As cannabis use becomes more widespread, its effects on oral surgery are becoming increasingly evident, but what does this mean for oral surgeons? In this episode of Everyday Oral Surgery, Dr. Grant Stucki welcomes back Dr. Robert John, an oral and maxillofacial surgeon from Troy, Michigan, to discuss the implications of cannabis use in oral surgery. Dr. John shares insights from a recent discussion with dentists in Michigan, where legalized marijuana has led to notable complications in dental procedures. Together, they unpack the risks associated with sedation, increased bleeding, dry mouth, and post-surgical healing difficulties. They also explore strategies for screening patients, adjusting sedation protocols, and educating individuals about the oral health risks of cannabis use. Join Dr. Stucki and Dr. John to discover practical strategies and expert insights to help you navigate the evolving landscape of oral surgery in the age of cannabis legalization. Tune in now!

Key Points From This Episode:

• Discover how cannabis causes issues with sedation during oral surgery.
• Find out why cannabis users experience more bleeding during surgery.
• Uncover the link between cannabis use and dry mouth, and why it matters.
• Thrush and fungal infections associated with patients who use cannabis regularly.
• Explore how cannabis use can affect healing and post-operation recovery.
• Learn the signs and signals of patients who are under the influence of cannabis.
• How Dr. John has adapted his protocols and surgical approach for cannabis users.
• Hear why understanding the complications caused by cannabis use is important.
• Why it is advised that patients avoid any cannabis use before a consultation.
• Recommendations on how to educate patients about the risks of cannabis use.
• Dr. John explains why the dental community needs to advocate for policy changes.
• The prevalence of cannabis use among teenagers and why it is a problem.

Links Mentioned in Today’s Episode:

Dr. Robert John — https://www.troyoralsurgery.com/

Dr. Robert John Email — info@troyoralsurgery.com

Dr. Robert John Phone — (248) 665-8769

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

Many oral surgeons overlook perfecting the task of local anesthesia or don’t give it our full attention and in this episode of Everyay Oral Surgery, we are going to share some tips to help you leverage it properly! Dr. Dean DeLuke joins us today to walk through all things local anesthesia. In this conversation, we discuss anesthesia for a full maxillary extraction case, our guest’s thoughts on topical anesthetics, using local anesthetic on pregnant patients, and so much more! We delve into the nuances of allergy testing before talking about the ‘maximum doses’ of these medications. Dr. DeLuke goes on to share what he does to assist patients who do not respond well to anesthesia, how anti-depressant medications contraindicate with anesthesia, and minimizing pain for patients. He even tells us about the benefits of buffering! Finally, Dr. DeLuke shares his recommended books, TV shows, and his perception of writing. Thanks for tuning in!

Key Points From This Episode:

• Welcoming Dr. Dean DeLuke to the show.
• How to anesthetize a full maxillary extraction case.
• Dr. DeLuke shares his thoughts on topical anesthetics.
• Using local anesthetic on pregnant patients.
• Two new products and the advantages of them.
• The nuances of allergy testing.
• How to know what the safest ‘maximum dose’ is of these drugs.
• Dr. DeLuke shares how he helps patients who do not get numb.
• Contraindications with anti-depressant drugs.
• How to minimize pain for patients.
• What buffering is and the advantages of utilizing it.
• Dr. DeLuke’s favorite books, TV shows, and his feelings about writing.

Links Mentioned in Today’s Episode:

Dr. Dean DeLuke on LinkedIn — https://www.linkedin.com/in/dean-deluke-631b1b19/

Dr. Dean DeLuke Email Address — dmdeluke@vcu.edu

The Real Doctor Will See You Shortly — https://www.amazon.com/Real-Doctor-Will-See-Shortly/dp/0804138672

Die With Zero — https://www.amazon.com/Die-Zero-Getting-Your-Money/dp/0358099765

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

We’re back with more exciting case reviews filled with many valuable lessons and this time, we explore cases that almost ended in disaster for the doctors involved. We are joined again by Oral and Maxillofacial Surgeon Dr. David Salomon – currently practicing at Yale New Haven Hospital, Connecticut – who begins by sharing his thoughts on our first case in review involving an accidental violation of the Hippocratic Oath. Then, we discuss a patient with hypertension who seized mid-operation, why leading with empathy is the foundation for avoiding possible lawsuits, the role of vulnerability between doctors and patients, and how two wrongs never make a right. We end with an extraction gone wrong for an 18-year-old high school softball player, communication and other referral problems that exist across the industry, fail-safes to improve referral protocols, how to address minor patients who feel they’ve been wronged, and why we need to implement more timeouts as standard practice. As a bonus final act, doctors Salomon and Stucki reminisce on when Dr. Salomon saved Dr. Stucki’s life.

Key Points From This Episode:

• An unfortunate and accidental breach of privacy.
• The best practices for doctors engaging with patients online, especially on public platforms.
• Unpacking the malpractice case of a patient who had a seizure on the operating table.
• How to make amends when things go wrong, and the importance of leading with empathy.
• Why vulnerability matters, and how to avoid adding fuel to the fire.
• How a wrongful extraction highlights some of the key issues doctors face with referrals.
• What practitioners can do to ensure referrals receive the same care as self-referrals.
• The ins and outs of timeouts and their undeniable importance.
• How Dr. Salomon intervened in Dr. Stucki’s near-fatal encounter!

Links Mentioned in Today’s Episode:

Dr. David Salomon on LinkedIn — https://www.linkedin.com/in/david-salomon-b8ab1431/

Yale New Haven Hospital — https://www.ynhh.org/

Coastal Connecticut — https://www.coastalctoms.com/

Risk Tips Archive | MedPro Dental — https://oms.medprodental.com/category/risk-tips

Dr. Ira Satinover on Healthgrades — https://www.healthgrades.com/physician/dr-ira-satinover-y8hpw

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