Everyday Oral Surgery

Implant surgery is an enormously rewarding specialty that requires careful preparation. Joining us today to share his wisdom on what it takes to build a thriving implant practice is Dr. Andy Loetscher of Atlanta Oral and Maxillofacial Surgery & Implant Center. In this episode, we find out how Dr. Loetscher started, marketed, and streamlined his practice, as well as how he refined his implant technique. He shares advice for young surgeons looking to specialize in implant surgery, outlining the advantages and disadvantages of doing so. We get an in-depth view of his extraction/ implant process, complete with his preferred equipment, implants, and replacement kits. Tune in to learn all about building an implant empire, from the marketing strategies to the CE courses recommended to thrive!Key Points From This Episode:Dr. Andy Loetscher’s training history and current practice setup.Why he chose to build an implant practice and what he’s learned about implant surgery.Advice for young surgeons looking to specialize in implant surgery.The advantages and disadvantages of specializing in implant surgery.How Dr. Loetscher streamlines the implant process for himself, his staff, and his patients.The equipment he uses to perform implant surgery.Dr. Loetscher’s extraction/ implant process. The implants and replacement kits he uses and why.Dr. Loetscher’s internal and external marketing strategies and advice.Recommended post-residency CE courses for refining implant technique.Why it’s important to be extra meticulous and methodical with implant surgeries.Links Mentioned in Today’s Episode:Dr. Andy Loetscher Cell: 678-938-4053Dr. Andy Loetscher Email:  jawimplant@aol.com Atlanta Oral and Maxillofacial Surgery & Implant Center — https://www.jawimplant.com/Dr. Andy Loetscher Email —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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code KLSPHL— https://www.klsmartin.com/ 

It can be hard to formulate long-term treatment plans when your patients are young. Syndromic craniosynostosis is diagnosable at birth, meaning that the treatment plans need to start from the get-go. In the previous episode, we spoke to Dr. Michael Markiewicz (MD DDS FACS) about craniosynostosis: how to diagnose it, what causes it, the different forms of the deformity, and why doctors shouldn't delay diagnosis. In this episode, we welcome back Dr. Mankiewicz and talk further about the syndromic aspect of craniosynostosis, looking specifically at syndromic versus non-syndromic. Dr. Markiewicz compares Apert syndrome and Crouzon syndrome, their characteristics and features, and the differing opinions on treatment plans. Dr. Markiewicz discusses the purpose of distraction osteogenesis when treating craniosynostosis, the amazing combination of virtual surgery planning and resorbable plates/screws, and why he is an advocate for cranial implants. Key Points From This Episode:The syndromes that can accompany craniosynostosis.How geneticists help diagnose syndromic craniosynostosis.Who makes up the Craniofacial team.The most common syndromes Dr. Markiewicz treats.The main characteristics and features of Apert syndrome and Crouzon syndrome.The differing opinions on treatment for Craniofacial dysostosis.The timeline for sequencing different stages of treatment.The role of the neurosurgeon, pediatric ophthalmologist, orthodontist, and OMFS.The role of virtual planning.The materials (typically titanium) used during craniosynostosis surgery.The purpose of distraction osteogenesis when treating craniosynostosis. New medical advancements Dr. Markiewicz is seeing.Why Dr. Markiewicz is an advocate for cranial implants.The consolidation phase versus the distraction period.The social management of big surgeries with a small child. Links Mentioned in Today’s Episode:Dr. Michael Markiewicz — https://www.michaelmarkiewiczddsmd.com/Dr. Michael Markiewicz on LinkedIn — https://www.linkedin.com/in/michael-markiewicz-dds-md-mph-facs-04b02821/Dr. Michael Markiewicz on Twitter — https://twitter.com/mrmarkiewiczmdDr. Michael Markiewicz on Faceboook — https://www.facebook.com/drmichaelmarkiewiczmdddsDr. Michael Markiewicz on Instagram — https://www.instagram.com/drmichaelmarkiewiczmdddsDr. Michael Markiewicz Email — mrm25@buffalo.eduCraniosynostosis Surgery — https://www.chop.edu/treatments/surgical-treatment-craniosynostosisAO Foundation Surgery Reference — https://surgeryreference.aofoundation.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 — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ 

As a surgeon, you can never stop learning, and being able to diagnose and treat non-syndromic craniosynostosis is a skill you want to have as an oral surgeon! Today we are welcoming Dr. Michael Markiewicz back to the show to talk to us about this deformity. Tuning in, you’ll hear all about how to diagnose craniosynostosis, what causes it, the different forms of the deformity, and why doctors should not delay diagnosis. We also discuss what Dr. Markiewicz presents to his patients as solutions, how virtual planning assists in surgery, when and how a helmet is used, and the specific incision Dr. Markiewicz likes to use in non-syndromic craniosynostosis surgery. Finally, our guest also delves into his background before encouraging surgeons to do fellowships, seek mentorship, and never stop learning! To hear all about this unique and potentially controversial surgery from our phenomenal guest, tune in now!Key Points From This Episode:Introducing today’s guest, Dr. Michael Markiewicz.Dr. Markiewicz explains the process of diagnosing craniosynostosis. What causes non-syndromic craniosynostosis and why we don’t have the exact reason. Dr. Markiewicz tells us what the most common forms of craniosynostosis are. Dr. Markiewicz explains the risks of these surgeries.Why surgeons look for papilledema and why it is an emergency. The importance of avoiding delaying diagnosis. Dr. Markiewicz shares the possible solutions he offers patients diagnosed with this condition. How virtual planning assists in surgery by making it more predictable and safer. The gaps Dr. Markiewicz leaves for growth in pediatric patients and when a helmet is needed. Dr. Markiewicz explains how the helmet works and how progress is measured. The most common ways these issues are diagnosed. The type of incision Dr. Markiewicz uses during these surgeries. A brief overview of Dr. Markiewicz’s professional background. Why he thinks craniofacial surgery is so controversial. Why doing a fellowship is beneficial and the importance of mentorship. Links Mentioned in Today’s Episode:Dr. Michael Markiewicz — https://www.michaelmarkiewiczddsmd.com/Dr. Michael Markiewicz on LinkedIn — https://www.linkedin.com/in/michael-markiewicz-dds-md-mph-facs-04b02821/Dr. Michael Markiewicz on Twitter — https://twitter.com/mrmarkiewiczmdDr. Michael Markiewicz on Faceboook — https://www.facebook.com/drmichaelmarkiewiczmdddsDr. Michael Markiewicz on Instagram — https://www.instagram.com/drmichaelmarkiewiczmddds/?hl=enDr. Michael Markiewicz Email Address — mrm25@buffalo.eduEveryday 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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ 

There are many options when it comes to orthognathic surgery and making the right decisions for your patient can be daunting. Joining us today on Everyday Oral Surgery is the illustrious Dr. Benjamin Hechler. In this episode, you’ll hear all about Dr. Hechler’s process of discussing options with new patients, and his preferences when it comes to molars, double jaw surgery, class three patients, use of plates, nasal tubes, and much more! We also discuss how growth affects surgery, why you have to take the patient's preferences into consideration, the importance of having open communication with your anesthesia team, and how he handles scenarios such as excessive bleeding. He also talks us through how he supports his patients post-op before explaining why staying hydrated after a surgery is imperative. Finally, Dr. Hechler poses some interesting points of discussion for us to think about! If you want to hear all about planning and surgical management from an absolute pro, and even get a promo code for KLS Martin, tune in now!Key Points From This Episode:The amazing KLS Martin promo code you can get!Introducing today’s guest, Dr. Benjamin Hechler. He walks us through his process of starting things off with a new patient and what he asks. Dr. Hechler tells us why he leaves the third molars in and when he removes them if he does. How the growth of younger patients affects surgery and how Dr. Hechler addresses this. When he chooses to do VSP.Dr. Hechler explains how he handles surgery when a patient has a double jaw.The importance of considering preference and long-term risk before surgical decisions. How Dr. Hechler deals with class three patients. When he decides to do custom plates vs. stock plates and how he makes those decisions. Why Dr. Hechler does the maxilla first in surgery. The importance of having a discussion with your anesthesia team and what to say to them.Why Dr. Hechler doesn’t mind what type of nasal tube is used during surgery. Hear how he deals with excessive bleeding and bad splits. How Dr. Hechler handles the post-op period and how he helps his patients through it. The importance of taking in liquids post-surgery.Links Mentioned in Today’s Episode:Dr. Benjamin Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/The Essentials of Orthognathic Surgery — https://www.amazon.com/Essentials-Orthognathic-Surgery-Johan-Reyneke/dp/0867159561Dr. Jeffrey C. Posnick — https://www.drposnick.com/Oral and Maxillofacial Surgery — https://www.amazon.com/Oral-Maxillofacial-Surgery-7-Set/dp/0721696317Everyday 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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/

There’s a relatively noticeable difference in treatment between a younger patient population and a geriatric one. How do you, as a practitioner, find ways to make your practice thrive with a patient base largely filled by patients 70 years and older? The guest on today’s episode of Every Day Oral Surgery is Dr. Nguyen, who practices a full scope of oral and maxillofacial surgery with expertise ranging from wisdom tooth removal to a full range of dental implant and bone grafting services. He’s a husband, father to five, and an avid surfer. Today we talk about how he ended up practicing in Laguna Hills, California, from marketing to networking with other local surgeons. We then dive into his patient base, which mostly consists of geriatric patients, and how this particular patient demographic differs from younger patients. He talks about the importance of educating patients and how he and his staff make sure that patients are clued-in on all the options available. He’s passionate about taking care of his patients and providing the best possible care. Don’t miss out on all this, and more, tune in now!Key Points From This Episode:A brief history of his training and an overview of his current practice setup.Points he has attributed to his success in a competitive environment.What it was like working with the other surgeons in his area and asking them for help. How he navigates marketing himself, as a surgeon, after moving to Laguna Hills. Types of procedures he does, or specializes in, as an oral surgeon in Laguna Hills.Doing implants with geriatric patients and how it differs from a younger patient.Whether age plays a factor in his decision making regarding immediate or staged implants.We touch on underlying medical issues and how they [may] affect treatment.We talk about the importance of educating patients.Dr. Nguyen shares some ideas about how to go about educating [elderly] patients. Why he thinks implants are the best invention ever.What appointments look like with geriatric patients.We end off with some rapid fire questions with Dr. Nguyen. Why keeping it simple pays off. Links Mentioned in Today’s Episode:Laguna Hills Oral Surgery — https://www.lagunahillsoralsurgery.com/ The Mindset — https://www.amazon.com/Mindset-Psychology-Carol-S-Dweck/dp/0345472322 Dr. Quoc Nguyen Email — drnguyen@lagunahillsoralsurgeryLaguna Hills Oral Surgery Email — info@lagunahillsoralsurgery.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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin PROMO CODE: EOSExo22 — https://www.klsmartin.com/ KLS Martin Headlights — https://www.klsmartin.com/en/products/headlights/ KLS Martin Headlight PROMO CODE: KLSPHL (Valid until mid January 2023)

Today on Everyday Oral Surgery, we sit down with Dr. Chad Petersen, an oral maxillofacial surgeon practicing in Cheyenne, Wyoming, as he offers his perspective on thriving as an OMS in a more rural area. We discuss some strategies for getting more referrals, catering to patients who have to travel long distances, and coordinating implants with surgeons in different states. Dr. Petersen also makes the case for custom healing abutments and explains why he has chosen to incorporate them into his practice. If you’re looking to not only reduce patient visits but provide better outcomes and differentiate your surgical specialty practice, this is the episode for you! Dr. Petersen shares a number of valuable tips, tools, and techniques for creating custom healing abutments and offers some insight into what this process has taught him about tissue health, implant placement, and emergence profiles. Tune in today for all this and more!Key Points From This Episode:A brief overview of Dr. Petersen's training and how his practice is set up.Challenges of practicing in a more rural city like Cheyenne, Wyoming. Insight into what a typical day at Cheyenne OMS looks like.How Dr. Petersen has modified his practice to cater to patients that have to travel to see him.A look at who his typical referrals are and where they are located.How Dr. Petersen coordinates implants with referrals in different states.Why he has chosen to incorporate custom healing abutments.The tools and techniques Dr. Petersen uses to create custom healing abutments.What he has learned from some of the mistakes he made initially.Tips for making the custom healing abutment better mimic the final crown.How Dr. Petersen uses the Cervico kit to create custom abutments.Some of the benefits of this customized technique down the line.Recommended reads, the perks of fixing cars, Dr. Petersen’s preferred extraction tool, and more in our rapid-fire segment!The trusting relationships that Dr. Petersen has developed with his patients.An encouraging quote to live by to close the episode: what if it all works out?Links Mentioned in Today’s Episode:Cheyenne OMS — https://www.cheyenneoms.com/Dr. Chad Petersen Email — petersen.chad@gmail.comCervico by VPI — https://www.vpicervico.com/Project Hail Mary — https://www.amazon.com/Project-Hail-Mary-Andy-Weir/dp/0593135202The Psychology of Money — https://www.amazon.com/Psychology-Money-Timeless-lessons-happiness/dp/0857197681Everyday 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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin Extraction Instruments Promo Code: EOSExo22 — https://www.klsmartin.com/ KLS Martin Portable Head Light Promo Code: KLSPHL — https://www.klsmartin.com/

Early diagnosis and early treatment are the keys to managing any immune-based disease. But, how do oral diseases differ? Dr. Robert Marx, OMFS, podcast host and author, extensively discusses immune-based diseases which are specific to the oral cavity. It is important to understand why normal physicians tend to discard any significant signs or symptoms specific to oral diseases (typically due to a lack of knowledge) and why, as an OMFS, you cannot make the same mistakes. Dr. Marx talks in detail about different diseases, specifically aphthous stomatitis, peri-implantitis, pemphigus vulgaris, erythema multiforme, and pemphigoid. Dr. Marx explains why he is an advocate for using prednisone, how to successfully biopsy and when you need to consult an immunologist. From recognition to diagnosis and then different treatment plans, this episode is a comprehensive look at how to properly manage immune-based oral diseases.  Key Points From This Episode:The different types of immune-based diseases.Why physicians discard information specific to oral diseases.The importance of knowing your patient’s medical history/background.How to recognize and diagnose pemphigus vulgaris.The difference between pemphigus vulgaris and bullous pemphigoid.Tzanck cells: are they worth noting?The different types of lesions that occur in the oral cavity.Why you should work with an immunologist when prescribing certain medications.Dr. Marx’s opinions on decadron versus prednisone.How to properly prescribe and create a prednisone treatment plan. How to recognize pemphigoid and whom to consult.Where and how to biopsy properly.Dr. Marx’s experience treating erythema multiforme.The different types and treatments for implantitis.What to note about aphthous stomatitis.Management of C1 esterase inhibitor deficiency.Dr. Marx’s opinions on the causes of immune-based diseases.Recognition versus diagnosis.A look at Dr. Marx’s podcasts and books.Why Dr. Marx is passionate about climate change.Links Mentioned in Today’s Episode:Dr. Robert Marx on Twitter — https://twitter.com/drrobertemarxDr. Robert Marx on LinkedIn — https://www.linkedin.com/in/robert-e-marx/Dr. Robert Marx on Facebook — https://www.facebook.com/robertemarx/Dr. Robert Marx Podcast — https://open.spotify.com/show/55bZc3HsfzFXRzBkDrbPklClimate Change: The Real Story — https://www.amazon.com/Climate-Change-Dr-Robert-Marx/dp/B0BLTKF5YR/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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ KLS Martin promo code KLSPHL— https://www.klsmartin.com/

Today we are joined by North Carolina-based oral maxillofacial surgeon, Dr. Ben Hechler to discuss all things TMD/TMJ. Dr. Hechler shares his philosophies on treating TMD and performing TMJ surgery, as well as some intricate treatment details. We learn about his standardized TMD/TMJ examination and diagnosis process, and how he determines whether a patient qualifies for TMJ surgery. Dr. Hechler breaks down the conservative non-surgical TMD treatments available to patients and how to manage long-term TMD-related problems for patients. In the case of arthroplasty, post-surgery care and counseling are essential and this episode outlines how best to provide that for your patients, along with the outcomes of a successful surgery. Tune in as we cover the basics of TMD, from the pathology to the treatment and beyond! Dr. Hechler also provides great insight into how to prepare for the oral board exam, the benefits of early arthrocentesis, and much more. Key Points From This Episode:Dr. Ben Hechler’s standardized TMD/TMJ examination and diagnosis process.How to identify extracapsular versus intracapsular problems.How Dr. Hechler determines whether a patient qualifies for TMJ surgery.Alternative non-surgical TMD treatments.The benefits of early arthrocentesis.In which cases post-arthrocentesis adjunctive physiotherapy should be considered.How to curb/manage long-term TMD-related problems for patients.Causes of TMD and who is at a higher risk.What to do in the case of unsuccessful arthrocentesis.Under what circumstances further surgery is necessary.When arthroplasty/ joint replacement is appropriate.The purpose of performing an eminectomy.Post-surgery care and counseling for arthroplasty patients.The outcomes of a successful surgery.The role of the oral maxillofacial surgeon when dealing with non-surgical candidates.The challenges of treating non-surgical TMD patients.The common pathology present in the joints of TMD patients.The interesting disease process of PVNS.Dr. Hechler’s advice for those preparing for the oral board exam.Hypo- versus hypermobility problems.Links Mentioned in Today’s Episode:Dr. Ben Hechler — https://www.dukehealth.org/find-doctors-physicians/benjamin-l-hechler-md-ddsDr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/DC/TMD updated guidelines — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478082/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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ KLS Martin portable headlight batteries coupon code KLSPHL — https://www.klsmartin.com/en/products/headlights/

Treating patients for cleft lips and palates can be a long road filled with multiple surgeries and long recovery periods. They also need support in multiple areas, from feeding to speech therapy. That is why it’s so important for patients to have a skilled and diverse team assisting them; including nurses, speech-language pathologists (SLPs,) and of course, Oral and Maxillofacial Surgeons. Today on the show we catch up with the returning guest, Dr. Michael Markiewicz, to discuss the intricacies of diagnosing and treating patients born with a cleft lip or palate. Tuning in you’ll hear about the work Michael does at his practice and how he and his team work together to treat and support patients. He goes on to provide a detailed breakdown of the most popular techniques for lip and cleft repair, including how they were first developed and the benefits and drawbacks of each approach. Michael also discusses the important role of dentists in treating cancer patients, the life-changing impact of orthognathic surgery, and what he finds most challenging as a surgeon. Be sure to tune in as Michael shares his expansive wisdom and insight on these important topics! Key Points From This Episode:Hear about the exciting discount that listeners can receive on instruments at KLS Martin.We catch up with the returning guest, Dr. Michael Markiewicz.An overview of how to diagnose and treat babies born with a cleft lip or palate.What to address first in patients with cleft lips and palates.The effect that cleft palates can have on speech.The integral role of nurses and speech-language pathologists (SLPs) in treating patients with a cleft lip or palate.Why feeding is a top priority for babies and young children treated for a cleft lip or palate.How the age and weight of a baby affect dosage and treatment.What scarring to expect after surgery for a cleft lip.How surgeries need to be timed based on critical development stages.Recommendations on when to perform single or double jaw surgery.A rundown of the most popular techniques for lip and palate repair.Which sutures Michael prefers to use.The most successful techniques for alveolar cleft repair.Why cleft bone grafting is so challenging.How Michael prepares for orthognathic surgery.Michael’s additional tips and tricks for treating patients.The importance of having a dedicated team for patients.The critical role of dentists in treating cancer patients.The life-changing impact of orthognathic surgery.Links Mentioned in Today’s Episode:Dr. Michael Markiewicz - mrm25@buffalo.edu Dr. Michael Markiewicz — https://www.michaelmarkiewiczddsmd.com/Dr. Michael Markiewicz on Linkedin — https://www.linkedin.com/in/michael-markiewiczEveryday 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.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/

Dr. Ben Hechler, an OMFS, shares tips on leadership during residency, emphasizing the importance of community, responsibility, and effective communication. He discusses the power of collaborative work, planning, and risk mitigation, and defines a good leader as one who empowers, enables, and enhances. The podcast also briefly touches on television show preferences and the danger of selectively seeking information.