In this episode I discuss the appropriate timing of a wisdom tooth consult and timing of extractions when they are necessary. I discuss anatomical guidelines and parameters and then go into depth on what my third molar consult is like including a description of the logistics from beginning to end with each team members role.
In this episode we discuss a number of different articles Would You Begin by discussing the use of third molar informed consent videos and how much patience remember after watching the video. We also discuss a rear complication of osteomyelitis following mandibular dental implants that required resection and a free flap reconstruction. We also discuss how accurate pre implant surgical guides produced within office 3D printers are and discovered that they are similar to and just as accurate as lab or manufacturer produced surgical guides. I also the incidence of head and neck cancer in the United States and the use of antibiotics with a Donna genic infections and what is the best choice of antibiotics based on a systematic review of the literature and a meta-analysis analyzing / 16 articles in 2197 Dental infection cases. This is an action-packed episode that you don't want to miss.
This episode discussed the difference between probiotics, synbiotic and prebiotics as well as information on probiotics. I also discuss antibiotic induced Clostridium difficile infections also known as C Diff infections. Remember that the toxin produced by this bacteria is what causes the symptoms and issues with this infection. It can be severe and extreme and require antibiotic therapy to eliminate the infection and if not successful colectomy! This is a great episode and quite informative!
In this episode I will discuss an electronic cavities detector, several new dental codes to be aware of and bill for including HbA1c for diabetes screening. I will discuss a sleep appliance that will allow for the patient to wear orthodontic aligners or Invisalign at the same time. Opioid epidemic will help increase the acceptance of intranasal ketorolac or Sprix as well. There is a new way of buffer local anesthetics chairside that will decrease the time required to have local anesthetic take effect.
In this episode, I discuss a study that compares digital impressions with traditional PVS impression with dental implants. They use an open tray impression technique and compare accuracy. The second article I review is on Intra Operative CT scans with Orbital Fractures. This is a great article showing that in this retrospective analysis they change the management 44% of the time. I also review an article that supports the knowledge and what you probably assumed; taking 3rd molars out on people over the age of 65 has more complications than those between 15-20 years of age.
This weeks episode discusses white patches and their presentation in the oral cavity. We discussed hereditary sources we discussed the who definition of a leukoplakia and frictional chemical and other sources of white patches on the oral mucosa. We discussed the incidence of conversion into a dysplasia or carcinoma in situ or Frank cancer. This review and this podcast episode is directly applicable and useful in your day-to-day practice whether a general dentist a periodontist and oral surgeon or anyone that deals with a routine evaluation and examination of the oral cavity. A brief discussion about the treatment of actinic keratosis as well as lichen planus also ensues. You will not be disappointed!
This week I discussed the success of the Gordon Christensen meeting that was held last Friday and the upcoming February event that is guaranteed to be fantastic. In addition, we discuss in Ultra long-lasting local anesthetic that lasts 36 to 72 hours and the opioid crisis and its impact. I also touch base again and remind everybody about the Omni grip screw and more.
In part 2 of my review of the AAOMS annual meeting highlights, I discuss more anesthetic issues including pediatric tips and suggestions on laryngeal spasm for both how to decrease the incidence and manage the occurrence. We talked about a really good resource at www.asdahome.org to help with pediatric calculations for doses of medications as well as the Igel as a second-generation LMA. There are two cases that were discussed and were excellent learning cases and then the grand finale was an excellent lecture and presentation by a doctor Andrew Kolodny. He discussed the opioid epidemic in the United States and strategies as well as some stunning statistics. You don't want to miss this episode.
This week I start reviewing the AAOMS 2017 annual meeting information. Wednesday was my first day at the meeting and it was a dedicated to Anesthesia update and there was a discussion by a doctor Jeff Bennett by a doctor Bob Bozack that will be discussed on this week's episode. Information was very good very pertinent very accurate and I think I'll get a lot of value out of hearing on with this information is so buckle up and enjoy this week's episode and keep in mind over the next several weeks I'll continue to digest and process and present what I learned at this year's meeting.
In this episode we talk about decreasing PPO reliance and insurance dependence which can often feel like a crack addict looking for the next hit. A dental museum has opening in Nebraska and fluoride varnish has hit a new level in ease of application. I discuss changes in the CDT 2018 and a unique bone grafting option by OsteoGen. Did you know that SQUID INK can and is used in a new test for periodontal disease? Well, ya heard it here first!
In this episode, I discuss 8 ways to reduce dental practice expenses, 3 tips for reputation management, Zest Dental Solutions announcement of their entry in the dental implant market adding to their Locator abutment options. We discuss Loupe options, Color Code options for organization of instruments, Entrainment music which helps patients relax and then six steps to become Chartless in the office.
I purchased a new toy for the office and you may have guessed it is an Epic Laser Pro. This is not your mother's laser and it quite the piece of techno and I discuss the laser and the differences and uses of this machine. It is surprisingly small and lightweight and very useful for surgical applications in dentistry. I also discovered that these lasers can scorch your retina from 15 feet away if you don’t follow the rules and wear the safety glasses!
This week I chat about a robot that performs oral cancer surgery, new and improved intra oral sensors for digital xrays, Custom Healing abutments pre manufactured, the Dry Shield, Sprix, an intranasal toradol helping patients avoid opioid prescriptions and way to avoid bad production months. There is also an interesting discussion about GERD and dentistry.
I start off with a QOD that is quite good if I do say so myself and then we go straight into Part 4 of Beat the Heart Attack Gene by Bale and Doneen. Key tests are discussed and then the top Myths of cholesterol are shattered! You will be surprised by what you thought you knew and what is accurate. I then discuss the life and works of Galen, an early century physician, and surgeon to the Gladiators. This guy has an influence on medicine and surgery for over 1200 years! I then discuss a case of hypertrophic gingival and CO2 laser ablation and crown lengthening and you can see before and after pictures at the interesting cases section online.
This week I discuss new legislation that mandates dentists disclosing what lab they use and the lab to disclose materials and suppliers to increase consumer awareness of potentially harmful products and lead containing metal ect. Ten marketing tips are discussed as well as. Codes for interproximal Phocal disc fluoride application is given as well. We have a nice little chat about Emojis as well.There are some dental fun facts that talk about as well.
Finding the right medication to take for a clinically depressed patient used to be a process of trial and error and could take months to years to find the correct medicine to provide some relief for this condition. Up to 17% of the US population is depressed and Shaun is going to highlight a fantastic new solution for these people. Through genetic testing, CNS Dose can show the correct medication to take to help.
This interview with Shaun Sorenson goes over his company and the process of online review collection. Patients need your help to know where the right place to put an online review is and they must use a unique IP address or Google will crack down on the office. Online data must be coherent and this company will help with that too. Your reputation matters even online.
Scott Oyler, my Nobel Biocare implant rep, and I discuss two of the latest and greatest innovations from Nobel. We discuss the use of the Omni-Grip screw for multiple unit restorations and the indications and precautions with this tech. The Multi Unit Abutment has been updated and we discuss what these updates are and what the advantages are of the MUA plus.
This week is a large collection of helpful hints and interesting dental facts and opinions so enjoy!
The episode tears off a big bite of the book review on Beat the Heart Attack Gene by Bale and Doneen and will not disappoint. There is quite the section on Hormone Replacement Therapy for women that everyone should hear. I then discuss a large oral antral communication that took two attempts at closure. The first attempt was with a simple buccal sliding flap and that quickly broke down and failed. The second successful surgery including using a buccal fat pad flap to advance over the opening. Check out the cool pics!
This week I talk about the chatty patient that just won’t shut up and what to do about it, rhythmic entertainment to help relax and calm anxious dental patients, Digital Shade guide, 9 common reasons for dental LAWSUITS and some dental fun facts.
In this episode, I go into part 2 of the book review by Bale and Doneen and really get into some interesting facts and statistics that will help you understand the risks our patients are at everyday and the risks we have for strokes and heart attacks. Understanding these risks takes us one step closer to reducing those risks. I do have a quote from Winston Churchill for you as well as an interesting case with pictures and all of a C02 laser frenectomy and a great picture showing the gingival stripping and bone loss that a high frenum pull call lead to.
This week in addition to reminding you to have 4 of your friends subscribe to the podcast to get our downloads to over 3000 by September, I go over a case that presented to me on the day that I write this. This gal had a seizure and dislocated her jaw on both sides! Next week I will give you an update as to how the procedure went.Acute Bilateral TMJ Dislocation
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In this episode, I start a new book review that might save your life. Beat the Heart Attack Gene is a really interesting, meaty book about systemic inflammation caused by many different sources including oral sources and how to prevent heart attacks and strokes through a scientific comprehensive approach. This is a must read for all Americans. I discuss and interesting article about surgical site infections with jaw surgery and come away with actionable points to help prevent those. The interesting case shows a cool radiograph of an impacted #20 that destroyed #19 and the challenge of that extraction.
dentistbraincandy.com/dentistinventory
In this episode I start off with a wise quote from Dr. Suess and move quickly into a reminder that Gordon Christensen is coming to Spokane Oct 27, 2017. The final part of Meetings Suck by Cameron Herold is done hopefully giving you the tools to make sure your meetings do not suck. I met this nice fella through the emergency room from an ATV accident who sustained a right mandible fracture and right zygoma fracture as well as an ear laceration. The ear laceration was repaired by the emergency room and I noted that after the sutures were removed and the head wrap was removed that there was a hematoma. I proceeded to evacuate the hematoma and the patient did well with all of his injuries post operatively.