Everyday Oral Surgery

Welcome back to the Everyday Oral Surgery Podcast! During today’s episode, we are joined by Dr. Bill Jordan, an oral and maxillofacial surgeon practicing in Sugar Land, Texas. He is here today to discuss the rise of management groups and venture capital groups in recent years. Join us today to hear how to determine if bringing in practice management or a venture capital group is right for you. Dr. Jordan shares his own experience and goes into detail about how US Oral Surgery Management partners with practices. You’ll learn why it’s important for you to understand some of how your practice will be valued from a private equity standpoint and get some great tips on assessing whether a company is right for you to bring in. We touch on a management company’s role in providing support for reaching your goals, the reality of debt among young surgeons, and limiting burnout through hiring the assistance you need. Join us to hear all this and more today! Key Points From This Episode:An introduction to today’s guest, Dr. Bill Jordan, oral and maxillofacial surgeon. Today’s topic: the rise of management groups and venture capital groups in the last few years.Dr. Jordan weighs in on the first question you should ask yourself: is this right for me?His experience in dealing with practice management and venture capital. What US Oral Surgery does when they consult with your business. Why you need to understand some of how your practice will be valued from a private equity perspective.The importance of looking at a company’s management history before bringing them in.Why, if you are offered dividends, you really need to understand what that entails.The reality of debt among young surgeons.How the support of practice management can help you achieve your goals.Why your work as a surgeon will be saddled by the debt you have to repay.Limiting burnout by relying on management support.The unique opportunity to network with other surgeons.A word of caution around rules around itinerant surgery and post-ops according to the CPC.Why it is so important to be reachable for your patients.How what you do as a surgeon can impact the entire community of oral and maxillofacial surgeons.Links Mentioned in Today’s Episode:US Oral Surgery Management — https://www.usosm.com/Everyday Oral Surgery Website — https://www.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.comDr. Grant Stucki Phone — 720-441-6059

Dr. Erik Nuveen has built a life and a career that he truly loves, but getting to this point came with its own set of challenges. Listen to this episode where Erik candidly shares the ups and downs that he has faced along his journey, why his time at dental school has been invaluable to him as a full-body cosmetic surgeon, and what it takes to achieve true operational efficiency and sustain a thriving business. Erik does approximately 1400 major surgeries a year, and he has trained over 200 physicians and OMS residents over the past 20 years! His lack of fear is one of the fundamental factors which he attributes to his success. Whether or not you are interested in cosmetic surgery, this episode will leave you feeling inspired to take your career into your own hands and truly make the most of whatever path you choose! Key Points From This Episode:Erik shares the story of his residency transfer.Why he credits his success as a cosmetic surgeon to dental school.The average number of major surgeries that Erik does per year. How our guest achieves such a high degree of operational efficiency. The factors that he sees as fundamental to success.Erik’s drive to improve the way things are done in the medical field.Advice for any listeners interested in becoming a cosmetic surgeon.Erik’s ultimate goal that he hopes to achieve through training other surgeons.Personal struggles that he has overcome, and how his past has impacted the way he lives his life now.Examples of ways to give back to society.The primary investment endeavors that our guest is focused on at the moment. Why now is an interesting time to be involved in the oral surgery profession.Tips for running a flourishing business (yes, you can do it!).An overview of the ideal practice setup.The value that lies in having a business partner.Examples of how to demonstrate a high level of commitment to your career. Erik’s plans for the future.24000: the total number of surgeries that Erik has done! Links Mentioned in Today’s Episode:Erik Nuveen Email Address — drnuveen@gmail.comErik Nuveen on LinkedIn — https://www.linkedin.com/in/erik-nuveen-599920a1/ Cosmetic Surgery Affiliates — https://csaok.com/ American Academy of Cosmetic Surgery — https://www.cosmeticsurgery.org/default.aspx Everyday Oral Surgery — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/?hlEveryday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

During this episode of our Resident Series of the Everyday Oral Surgery Podcast, Jake and I walk you through the process of treating an odontogenic infection. We discuss everything from the factors that indicate the severity of an infection at the initial patient consultation (including systemic issues), to the difference between moderate and severe spaces, to the technical details about how to drain an abscess. These things will come up on a regular basis during your oral surgery career, so it is vital to understand them properly. If you are currently doing your OMS residency, this episode will help you feel more at ease when dealing with odontogenic infections!Key Points From This Episode:Factors to take into consideration to determine how severe an infection is. Some of the most important tests to order for a patient with an infection. Benefits of looking at a patient’s imaging prior to reading their report. What air looks like on a CT scan.Examples of things that are a cause for concern on a CT scan. What a more developed abscess looks like.Moderate versus severe spaces.How infections can compromise airways. The importance of understanding a patient’s systemic problems (if they have any). Indications that a patient should be admitted to hospital. Technical tips for draining an abscess. Advice for how to approach post-operative care of your patients.Examples of severe complications that can arise from untreated odontogenic infections. A description of each of the stages of infection.Links Mentioned in Today’s Episode:Everyday Oral Surgery Website — https://www.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.comDr. Grant Stucki Phone — 720-441-6059

Getting a Squamous Cell Carcinoma diagnosis will, for some people, be one of the worst moments of their lives. As an oral surgeon, it’s your responsibility to walk your patients through this moment, and the process that follows. In today’s episode, Dr. Nicholas Callahan is here to share his thoughts on the kindest and most effective way to do this. We discuss everything from indicators of a potential Squamous Cell Carcinoma in the mouth and how to do a biopsy of an oral cavity lesion, to delivering a diagnosis to a patient, treating the cancer, and dealing with the potentially major life changes that take place after surgery. Nick also shares the importance of being open-minded as a dental student; you may be surprised by which areas of oral surgery make you feel fulfilled!Key Points From This Episode:Dr. Nicholas Callahan shares an overview of his background in oral surgery and his current areas of focus.Factors to take into consideration when choosing a fellowship or a residency training program.Reasons for the negative connotations associated with oral cavity cancer.Symptoms on the inside of the mouth which may signal Squamous Cell Carcinoma.Areas inside the mouth that are high risk for Squamous Cell Carcinoma. Why Nick worries more about painless ulcers than painful ones.Unlearning what you were taught at dental school about how to biopsy a potential cancer lesion.Why Nick prefers private practitioners to contact him directly when they have identified Squamous Cell Carcinoma in a patient.The initial screening process for a patient with Squamous Cell Carcinoma. Advice for delivering a Squamous Cell Carcinoma diagnosis to a patient.Steps to treating Squamous Cell Carcinoma.The survival rate for T4 cancers. Possible long-term effects of Squamous Cell Carcinoma surgery.The power of a positive mindset amongst cancer patients.Valuable advice for dental students: be open-minded and take advantage of every opportunity!A rapid-fire round with Nick.Links Mentioned in Today’s Episode:Dr. Nicholas Callahan Email — ncall@uic.eduChicago Max Face on Instagram — https://www.instagram.com/chicagomaxface/?hl=en  The Road by Cormac McCarthy — https://www.amazon.com/Road-Cormac-McCarthy/dp/0307387895Ghostbusters — https://www.imdb.com/title/tt0087332/  Everyday Oral Surgery — https://www.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.comDr. Grant Stucki Phone — 720-441-6059

If you run a business, in this day and age, you need social media. Not necessarily to drive business, but to support and enhance your brand. Joining us today to share his thoughts on the subject is Dr. Jason Auerbach AKA Bloody Tooth Guy, OMS of Riverside Oral Surgery in New Jersey who happens to have gained 181k organic followers on his Bloody Tooth Guy Instagram account! In this episode, we find out how his online presence has benefited his physical practice, and how best to use social media to enhance your brand. We learn about Dr. Auerbach’s commitment to optimizing the patient experience and the ways in which he’s achieved his goal, as well as his tips for optimal referral management. Tune in to find out more about Dr. Auerbach’s journey and his inspiring philosophies on both social media and oral surgery!Key Points From This Episode:Dr. Jason Auerbach’s training history and current practice setup.How Dr. Auerbach developed Bloody Tooth Guy on Instagram.How he gained 181k organic followers!How his online presence has benefited his practice.Dr. Auerbach’s intention to scale his practice from the get-go.Ways in which he’s optimized the patient experience.The infrastructure of Riverside Oral Surgery.How to ensure optimal referral management.Dr. Auerbach’s advice for young doctors determining their niche in the field.How to use social media as a tool for your practice. The importance of being authentic on social media.Dr. Auerbach’s book recommendation, favorite non-oral surgery-related activity, favorite film, and which forceps he uses to extract tooth number 20!Links Mentioned in Today’s Episode:Dr. Jason Auerbach Email — jma@riversideoralsurgery.com or bloodytoothguy@gmail.comDr. Jason Auerbach on LinkedIn — https://www.linkedin.com/in/jason-m-auerbach-dds-392a0b39/Bloody Tooth Guy — https://bloodytoothguy.com/Bloody Tooth Guy on Instagram — https://www.instagram.com/bloodytoothguyRiverside Oral Surgery — https://www.riversideoralsurgery.com/TBS Dental — https://www.tbsdental.com/TBS Dental on Instagram — https://www.instagram.com/tbsinstrumentsDavid and Goliath by Malcolm Gladwell — https://www.amazon.com/David-Goliath-Underdogs-Misfits-Battling/dp/0316204374Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Dr. Vladimir Polyakov is an OMS running not one, but two practices in the LA area, the first of which he started from scratch straight out of university. In this episode, we hear about what it takes to successfully start a practice from scratch and the lessons Dr. Polyakov learned along the way. We discover how he has managed to halve his number of patients while being more financially successful than ever before, and how his practice has become completely insurance-independent. Dr. Polyakov explains why emotional intelligence and the way you communicate with patients and referring doctors is, in fact, the key to success, and fills us in on how best to nurture those relationships! Tune in to hear about Dr. Polyakov’s admirable journey, and his astute advice for young practitioners, particularly those looking to start their own practices.Key Points From This Episode:Dr. Vladimir Polyakov’s training history and current practice setup.How he started his own practice directly after graduation.How he acquired his second practice in 2015!His involvement in the American Association of Oral and Maxillofacial Surgery.The changes he’s made over the years to the way he runs his practices.How he manages to see fewer patients and be more financially successful than before. Dr. Polyakov’s procedure focus.The key to success, according to Dr. Polyakov, and what sets practitioners apart.How to establish a trusting relationship with patients.The importance of having a well-trained team within your practice.Dr. Polyakov’s plan to set himself and his practice up for his retirement.Notable turning points for improving his practice!The most valuable things he learned from the Levin Group.In what cases Dr. Polyakov will perform guided implant surgery.Crucial considerations prior to starting a practice.Advice for young oral surgeons and those looking to start a practice from scratch.Dr. Polyakov answers our rapid-fire questions!Links Mentioned in Today’s Episode:Dr. Vladimir Polyakov Email — vpolyakov@synergyoms.comSynergy Implant and Oral Surgery Center — https://synergyoms.com/Dr. Vladimir Polyakov on LinkedIn — https://www.linkedin.com/in/wisdomteethdentalimplantsoral/Dr. Vladimir Polyakov on Instagram — https://www.instagram.com/synergyomsDr. Vladimir Polyakov on Twitter — https://twitter.com/synergyomsAmerican Association of Oral and Maxillofacial Surgery — https://www.aaoms.org/Levin Group — https://levingroup.com/Sapiens: A Brief History of Humankind — https://www.amazon.com/Sapiens-Humankind-Yuval-Noah-Harari/dp/0062316117Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Traditional approaches to teaching and learning are rapidly becoming outdated. Past teaching methods do not take into account the range of expertise, different schedules, and continual advances made in medicine resulting in students feeling less equipped in real-world scenarios. In today’s show, we delve into a progressive alternative to teaching and learning in the realm of dental medicine with pioneer Dr. Martin Steed, Associate Professor and Chair of the Medical University of South Carolina College of Dental Medicine in the Department of Oral Maxillofacial Surgery. Dr. Steed found a passion for oral maxillofacial surgery early in his career and strives to continually improve his field within the academic domain. In this episode, we learn more about Dr. Steed and the SCORE curriculum, a curriculum designed to improve the education of surgical trainees through a standardized, peer-reviewed curriculum. In our conversation, we learn about Dr. Steed’s professional background and why he chose the academic career path. We also dive deep into what the SCORE curriculum is, how it first came about, what the benefits are to both students and teachers, how the program can be customized, what the main aims and goals of SCORE are, the assessment criteria, other ways it can help students, ways in which it is continually improving, and much more. Be sure not to miss out on the next step in learning and teaching with Dr. Martin Steed. Key Points From This Episode:Brief background about Dr. Steed’s training and current practice setup.Reasons behind his decision to choose an academic career path.Details about the current school curriculum and the opportunities it provides.What the ultimate goals, focus, and benefits of SCORE curriculum are.Dr. Steed shares examples of the approach and lesson plans used.Examples of the extra modules that Dr. Steed has added to the program.Outline of other benefits to residences, such as preparing for the board exam.He explains where the program has the potential to grow.Breakdown of the support that Dr. Steed has received for the SCORE curriculum.The structure of assessments is explained briefly. Whether the SCORE curriculum is being adopted at other Universities.Who acts as sources of new information for the SCORE curriculum.Dr. Steed shares some advice for people wanting to access the program.We end the show with our usual rapid-fire questions for Dr. Steed.Links Mentioned in Today’s Episode:Dr. Martin Steed on LinkedIn — https://www.linkedin.com/in/martin-steed-05253036/Dr. Martin Steed Phone — 843-876-7645Medical University of South Carolina — https://web.musc.edu/Medical University of South Carolina College of Dental Medicine — https://dentistry.musc.eduAAOMS — https://www.aaoms.org/SCORE for OMS — https://www.aaoms.org/education-research/oms-faculty/score-for-omsEveryday 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 — 720-441-6059

Becoming an oral and maxillofacial surgeon is not an easy task. It takes years of grueling training, during which you’ll undoubtedly experience many failures and setbacks. It can be especially tough if you take an unorthodox route to becoming one. In today’s episode, we sit down with Dr. Ashkan Mobini to talk about the non-traditional journey he took to becoming an oral and maxillofacial surgeon and how he found the grit to continue despite the immense obstacles he faced. When he first graduated in 2011, Dr. Mobini knew he was interested in becoming an oral surgeon but student debt and the opportunity to pay it off while working as a dentist encouraged him to delay that decision. In our conversation, Dr. Mobini explains what it was like applying for residency two years after his initial training and why this posed so many obstacles. We hear why he was no longer considered a good residency candidate in 2013, and why he pursued a non-categorical internship to become a better candidate and obtain a residency. He shares why it was one of the hardest things he’s ever had to do, how he found the strength to persevere, and why he’s so glad he did. We also discuss what it was like obtaining his residency after two years as an intern and why it’s so important to maintain a good perspective on yourself and be tenacious in your desire to become what you want to be. Tune in for an honest conversation about what it takes to become an oral and maxillofacial surgeon, why it’s okay to take a non-traditional journey to get there, and why perseverance pays off!Key Points From This Episode:Introducing today’s guest Dr. Ashkan Mobini.Learn about Dr. Mobini’s training and how he became an oral surgeon.The obstacles that Dr. Mobini faced on the path to becoming an oral maxillofacial surgeon.The unorthodox path that Dr. Mobini followed to becoming an oral maxillofacial surgeon.Why Dr. Mobini decided not to apply to a residency after graduating in 2011.The challenges that Dr. Mobini faced due to applying for residency two years after graduation.How being a Canadian citizen affected Dr. Mobini’s studies in the US.How pursuing an internship improved Dr. Mobini’s opportunities as a residency candidate.How Dr. Mobini prepared for his CBSE and what it was like taking it.The difference between a categorical and non-categorical intern.The challenges of persevering as a non-categorical intern.Why doing a second year as a non-categorical intern helped Dr. Mobini become an excellent residency candidate.Dr. Mobini answers our rapid-fire questions.Links Mentioned in Today’s Episode:Dr. Ashkan Mobini on LinkedIn — https://www.linkedin.com/in/ashkan-mobini-10411236/Dr. Ashkan Mobini’s email address — ashkan.mobini@gmail.comToronto Oral Facial Surgery — https://www.tofs.ca/aboutAtomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones — https://www.amazon.com/Atomic-Habits-Proven-Build-Break-ebook/dp/B07D23CFGREveryday Oral Surgery Website — https://www.everydayoralsurgery.com/ Instagram — https://www.instagram.com/everydayoralsurgery/?hl=en Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

In this episode, we do a deep dive into causes, risk factors, and recommended treatments for a variety of fibro-osseous lesions. Our guest today is Dr. Robert Marx, a recently retired oral surgeon who is now pursuing stem cell research. Robert has a wealth of knowledge on fibro-osseous lesions; from periapical cemental dysplasia and florid cemento-osseous dysplasia to fibrous dysplasia and cherubism. After listening to this episode, you’ll know when you should treat a fibro-osseous lesion and when you should “let sleeping dogs lie,” symptoms to look out for when diagnosing patients, which patients will need lifelong follow-ups, and which lesions are and are not hereditary. Fibro-osseous lesions are commonly misdiagnosed, so tune in today to prevent making that mistake!  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://www.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.comDr. Grant Stucki Phone — 720-441-6059

Welcome to our Resident Series, where we’ll be discussing relevant topics and updates from the leaders in our field. Today, Drs. Grant and Jake Stucki delve into the recent AAOMS Position Paper on Medication-Related Osteonecrosis of the Jaw (MRONJ), published in May 2022. We’ve discussed MRONJ in previous episodes, but today we’re taking a closer look at the changes observed by the leaders of our specialty. In this episode, we cover all the bases of what MRONJ is, what causes it, its risks, and the various treatment options. We discuss the medications associated with causing MRONJ, and what constitutes a high-risk candidate for developing the condition. We break down the three critical diagnostic criteria and the four stages of MRONJ and explain why it’s crucial to know these back to front. Tune in to find out the degrees of risk when it comes to extraction and implants, and how to reduce the risk of MRONJ before, during, and after oral surgery. And be sure to join us for the next installment of the Resident Series!Key Points From This Episode:Defining MRONJ: Medication-Related Osteonecrosis of the Jaw.The medications associated with causing MRONJ and what they’re used for.Which patients are at high risk for developing MRONJ.The various terms used for MRONJ in the recently updated AAOMS Position Paper.How bisphosphonates impair osteoclast function causing MRONJ.Why osteoclast function is intentionally inhibited in certain cancer patients.How long bisphosphonates can remain in the body, beyond treatment.The pathogenesis of MRONJ.The diagnostic criteria for MRONJ.The four stages of MRONJ: inexplicable pain (no exposed bone), asymptomatic exposed bone, exposed bone with pain, and pain with exposed bone and radiographic changes.The importance of knowing the stages and the diagnostic criteria for MRONJ!Factors to consider when determining a patient’s risk for developing MRONJ.Reasons for using antiresorptive medication.The risk of MRONJ following tooth extraction.How to reduce the risk of MRONJ before, during, and after oral surgery.The role of existing inflammation in causing MRONJ.Non-surgical and surgical treatment for MRONJ.Clinical scenarios: how to decide whether to extract a tooth from a patient who’s on antiresorptive medication.How Drs. Grant and Jake Stucki communicate the risk to patients.The low risk of implants causing MRONJ.The importance of informing your patients of the risk.Look out for our next Resident Series episode!Links Mentioned in Today’s Episode:AAOMS Position Paper on MRONJ 2022 Update — https://pubmed.ncbi.nlm.nih.gov/35300956/Dr. Thomas Schlieve: Changing the way you think about MRONJ — https://www.everydayoralsurgery.com/podcast/Everyday Oral Surgery — https://www.everydayoralsurgery.com/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059Dr. Grant Stucki on Instagram — https://www.instagram.com/everydayoralsurgeryDr. Jake Stucki — https://www.linkedin.com/in/jake-stucki-ab19a593/