection) — https://www.amazon.com/Unreasonable-Hospitality-Remarkable-Giving-People-ebook/dp/B0B13W5GPT

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