Everyday Oral Surgery

Hosted by Grant Stucki - oral and maxillofacial surgeon

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Episodes

376

Latest episode

Aug 2026

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EN-US

About the show

Have you ever been talking with other surgeons about the way they do things in their practice and you heard something that helped you out? This podcast is meant to give you an insight into the way other surgeons do things and think about things. Sometimes small changes can make a big difference in your daily routine.

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60 recent

September 28, 2026Episode 38355 min

The All-on-X Dilemma: Are We Sacrificing Too Much, Too Soon? (with Dr. Vic Martel)

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

September 21, 2026Episode 38224 min

Know Your Drugs: Ketamine (with Drs. Jake Stucki and Grant Stucki)

Ketamine is one of the most versatile medications in oral and maxillofacial surgery, but its unique effects come with important considerations. In this episode of Everyday Oral Surgery, Drs. Grant and Jake Stucki continue their “Know Your Drugs” series with a practical look at ketamine, including its history, mechanism of action, indications, and dosing. They discuss its benefits as a dissociative anesthetic, analgesic, and bronchodilator, as well as its ability to preserve spontaneous respiration and airway reflexes. The doctors also explore how low-dose ketamine can complement other sedation medications and reduce opioid requirements, while reviewing potential complications such as hypersalivation, cardiovascular effects, and emergence delirium. They wrap up with practical strategies for minimizing adverse effects, managing airway and other emergencies, and safely incorporating ketamine into an OMS sedation protocol. Tune in for another insightful discussion with the Stucki doctors. Key Points From This Episode: Introducing today’s drug in our “Know Your Drugs” series: ketamine. Dr. Jake Stucki explains the mechanism of action of ketamine as an NMDA receptor antagonist. Explore the different indications and uses for ketamine in OMS. Dr. Grant Stucki covers typical dosing and practical considerations for ketamine use. Understand ketamine's desired effects, including analgesia, bronchodilation, and preservation of airway reflexes. Explore ketamine's anti-inflammatory properties and other unique effects. Dr. Jake Stucki shares the history of ketamine and why it is often used as an adjunct rather than a sole anesthetic. Review the undesired effects and potential complications of ketamine. Discuss the factors associated with emergence delirium and ways to minimize it. Explore ketamine’s effect on the seizure threshold. Learn what to keep in mind when combining ketamine with other sedative medications. Review the management of airway complications, cardiovascular effects, and other ketamine-related emergencies. A quick look at the Vargo Anesthesia Mega App (available on Google Play and the App Store). Links Mentioned in Today’s Episode: Dr. Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/ Dr. Jake Stucki — https://www.southglennmoderndentistry.com/meet-our-team/team-member.jake-stucki-staff-id-45490/ The Most Dangerous Sedative in OMS Sedation (with Dr. Steve Yun, M.D, Anesthesiologist) — https://www.buzzsprout.com/1404670/episodes/17300447-the-most-dangerous-sedative-in-oms-sedation-with-dr-steve-yun-m-d-anesthesiologist.mp3 Anesthesia Topics: Using beta blockers with ketamine, nitrous oxide as an adjunct to sedation, advising patients on which medications to take prior to sedation, and treating patients with kidney failure (with Dr. Dallen Mill, Anesthesiologist) — https://www.buzzsprout.com/1404670/episodes/14669197-anesthesia-topics-using-beta-blockers-with-ketamine-nitrous-oxide-as-an-adjunct-to-sedation-advising-patients-on-which-medications-to-take-prior-to-sedation-and-treating-patients-with-kidney-failure-with-dr-dal.mp3 Vargo Anesthesia Mega App — https://www.vargoanesthesia.com/apps/mega-app/ 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

September 14, 2026Episode 38129 min

The Implant Treatment Coordinator: The Missing Piece in Your Implant Practice (with Dr. Roger Levin)

Implants can significantly improve a patient’s quality of life, but how do we sell patients on an expensive, elective purchase? Today on Everyday Oral Surgery, Dr. Grant Stucki is joined once again by Dr. Roger Levin to start a new series on the Implant Treatment Coordinator (ITC). Tuning in, you’ll hear all about why implant cases cannot be presented in a passive way, why having a trained, sales-oriented ITC is beneficial, the kinds of skills an ITC needs, why ITCs need a training overhaul, and more! We delve into the four main reasons dental surgeons need to have an ITC before discussing what the right ITC can do for dental surgeons. Dr. Levin also talks about when surgeons should bring in an ITC. Finally, we touch on what listeners can expect from the next few episodes in this series. Thanks for listening! Key Points From This Episode: Welcoming Dr. Roger Levin back to the show. An introduction to our new series: the Implant Treatment Coordinator. Why implant presentations need to be more sophisticated. The importance of having a dedicated ITC and the skills they need. A breakdown of the four main reasons dental surgeons need an ITC. What the right ITC can do for a dental surgeon and their practice. When a dental surgeon should bring in an ITC (the earlier, the better!) 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/ 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

September 7, 2026Episode 38029 min

Know Your Drugs: Propofol (with Drs. Jake Stucki and Grant Stucki)

It’s one of the most familiar drugs in anesthesia, but propofol has a surprisingly unique story and an equally unique place in oral surgery. In this episode of Everyday Oral Surgery, Drs. Grant and Jake Stucki continue their “Know Your Drugs” series with a deep dive into propofol. They explore the history and discovery of this widely used medication, including how its unique formulation earned it the nickname “anesthesia milk.” The discussion covers propofol’s mechanism of action, what makes it unique, and how its rapid onset and recovery have changed the way anesthesia is practiced. Furthermore, they also discuss practical considerations for using propofol in the office, including indications, dosing, desired and undesired effects, and how it can be used alongside other medications. They dive into potential airway and cardiovascular complications, management of propofol-related emergencies, proper handling and disposal, the relationship between propofol and food allergies, and which patients may not be appropriate candidates for propofol. Tune in for yet another insightful episode with the Stucki doctors. Key Points From This Episode: Introducing today’s guest and the second installment of “Know Your Drugs.” The discovery of propofol, how its formulation evolved, and why it ultimately changed modern anesthesia. A look at the mechanism of action behind propofol. What makes propofol such a unique and versatile medication. Indications and dosing strategies for propofol in oral and maxillofacial surgery. The desired effects of propofol—and one of its potential weaknesses. The undesired effects and complications associated with propofol. Potential airway emergencies, including apnea and laryngospasm. How OMS can recognize and manage potential propofol-related emergencies. Other important considerations when using propofol in the office. The relationship between propofol allergy and egg, soy, and peanut allergies. Which patients and clinical situations may make propofol a less appropriate choice. Links Mentioned in Today’s Episode: Dr. Jake Stucki on LinkedIn — https://www.linkedin.com/in/jake-stucki-ab19a593/ Dr. Jake Stucki — https://www.southglennmoderndentistry.com/meet-our-team/team-member.jake-stucki-staff-id-45490/ Vargo Anesthesia — https://www.vargoanesthesia.com/ Medscape — https://www.medscape.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

August 31, 2026Episode 37929 min

The Implant Treatment Coordinator: The Missing Piece in Your Implant Practice (with Dr. Roger Levin)

August 24, 2026Episode 37827 min

Know Your Drugs: Midazolam (with Drs. Jake Stucki and Grant Stucki)

Midazolam is a familiar drug in anesthesia, but knowing when to use it — and when not to — requires more than understanding its sedative effects. In this installment of our series on anesthesia, Dr. Jake Stucki joins us to review Midazolam. Starting with what it is and how it works, we explore its onset, duration, and effects, how it is metabolized, and what it does and does not help with. We also cover indications, patient selection, administration and dosing, and why the anticipated duration of a procedure matters. From desired effects to potential adverse reactions, we discuss precautions, emergency measures, and how clinicians can use patient monitoring to make adjustments when managing adverse effects. Finally, we examine cases where Midazolam may not be the most appropriate intervention and what alternatives or considerations may come into play. Key Points From This Episode: Basics of Midazolam: onset, duration, and effects. What it does and doesn’t help with. Its mechanism of action. How it is metabolized. Indications and which patients do and do not have this drug administered to them. Administration and dosing. Considering the duration of the procedure. Desired and undesired effects of Midazolam. Precautions and emergency measures. Using your monitors to make adjustments to manage adverse effects. More cases where Midazolam may not be the most appropriate intervention. Links Mentioned in Today’s Episode: Dr. Jake Stucki — https://www.linkedin.com/in/jake-stucki-ab19a593/ Case Western Reserve University — https://case.edu/ 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

August 17, 2026Episode 37755 min

Midface Trauma Pearls: Nasal, NOE, and Frontal Sinus Fractures (with Drs. Andrew Jenzer & Rishad Shaikh)

Facial trauma presents unique challenges, requiring a thorough understanding of anatomy, careful surgical planning, and sound clinical judgment. In this episode of Everyday Oral Surgery, Dr. Grant Stucki is joined by Dr. Andrew Jenzer and Dr. Rishad Shaikh to discuss the diagnosis and management of nasal, naso-orbito-ethmoid (NOE), and frontal sinus fractures. They begin by discussing the assessment and treatment of nasal fractures and the best techniques for successful reductions. They cover NOE fractures, common mechanisms of injury, fracture classification, surgical planning, transnasal wiring, thermoplastic stent techniques, and repair of the medial canthal tendon. They also examine the evaluation and management of frontal sinus fractures, the role of the nasofrontal outflow tract, and when obliteration or cranialization is necessary. Tune in to hear surgical pearls of wisdom and expert advice for managing some of the most complex injuries encountered in oral and maxillofacial surgery. Key Points From This Episode: Meet Dr. Rishad Shaikh and hear about his career in facial trauma. Review of the anatomy and clinical examination of nasal fractures. When nasal fractures should be repaired and how to reduce revision rates. Hear tips for a successful nasal fracture reduction and postoperative care. Understand how to classify and evaluate naso-orbito-ethmoid (NOE) fractures. Find out the common causes of NOE fractures that Drs. Jenzer and Shaikh see. Explore techniques for repairing NOE fractures and identifying the medial canthal tendon. Uncover how to secure a thermoplastic stent when managing complex NOE fractures. Discover how frontal sinus fractures are assessed and what the best treatment is. Tips for managing facial trauma and knowing when to seek help or transfer patients. Links Mentioned in Today’s Episode: Dr. Rishad Shaikh – https://ofsinstitute.com/rishad-shaikh/ Dr. Rishad Shaikh – rshaikh_omfs@icloud.com Oral Facial Surgery Institute – https://ofsinstitute.com/ Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer Dr. Andrew Jenzer – andrew.jenzer@gmail.com Oral Board Review for Oral and Maxillofacial Surgery – https://www.amazon.com/Oral-Board-Review-Maxillofacial-Surgery/dp/3030488799 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

August 10, 2026Episode 37638 min

The Hidden Cost of Being a Surgeon: What Exposure to Suffering Does to Us (by Dr. Grant Stucki)

In this episode, Dr. Grant Stucki discusses something many oral and maxillofacial surgeons experience but rarely talk about: the emotional weight of caring for patients who are in pain, injured, or facing life-changing diagnoses. He explores how repeated exposure to trauma can lead to compassion fatigue, emotional detachment, and secondary traumatic stress, with effects that often extend beyond the workplace into personal relationships. Dr. Stucki also examines the concept of moral injury, describing what happens when surgeons know the right course of action but feel constrained by the realities of the healthcare system. While emotional distancing can be a necessary way to stay focused during difficult cases, he explains that it can gradually develop into cynicism if left unaddressed. Throughout the episode, he encourages surgeons to move beyond the culture of simply "pushing through," recognize the emotional challenges of the profession, and seek support through honest conversations and connection. Key Points From This Episode: What listeners can expect from today’s episode with Dr. Stucki. He unpacks some research findings closely related to today’s topic of discussion. What makes emotional distancing dangerous to practitioners. Dr. Stucki breaks down compassion fatigue and its effects on practitioners. He looks at another important concept: secondary traumatic stress. How the concept of second victim syndrome works and why it matters. Different experiences surgeons may have after facing serious complications. A classic burnout domain and protective mechanism: depersonalization. Suffering a moral injury: functioning in a broken system. Dr. Stucki explains some of the recurring long-term changes that show up in practitioners. Why this conversation is important. Honest questions practitioners should be asking. He shares steps practitioners can take to bring healing to the healers. Links Mentioned in Today’s Episode: ‘Second Victim Syndrome Among Healthcare Professionals: A Systematic Review of Interventions and Outcomes’ – https://pmc.ncbi.nlm.nih.gov/articles/PMC12145115/ ‘From Moral Injury Vulnerability to Protective Equity: The Voyage Every Surgeon Must Take’ – https://pubmed.ncbi.nlm.nih.gov/39692009/ ‘Moral injury: An unspoken burden of transplant surgery’ – https://pubmed.ncbi.nlm.nih.gov/39159721/ ‘Surgeons’ Emotional Experience of Their Everyday Practice - A Qualitative Study’ – https://pmc.ncbi.nlm.nih.gov/articles/PMC4657990/ ‘Surgeon Burnout and Relationships: A Missing Component in the Ongoing Conversation’ – https://pmc.ncbi.nlm.nih.gov/articles/PMC11803599/ Jim Rohn — https://www.jimrohn.com/ Rachel Hollis — https://msrachelhollis.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

August 3, 2026Episode 37547 min

PRF & Exparel®: The Modern OMS Playbook for Better Healing (with Dr. Anish Gupta)

Platelet-rich fibrin (PRF) has become an increasingly popular tool in oral surgery, but what is the best way to incorporate it into your practice? In this episode, Dr. Grant Stucki welcomes oral and maxillofacial surgeon Dr. Anish Gupta back to the podcast to discuss how PRF can enhance procedures ranging from third molar extraction to ridge preservation, sinus lifts, and bone grafting. Rather than presenting it as a cure-all, Dr. Gupta explains where PRF offers meaningful benefits, from improving soft tissue healing and creating easier-to-handle "sticky bone" to reducing post-operative concerns and simplifying graft placement. He also shares practical advice on implementation, equipment, team training, and protocol development. The conversation concludes with a discussion of liposomal bupivacaine (Exparel®) and its role in supporting opioid-free pain management after surgery. Tune in for practical insights to help refine your surgical workflow and patient care! Key Points From This Episode:= Introduction to platelet-rich fibrin (PRF) and how it differs from platelet-rich plasma (PRP). Using PRF for third molars and extraction sockets. Creating "sticky bone” with PRF to improve graft handling and stability. Where PRF helps most, like soft tissue healing, and why it isn't a cure-all. Dr. Gupta’s PRF approach to third molar extraction and ridge preservation. How PRF reduces post-op concerns. Why patients and staff respond positively to PRF. Incorporating PRF into third molar surgery protocols. Why Dr. Gupta moved away from routine chlorhexidine use. Using StellaLife® alongside PRF to support post-op recovery. Practical tips for implementing PRF in a surgical practice. Emerging PRF applications and future directions. Resources for learning how to implement PRF and training your team. Using Exparel® to support opioid-free pain management. Setting realistic expectations for PRF and Exparel® outcomes. Links Mentioned in Today’s Episode: Dr. Gupta Oral Surgeon | Lyon Dental Implants And Oral Surgery — https://lyondentalimplants.com/dr-gupta Dr. Gupta Email — guptanish@gmail.com StellaLife® VEGA® Oral Care Spearmint Rinse — stellalife.com/products/stellalife-vega-oral-care-sprearmint-rinse Dr. Richard J. Miron, DDS, MSc, PhD - IAOCI — https://www.iaoci.com/iaoci-annual-congress/dr-richard-j-miron-dds-msc-phd/ Exparel® — https://www.exparel.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

July 27, 2026Episode 37438 min

From OMS to Cosmetic Surgery: Finding Success, with Dr. Jon Perenack

What does it take to carve out a career that’s both technically demanding and personally fulfilling? In this episode of Everyday Oral Surgery, Dr. Grant Stucki sits down with Dr. Jon Perenack to discuss the path that led him from oral and maxillofacial surgery training in Canada and Louisiana to building one of the country’s leading facial cosmetic surgery practices. Dr. Perenack talks about the mentors who shaped his career, how unexpected events created new opportunities, and why he ultimately chose to leave academia for private practice. He shares his philosophy on surgical excellence, the importance of continuous learning, and what it takes to build a successful cosmetic practice. Finally, Dr. Perenack explains how creativity, teaching, and family have helped build his life both inside and outside the operating room. Tune in now! Key Points From This Episode: Find out how Dr. Perenack’s training and fellowship led him into facial cosmetic surgery. Hear how Hurricane Katrina unexpectedly changed the course of his career. Dr. Perenack offers advice for OMS residents interested in cosmetic surgery. Explore why facial cosmetic surgery creates a unique patient experience. Discover which habits Dr. Perenack thinks every OMS surgeon should practice. How loupes, ergonomics, and the right equipment can benefit your surgical career. Learn where early-career cosmetic surgeons can gain career experience. He shares how painting and creativity influence life outside the operating room. The one surgical instrument Dr. Perenack says transformed his practice. His advice on family, perspective, and making the most of time with your children. Links Mentioned in Today’s Episode: Dr. Jon Perenack – https://www.drperenack.com/ Dr. Jon Perenack on Instagram – https://www.instagram.com/drjonperenack Dr. Jon Perenack on Facebook – https://www.facebook.com/drjonperenack Before and After Gallery: Dr. Jon Perenack – https://www.drperenack.com/before-after-galleries Williamson Cosmetic Center & Perenack Aesthetic Surgery – https://www.williamsoncosmeticcenter.com/ The LigaSure™ – https://www.medtronic.com/en-us/healthcare-professionals/products/surgical-energy/vessel-sealing/ligasure-technology.html BALANCE ADVANCE Microsurgery Chair – https://www.brumaba.com/operating-chairs/operation-and-microsurgery-chair-balance-advance/ American Association of Oral and Maxillofacial Surgeons (AAOMS) – https://aaoms.org/ The American Academy of Cosmetic Surgery (AACS) – https://cosmeticsurgery.org/ Your Friends & Neighbors – https://www.imdb.com/title/tt30459041/ 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