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

A negative online review can damage trust in seconds, but a rushed response may expose a surgeon to even greater risk. In this episode of Everyday Oral Surgery, Dr. Grant Stucki is joined by Dan Powell, managing partner at Minc Law and an attorney specializing in internet defamation and online reputation matters. In their conversation, Dan explains how to distinguish protected opinion from potentially actionable false claims and why the decision to act should weigh both legal options and practical consequences. They discuss patient privacy, review-platform and Federal Trade Commission rules, anonymous posters, reputation monitoring, and the risks of threatening legal action without a sound claim. They also unpack how to approach dissatisfied patients, manage refund demands and threats of public exposure, and build a rapid-response process that protects the practice without escalating the issue. Tune in for common-sense guidance on responding calmly, protecting your reputation, and knowing when professional legal help may be necessary.

Key Points From This Episode:

• Meet attorney Dan Powell and learn how Minc Law focuses on internet defamation.
• What surgeons should assess before responding to a negative online review.
• Hear how protected opinion differs from a potentially defamatory statement.
• Learn when legal representation may help and when taking action could make matters worse.
• Explore the five elements of defamation and why false facts and fault matter most.
• Consider the damage online attacks can cause to a surgeon’s reputation and practice.
• Steps to protect your digital reputation with genuine reviews and active monitoring.
• Discover how to respond to patient complaints without breaching privacy laws.
• Unfounded legal threats that could violate FTC rules or trigger anti-SLAPP consequences.
• Gain insights for navigating refund demands and threats of public exposure.
• Uncover practical steps to create a rapid-response plan for positive and negative reviews.
• Understand why one-party and two-party recording laws matter before calling a patient.

Links Mentioned in Today’s Episode:

Daniel Powell — https://www.minclaw.com/bio/daniel-powell/

Minc Law — https://www.minclaw.com/

Minc Law Contact Email — jlauder@minclaw.com

Minc Law Contact Cell — (419) 343-0928

Minc Law Address — 200 Park Avenue, Suite 200, Orange Village, Ohio 44122

HIPAA for Professionals — https://www.hhs.gov/hipaa/for-professionals/index.html

FTC Consumer Reviews and Testimonials Rule — https://www.ftc.gov/business-guidance/resources/consumer-reviews-testimonials-rule-questions-answers

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

Dental specialists often believe that extreme stress is just a part of the job, but what do you do when it goes too far and starts taking over your life? Today on Everyday Oral Surgery, Dr. Stucki is joined by Dr. Joshua Austin to discuss how to recognize and manage burnout, depression, and anxiety as a surgeon. Tune in to hear about our guest’s career journey, what inspired his passion for talking about burnout, why dental specialists may be particularly vulnerable to burnout, depression, and anxiety, and how doctors can recognize when these challenges may be cause for concern. We delve into some practical things listeners can do to get into a better space when experiencing burnout, anxiety, or depression before discussing when to seek help and how beneficial it can be. We touch on how sedation is affected when patients use marijuana and antidepressants, and our guest talks about why oral surgeons are high-risk for prescription drug addictions. Finally, Dr. Austin shares some advice for oral surgeons who may be experiencing mental health issues and are unsure of how to seek help. Please note that this episode contains a trigger warning for suicidal ideation, depression, anxiety, and mental health struggles, so please listen with care!

Key Points From This Episode:

• Welcoming Dr. Joshua Austin to the show.
• A brief overview of Dr. Austin’s career and practice.
• How Dr. Austin got into lecturing about burnout.
• Why dental specialists are vulnerable to mental health issues.
• How to know when mental health issues are getting serious.
• Why boundaries matter for oral surgeons.
• Practical things to help improve burnout, anxiety, or depression.
• The power of receiving help from mental health professionals.
• How marijuana and SSRIs affect the ability to be sedated.
• Why oral surgeons are prone to having addiction issues.
• Dr. Austin shares advice for anyone struggling to seek help.

Links Mentioned in Today’s Episode:

Dr. Joshua Austin — https://www.joshuaaustindds.com/

Dr. Joshua Austin on Instagram — https://www.instagram.com/joshuaaustindds/

Dr. Joshua Austin Email — jaustindds@icloud.com

The Mental Dental Connection Course — https://www.mcdcstl.org/courses/austin-am/

AAMFT — https://aamft.org/

Psychology Today — https://www.psychologytoday.com/

The Body Keeps the Score — https://www.amazon.com/Body-Keeps-Score/s?k=The+Body+Keeps+the+Score

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

Exceptional oral surgery is about more than technical excellence; it is also about how patients feel throughout the experience. In this episode of Everyday Oral Surgery, Dr. Grant Stucki welcomes back Dr. Rick Akin to explore how the principles in the book Unreasonable Hospitality can reshape patient care. In their conversation, they reflect on leadership and culture, and the challenge of making care feel personal in an environment built around precision and pace. They distinguish service from hospitality, explain why anxious oral surgery patients are especially receptive to thoughtful care, and share practical ways to build trust through preparation, empathy, and personalized gestures. They also examine how apologies, empowered team members, intentional morning huddles, and connection-centered goals can strengthen practice culture without making financial returns the sole measure of success. Tune in to rethink the patient experience and discover how simple, deliberate acts can turn a stressful procedure into an experience of genuine care.

Key Points From This Episode:

• Dr. Akin explains what unreasonable hospitality means to him.
• Discover how service differs from hospitality in the patient experience.
• Consider whether oral surgery patients are ideal candidates for unreasonable hospitality.
• Understand why empathy and an apology don’t imply wrongdoing.
• Explore why anxious oral surgery patients are primed for thoughtful care.
• Hear how small personalized gestures can make patients feel truly seen.
• Uncover practical ways to empower team members to act on patient needs.
• The subtle details patients notice from reception to treatment.
• Learn how explaining comfort measures builds trust before a procedure.
• Rethink what success looks like in oral surgery and why smiles matter more.
• Examine how slowing down can deepen connection and improve practice life.

Links Mentioned in Today’s Episode:

Dr. Rick Akin — https://drakin.com/meet-dr-richard-akin

Dr. Richard Akin on LinkedIn — https://www.linkedin.com/in/rick-akin-644aa932/

Dr. Rick Akin Email — rick@drakin.com

Akin Oral Surgery — https://drakin.com

Unreasonable Hospitality — https://www.amazon.com/Unreasonable-Hospitality-Field-Will-Guidara/dp/1529147387

Four Thousand Weeks — https://www.amazon.com/Four-Thousand-Weeks-Management-Mortals/dp/0374159122

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

Orthognathic surgery can transform function, airway, and facial balance, but even experienced surgeons must be ready for the rare complication that can change a case. In this episode of Everyday Oral Surgery, Dr. Grant Stucki welcomes back Dr. Aaron Liddell, an oral and maxillofacial surgeon at Colorado Oral Surgery with extensive experience in high-volume orthognathic surgery, to discuss management of complications in jaw surgery. Dr. Liddell shares how his concerns have evolved with experience and walks through issues involving the maxilla and mandible. He explores how to treat challenging splits and vascular events, nerve injuries, aesthetic changes, and more. He explains the importance of thoughtful planning, careful technique, and informed consent, and why surgeons should leverage reliable referral networks and stay close to patients when recovery does not go as expected. Tune in to hear hard-earned lessons for anticipating trouble, responding decisively, and guiding patients through orthognathic complications.

Key Points From This Episode:

• Discover how experience has changed the complications Dr. Liddell watches for most closely.
• Learn how to examine atypical maxillary splits and causes of a pterygomaxillary separation.
• Steps for when maxillary complications involve atypical splits, bleeding, or loss of blood.
• Hear how to manage an adverse pterygomaxillary split while limiting additional bleeding.
• Explore how to set realistic expectations when patients pursue orthognathic surgery.
• Uncover which postoperative aesthetic changes cause the greatest concern and what to do.
• Understand how to prevent and respond to mandibular complications.
• Find out how tooth-root injuries can be monitored and when extra treatment may be needed.
• Practical ways to confirm passive condylar seating and reduce the risk of later remodeling.
• When large mandibular gaps may require grafting and how to lower the risk of infection.

Links Mentioned in Today’s Episode:

Dr. Aaron Liddell – https://www.coloradooralsurgery.com/about/dr-aaron-liddell/

Dr. Aaron Liddell – aaronliddell@gmail.com

AONA CMF Trauma/Colorado Oral Surgery – https://aacmfs.net/aona-cmf-trauma-colorado-oral-surgery/

Materialise – https://www.materialise.com

Ora-Aid — https://www.oraaidusa.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

Full-arch implant treatment can transform a patient’s life, but what happens when speed and convenience begin to outweigh long-term biology? In this episode, Dr. Grant Stucki welcomes general dentist and dental educator Dr. Vic Martel back to the podcast to discuss the growing use of All-on-X and FP3 restorations. Dr. Martel explains why aggressive bone reduction in younger patients deserves greater scrutiny, how implant and prosthetic failures can narrow future treatment options, and why FP1, FP2, and segmented restorative designs should remain part of the conversation. They also explore patient expectations shaped by “teeth-in-a-day” marketing, the importance of informed consent, and the need for surgeons and restorative dentists to plan together. Tune in to learn about bone stewardship, comprehensive treatment planning, and the confidence to say no when a case is not in the patient’s long-term interest.

Key Points From This Episode:

• Learn about the All-on-X dilemma and why FP3 solutions are being overused.
• Consider how young is too young for aggressive bone reduction and FP3 reconstruction.
• Steps to identify the prosthetic space needed after excessive bone reduction.
• Hear how to assess the residual bone and revision needs after a failed full-arch treatment.
• Explore the surgical and restorative complications associated with remote anchorage.
• Understand why FP1 and FP2 alternatives are not offered more often.
• Discover what aspects influence the patient’s demand for FP3 treatment.
• Examine what a well-executed FP1 or limited-reduction approach requires.
• Unpack the role of informed consent and how to know when to decline a case.
• Identify practical ways to improve case selection and promote bone stewardship.
• Find out how to strengthen collaboration between oral surgeons and restorative dentists.
• Uncover the future of full-arch treatment and long-term residual bone management.

Links Mentioned in Today’s Episode:

Dr. Vic Martel on LinkedIn — https://www.linkedin.com/in/victor-martel-dmd-fagd-91431922/

Dr. Vic Martel on Instagram — https://www.instagram.com/drvicmartel/

Dr. Vic Martel Email — martelvic@aol.com

Martel Academy — https://www.martelacademy.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