As an oral surgeon, all aspects of a patient’s medical status and history have to be taken into account. In this episode, we welcome Dr. Andrew Jenzer back to the show to discuss relevant psychological and neurological conditions and the medications used to treat them. Tuning in, you’ll hear an amazing description of some common neurological terms, a breakdown of different mood disorders, perioperative considerations for anti-depressant medications, how headaches differ, and the dangers of serotonin syndrome and neuroleptic malignant syndrome. We also delve into how Andrew handles his patient’s anti-depressant medication routines before discussing seizures, epilepsy, conversion disorder, and the importance of asking as many questions about these disorders as possible as an oral surgeon. To hear all this and even find out how to join the American College of Oral Maxillofacial Surgeons, press play now!

Key Points From This Episode:

• ACOMS and the CT Read and MR Read courses.
• Reviewing and defining some neurological terms that people often get confused about.
• A breakdown of different types of headaches and their differences.
• Mood disorders, symptoms of them, and their treatment.
• Perioperative considerations with common anti-depressant medications.
• Serotonin syndrome, the problematic side effects of it, and how it’s treated.
• What neuroleptic malignant syndrome is and why it’s so dangerous.
• Why Andrew doesn’t interfere with the regular anti-depressant medication routine of patients.
• A breakdown of different kinds of epileptic seizures and their treatment.
• What medications to avoid for seizure patients and what conversion disorder is.
• Andrew’s respect for mental health professionals.
• The best movie Andrew has watched recently and his favorite books.

Links Mentioned in Today’s Episode:

Dr. Andrew Jenzer Email — andre w.jenzer@gmail.com

Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer

American College of Oral and Maxillofacial Surgeons — https://www.acoms.org/

CT Read Course — https://www.mrread.ca/courses/ctread-facial-bones

MR Read Course — https://www.mrread.ca/courses/MRRead
Teeth & Titanium on Apple Podcasts — https://podcasts.apple.com/ca/podcast/teeth-titanium/id1514989809

David Goggins — https://davidgoggins.com/

Dune: Part 2 — https://www.dunemovie.net/

The Wheel of Time — https://www.amazon.com/dp/B07F7MLR2R

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

Allergic reactions are as nuanced as they are subjective – there are no blanket treatments for anaphylaxis, and each case needs to be observed in isolation. Today we are joined by the Dental Anesthesiologist, Jonathan Bacon, DDS, to walk us through everything we need to know about anaphylaxis diagnoses and treatments when under anesthesia. After learning more about Dr. Jon, we discover what anaphylaxis is (with a more accurate definition from the World Allergy Organization), what causes it, how to identify it, and how to treat it. We discuss the right dosages for anaphylactic treatments, the factors that affect the severity of attacks, comorbidities and triggers to be aware of, and the relationship between hypertension and anaphylaxis. We end with a deeper examination of anaphylaxis treatment options, how to administer them, and the importance of educating patients to ensure that they know how to deal with anaphylactic attacks at home.

Key Points From This Episode:

• Dr. Jon Bacon’s professional history and current practice setup.
• What anaphylaxis is and how we deal with it as healthcare providers.
• The main causes, signs, and symptoms of anaphylaxis.
• Assessing the right dosage for anaphylactic treatments.
• Age and other factors that affect the severity of an anaphylactic attack.
• A more accurate definition of anaphylaxis, as proposed by the World Allergy Organization.
• How Dr. Jon handles patients who develop hypertension while under anesthesia.
• Comorbidities and triggers to be aware of during anaphylactic episodes.
• How the type of allergy influences the anaphylactic attack and the required treatment.
• What we’re looking for from a clinical presentation.
• How to decipher between isolated hypertension and anaphylactic-induced hypertension.
• Exploring what happens after an anaphylaxis diagnosis; how to treat it.
• Mountains Beyond Mountains, Unbroken, painting, Severance, and Top Gun.

Links Mentioned in Today’s Episode:

Dr. Jon Bacon Email — jpbacondds@gmail.com

Just Wisdom Teeth — justwisdomteethdc.com/

World Allergy Organization — worldallergy.org/

‘Perioperative anaphylaxis – management and outcomes in NAP6’ — bjanaesthesia.org.uk/article/S0007-0912(18)30401-X/fulltext

Severance — tv.apple.com/us/show/severance/umc.cmc.1srk2goyh2q2zdxcx605w8vtx

Top Gun: Maverick — https://www.imdb.com/title/tt1745960/

KLS Martin — klsmartin.com/en/

KLS Martin 35% Discount Code — StuckiFavs

Dr. Stucki’s KLS Martin Instrument List & Instruction Video — klsmartin.com/dr-stucki-instruments

Everyday Oral Surgery Website — everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

Frequently encountered in maxillofacial trauma patients, zygomatic fractures are probably the most common mid-face fracture after a broken nose, so it’s important that you know how to manage them! Joining us today to share some effective strategies is Dr. Aaron Liddell, an oral maxillofacial surgeon at Colorado Oral Surgery and a returning guest to the show. Utilizing a multidisciplinary approach, Dr. Liddell provides facial reconstructive treatment in the Denver metropolitan area, is a consultant surgeon to the Denver Nuggets basketball team, and also serves as faculty for the craniomaxillofacial (CMF) section of AO North America. In today’s episode, Dr. Liddell presents a comprehensive overview of zygomatic complex (ZMC) fractures, how to approach clinical assessment, what primary triage looks like, and optimal surgical or non-surgical treatments following evaluation. We also touch on some helpful tips for communicating frankly with patients about surgical risks and expectations, common post-operative issues, and much more, so be sure not to miss this highly informative conversation!

Key Points From This Episode:

• How zygomatic complex (ZMC) fractures typically occur and how to diagnose them.
• What a thorough clinical or ophthalmologic assessment of a ZMC fracture entails.
• OCS and entrapment: two instances that constitute true ophthalmological emergencies.
• Radiographic evaluation of a ZMC fracture and why CT scans are most common.
• Surgical and non-surgical interventions (and how to know which one to choose).
• The importance of speaking openly with patients about surgical risks and expectations.
• Tips for communicating with patients who are upset about their cosmetic appearance.
• Insight into the coronal approach to zygomatic arch fractures and how rare it is.
• Why Dr. Liddell recommends starting with the simplest incision first.
• A look at some of his preferred types and sizes of plates and screws.
• The most common long-term post-operative issues that patients encounter.
• Reasons to be selective when it comes to surgical management of ZMC fractures.
• Training and fellowships that can benefit those interested in facial trauma.

Links Mentioned in Today’s Episode:

Dr. Aaron Liddell — coloradooralsurgery.com/meet-us/dr-aaron-t-liddell-md-dmd-facs

Dr. Aaron Liddell on LinkedIn — linkedin.com/in/aaronliddell

Dr. Aaron Liddell Email — aaronliddell@gmail.com

AO Foundation North America — aofoundation.org/aona

AO CMF NA Course: Management of Facial Trauma — events.aona.org/event/eventdetailresp/9880

Speechify — speechify.com

Everyday Oral Surgery Website — everydayoralsurgery.com

Everyday Oral Surgery on Instagram — instagram.com/everydayoralsurgery

Everyday Oral Surgery on Facebook — facebook.com/EverydayOralSurgery

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059