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| # | Post Title | Result Info | Date | User | Forum |
| E109 - Dr. Deepak Krishnan: IAOMS Newsletter Discussion, and Highlight of the Cincinnati OMS Program | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: Today we're thrilled to sit down with a vastly experienced and widely respected leader in the field: Dr. Deepak Krishnan. He is the Chair and Division Director of Oral Maxillofacial Surgery at the University of Cincinnati and the Chairman of their Cincinnati OMS Program (the oldest residency program in the country). In this episode, we do a deep dive into his role at the IAOMS and their innovative newsletter, before delving into the program itself. Dr. Krishnan shares how the focus around clinical material and experience makes this a residency, not a fellowship, and why being the program's director is the best job in the world! You'll also hear about their weekly schedule, team make up, and what exciting things the practice is focusing on at the moment. Tune in to discover Dr. Krishnan's philosophy on the importance of giving back, hear why he thinks academic surgery has changed (and is changing) for the better, and learn what he looks for in a residency hire! From home brewing and Wes Anderson movies to newsletter highlights of truly revolutionary technology on the verge of getting FDA approved, join us for another insightful conversation on Everyday Oral Surgery. Key Points From This Episode: Hear about Dr. Deepak Krishnan's training, the move to Lousiana from Bangalore, and his practice setup. About the Cincinnati OMS Program and the needs of the tri-state area that the practice serves. Why he pursued academics, and some of the role models that inspired him. How he got involved with the IAOMS, plus the multiple hats he wears to serve the specialty. Some interesting insight into simulation training. Extending gratitude to all the global listeners of this podcast! He shares how he scratches his creative itch: with writing and the creation of a newsletter. A shoutout to his talented newsletter team! Get a sneak-peek into what he's planning for the next edition, plus hear his favorite highlights. Talking about IBCSOMS, art, tattoos, and more! Dr. Krishnan shares his philosophy on the importance of volunteering and giving back. A rundown of their weekly schedule and why they are heavily focused on clinical material in action. His travels to back to India and the program's work with an incredible Smile Train unit there. On home-brewing, being semi-ambidextrous, and why he's a Slytherin! Some hilarious closing comments on the best anesthetics to use and why. Links Mentioned in Today’s Episode: Dr. Deepak Krishnan on LinkedIn — Cincinnati OMS Program — International Association of Oral and Maxillofacial Surgeons — Dr. Bryan Bell on Twitter — Dr. Pam Yelick on LinkedIn — Smile Train India — The Complete Joy of Homebrewing — Darjeeling Limited — The French Dispatch — Keywords: Deepak Krishnan, Cincinnati, Art, IAOMS, Program Director | |||||
| Dr. Robert Marx: Update on Treatment of Fibro-Osseous Lesions | 1 Relevance | 3 years ago | Jake Stucki | Episodes | |
| 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 — Everyday Oral Surgery on Instagram — Everyday Oral Surgery on Facebook — Dr. Grant Stucki Email — grantstucki@gmail.com Dr. Grant Stucki Phone — 720-441-6059 | |||||
| E1 - Dr. Grant Stucki: switching sides to see and feel better | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: Have you ever been at a conference where you heard an intriguing technique or tip from a fellow oral and maxillofacial surgeon or dentist that you then implemented effectively in your practice? We know we have. Welcome to the Every Day Oral Surgery podcast, where we hope to share some techniques and personal experiences that could be beneficial to your surgical or dental practice. In this episode, host, Dr. Grant Stucki, introduces himself, where we learn more about his professional and personal life. He also shares the story of how a lower back injury from playing basketball in college plagued him for years after school and well into his practice. We hear how changing sides has helped alleviate his pain. While this may seem like a small tweak, it is not easy because not only will you be slowed down, but you will have to work on strengthening your weaker hand. Oral surgery and dentistry, in general, can be particularly hard on the lower back, so even if you are not in pain yet, it is well worth taking preventative measures to ensure you remain pain-free. We look forward to many more conversations, so be sure to tune in for the start of this exciting journey! Key Points From This Episode: The goal of this podcast – To share practice techniques that can potentially help yours. A quote from Better, a great book about the meaning of being a surgeon. Get to know Grant, his education and training, and his full-on family life. Playing ‘morning ball’ while at UCLA and how Grant’s signature fadeaway led to an injury. The extent of Grant’s injury which he found out after a triathlon and treatments he followed. Some challenges that came with switching sides and how Grant strengthened his left hand. The benefits that Grant has seen from switching sides, including reduced back pain. Even if you do not struggle with back pain, take preventative measures before it happens. Why surgeons might be hesitant to switch sides. What studies have shown about dentists and lower back pain? Links Mentioned in Today’s Episode: Dr. Grant Stucki Dr. Grant Stucki on LinkedIn Better: A Surgeon's Notes on Performance Atul Gawande UCLA School of Dentistry University of Illinois at Chicago Michael Jordan Karl Malone Hakeem Olajuwon LeBron James Kobe Bryant Dirk Nowitzki Ironman Triathlon PubMed Keywords: Grant Stucki, Back injury, Ergonomics, Switching Sides | |||||
| Dr. Robert Marx: The Modern Method to Cure the Ameloblastoma | 1 Relevance | 3 years ago | Jake Stucki | Episodes | |
| Ameloblastomas are one of the most common benign tumors that Oral Maxillofacial Surgeons face. The technique used to treat them usually involves a continuity resection in the mandible or the maxilla where the nerve is taken out leaving the patient numb, followed by a reconstruction that requires harvesting autologous bone from the hip or fibula. This process usually has a significant rate of morbidity and length of hospitalization. Today we are joined by Dr. Robert Marx, an oral and maxillofacial surgeon from the University of Miami Millar School of Medicine. He shares with us a revolutionary new method to treat ameloblastomas using stem cell biology and a product called the Marrow Marksman that harvests autologous stem cells to regenerate large quantities of bone. Not only does this process eliminate the need to remove bone from the hip or fibula, but it also preserves the nerve, reduces hospitalization, and produces a much better result. To hear Dr. Marx walk us through three sample cases, tune in today! 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 — Miller School of Medicine — Dr. Grant Stucki Email — grantstucki@gmail.com Dr. Grant Stucki Phone — 720-441-6059 | |||||
| E107 - Dr. Thomas Schlieve: How to Prevent and Treat Osteoradionecrosis of the Jaw | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: Osteoradionecrosis is a condition in the field of oral surgery that seems to be shrouded in fear and confusion. To help us gain clarity on this subject, today we are joined by Dr. Thomas Schlieve to discuss this problem, as well as how to prevent and treat it when it occurs in the jaw. Dr. Schlieve is an Oral & Maxillofacial Surgeon practicing in Dallas and currently the Director of the Parkland Oral Surgery Program. As an expert on osteonecrosis, today he explains exactly what osteoradionecrosis is, how to identify it, and the importance of testing early. Tuning in you’ll hear about the factors to consider when it comes to the degree of dosage and location of radiation, how to prepare your patient for all possible outcomes of treatment, and some of the reasons why osteoradionecrosis treatment may not work. You’ll also discover the benefits of hyperbaric oxygen therapy and Pentoxifylline in treating a patient who is at high risk for osteoradionecrosis as well as Dr. Schlieve’s ‘Kitchen sink’ approach. To find out how he treats a patient that already has exposed bone, how he treats a patient with a pathologic fracture at the angle, and other important factors to consider concerning this condition, tune in today! Key Points From This Episode: Dr. Thomas Schlieve defines what osteoradionecrosis is. The importance of testing early so you don’t get a lawsuit for failure to diagnose or delayed diagnosis. The percentage of cancer patients that experience osteoradionecrosis. Factors to consider when it comes to the degree of dosage and location of radiation. How to find out exactly what part of the bone was radiated. From what angles a radiation oncologist will deliver radiation to a tonsillar lesion. What type of prep should be taken for tooth surgery on a patient who is at high risk for osteoradionecrosis. Insight into Dr. Schlieve’s ‘Kitchen sink’ approach to surgery on a patient who is high risk for osteoradionecrosis. The benefits of hyperbaric oxygen therapy and Pentoxifylline. How he treats a patient that already has exposed bone. When insurance will and will not cover hyperbaric oxygen therapy in Dr. Schlieve’s patients. How he treats patients with a pathologic fracture at the angle. Some of the reasons why osteoradionecrosis treatment may not work. The importance of properly informing your patients with osteoradionecrosis of all the possible results before you begin treatment. What tips the scale from other forms of treatment to surgery in a patient at high risk for osteoradionecrosis. The role of infection as a risk factor for osteoradionecrosis. Why you need to educate your staff and understand your patient’s full history prior to surgery. Whether or not you’re more likely to have complications as the result of radiation as more time passes. Hear about Dr. Schlieve’s favorite book and one of his favorite movies in the rapid-fire questions. Links Mentioned in Today’s Episode: Dr. Thomas Schlieve — Email Dr. Thomas Schlieve — How to Win Friends & Influence People — Space Balls — Keywords: Thomas Schlieve, ORNJ, Osteoradionecrosis, Hyperbaric Oxygen, Pentoxifylline, Parkland | |||||
| E2 - Dr. Thomas Sarna - delegating responsibilities and discussing complications with patients | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: As surgeons, we must ensure the highest and best use of our time, and an important part of this is creating systems and delegating unnecessary duties. Joining us today to share his insights on this is Dr. Thomas Sarna, an oral and maxillofacial surgeon, based in Fayetteville, Arkansas, and one of Grant’s mentors during residency. In this episode, Thomas walks us through some of his systems and the tasks he no longer does, including fielding calls, pre or post-op preparations and briefings, and calling around for referrals. Although creating structures and processes takes a lot of work and training on the frontend, once staff is up to par, surgeons have much more energy to do what they love, and ultimately create the most efficient practice possible. We also touch on communicating risks with clients and balancing being transparent with ensuring the patient remains comfortable and at ease. Thomas shares his approach and what he believes is the right amount to share. Along with this, we discuss the use of technology in Thomas’ practice and why he still prefers to take hand-written notes, how he handles communicating with difficult parents or patients, and the importance of knowing your staff’s strengths and weaknesses and drawing on them accordingly. It was a great conversation, and there is always so much to learn from one another's practices. To hear more, be sure to tune in today! Key Points From This Episode: How creating systems to delegate duties has changed Thomas’ practice. The benefits of confirming patient appointments and improvement in efficiency. Why Thomas does not give his cell number to patients and leaves his assistants to field calls. Hear more about what Thomas’ schedule looks like and how COVID has affected it. The brief nature of Thomas’ consults and what he tells the patients. Walking patients through options if numbness is a concern when the root is in the same place as the nerve. Thomas’ approach to communicating risk with patients. Following the acute versus chronic rule when it comes to sinus perforation repair. Using the buccal fat pad method and training NTs how to do it. ‘Good’ patients versus ‘bad’ patients and how Thomas thinks about this. The story behind why Thomas calls his difficult procedures ‘The Grant Stucki Clinic.’ Some of the best things Thomas learned in residency that he carried into practice. Knowing your staff’s strengths and weaknesses and placing them in the right position. Instances of difficult communication with parents and patients Thomas has had. Why Thomas prefers doing wisdom teeth over implants. The frustration that both Thomas and Grant feel at patients constantly being on their phones. The use of tech in Thomas’ practice, including a cloud-based EMR. Why Thomas still takes notes by hand which then gets digitized after. Hear why Thomas has sedated patients sitting up rather than lying down. Take your wisdom teeth out when you are a teenager! Communicating wisdom teeth removal post-op care instructions. Why not using antibiotics is ‘career suicide’ according to Thomas. Links Mentioned in Today’s Episode: Dr. Thomas Sarna Dr. Scott Weiskopf Google Glass How to Win Friends & Influence People Think and Grow Rich Dr. Grant Stucki Keywords: Thomas Sarna, Private Practice | |||||
| E108 - Dr. Don Lewis: How to Avoid Embezzlement in the Office Setting | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show Notes: People in the field of dentistry and oral surgery often have a very specific skillset, and trust the running of their practices and their financial management to office managers and other staff. The problem is that when you stop paying attention, you make it easy for people to steal from you. Today’s guest understands this all too well. Dr. Don Lewis was the victim of embezzlement when his office manager stole thousands of dollars out of his practice over the space of three and a half years. Dr. Lewis is an Oral and Maxillofacial Surgeon as well as a Professor of Oral and Maxillofacial Surgery at Case Western Reserve University School of Dental Medicine. After his unfortunate experience, he is now also a certified fraud examiner. In this episode, Dr. Lewis shares how he came to be a victim of embezzlement and what red flags he overlooked before explaining how you can avoid becoming a victim like him. Tuning in you’ll hear about the top five things to look out for that suggest an employee may be embezzling, how fraud can make your patients feel like victims too, the importance of looking at reports, and many other helpful tips to protect yourself. To find out the most common ways people can steal from you, what controls to implement to prevent this, and what to do if you discover fraud in your practice, tune in today! Key Points From This Episode: The story of how Dr. Don Lewis’s office manager embezzled money out of his practice. A red flag that Dr. Lewis overlooked at the time of the embezzlement. Thoughts on having a healthy level of suspicion with the people you work with. The first of Dr. Lewis’s two main internal controls that you can implement in your practice: the diversification of duties. The second main internal control: insist that your staff take vacations. How to overcome pushback when staff don’t want to learn each other’s roles. How to educate yourself about the computer and payment systems used in your practice. The importance of looking at reports. The most common way someone can steal from you in the office setting: the zero charge. Some of the other ways people can siphon off your money. How this can impact the patients and leave them feeling like victims too. How Dr. Lewis grew as a person and benefited from this unfortunate experience. What to do to prevent fraud. Internal controls involving computer security. The top five things to look out for that suggest an employee may be embezzling. How greed, ambition, and arrogance play out in embezzling. What to do if you discover fraud in your practice: hire a certified forensic accountant. Learn about how basketball officiating helps Dr. Lewis with his oral surgery skills in the rapid-fire questions. Links Mentioned in Today’s Episode: Dr. Don Lewis — Zygomatic Implants From A To Z — 4MInstitute — | |||||
| E7 - Dr. Raza Hussain: Techniques for Dealing with Peri-Implantitis And Third Molar Flaps and Thoughts on Protecting Our Rights To Outpatient Anesthesia | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: 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 | |||||
| E6 - Dr. Scott Weiskopf: How to Use 3D Printers to Take Your Implant Accuracy to the Next Level (and at a low cost!) | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: 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 | |||||
| E4 - Dr. Eric Blamires - third molar techniques, supporting assistants, and dealing with helicopter parents | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: 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 | |||||
| E3 - Dr. David Salomon: anesthesia technique and pearls on making patients feel comfortable | 1 Relevance | 4 years ago | Jake Stucki | Episodes | |
| Show notes: Although residency training can be comprehensive in many ways, it is vital to find what works for you as a surgeon once you are in practice. Today’s guest, Dr. David Salomon, has done just that, tweaking his anesthesia technique over time to administer it efficiently, in the least resource-heavy way possible. As a prestigious doctor working in Connecticut, David runs a successful private practice. In this episode, David talks about why he has mostly stopped using fentanyl and the results he has seen from making this change. While David has been open to changing his anesthesia technique, he also recognizes that it is not possible to have a one-size-fits-all plan for every patient. He talks about developing your intuition to understand what a patient needs. We also learn more about David’s grafting technique, some of the tweaks he is currently making, and the outcomes so far. We then turn our attention to the practice side of things, where David talks about some of the daily difficulties he faces, the role his assistants play and how he handles their training, and the importance of communicating and managing expectations. Not only is David an excellent surgeon technically, but the care and empathy he extends to his patients really sets him apart. To hear more from this inspiring doctor, be sure to tune in today! Key Points From This Episode: Some of the small things David has changed in his practice that have had a big impact. David’s grafting technique and how it has evolved over time. Two things David has noticed about nylon sutures compared with chromic and vicryl sutures. The differences between mineralized and demineralized bone grafts. Techniques David is implementing from Bone Augmentation in Implant Dentistry. Why David does not do that many immediate implants. What David has seen with how some patients get inflamed after a bone graft. How David manages patients’ pain and how he guides them through it. David’s typical sedation protocol and his approach to optimizing the process. How David handles children and adults who are afraid of needles. The most challenging things that come up in David’s daily practice. Why David usually does not sedate children and what he does instead. David’s interest in music, the band he was in for years, and playing songs during surgery. How David has trained his assistants and his emphasis on self-sufficiency. Why David prefers to grab his own tools and do the sutures himself. Benefits of waiting until the end of a procedure to do the sutures. The role an office manager can play in managing assistants and dealing with issues. Keeping lines of communication open and how this counteracts drama with staff. The importance of being a good listener and making patients feel heard and understood. Communicating potential risks in a more human way and how David tackles this. How an empathetic approach can help with even the most difficult patient. The question David asks to break the ice when he meets clients for a consult. David's positive experience of residency and the feeling of camaraderie he misses. Links Mentioned in Today’s Episode: Dr. David Salomon Bone Augmentation in Implant Dentistry Pickles Pub Dr. Grant Stucki Keywords: David Salomon, Private Practice, Anesthesia, Fentanyl, Grafting, Assistants, Communication | |||||
