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Dentist Brain Candy

The podcast is designed for the dentist who likes to learn and improve their practice. The information and content delivered is designed to help the restorative dentist move their practice forward. Each week we start off with an quote that gets the metal gears turning, a book review which will be digested for the listener over a series of episodes pulling out relevant material and applying it to the dental practice. Next an article will be reviewed from the literature and available for download. The show will close with an interesting case that I have come across. Pictures and radiographs, when appropriate will be on the website to review as well. The benefits include having a virtual dental buddy that you can listen to and “hang out with” and talk shop and grow your experience, knowledge and enthusiasm for our profession.
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Now displaying: 2022
Sep 12, 2022

Is it better to use patient-specific implants in orbital reconstruction? Or should you use preformed titanium mesh?

Which method is more accurate in terms of oral volume reconstruction? And which method boasts fewer complications?

On this episode of Dentist Brian Candy, I share the findings of a recent study comparing preformed versus patient-specific implants to address orbital trauma and explain what kind of implants I use for mild, moderately complex and complex fractures.

I go on to discuss another study in the Journal of Oral and Maxillofacial Surgery comparing the frequencies, types and hospital admission rates of head and neck injuries in subjects who practice different forms of martial arts.

Listen in for insight around the CAD/CAM technologies I am adding to my repertoire for complex reconstructions and find out why Liberty Oral Surgery is switching to TiUltra implants.

Key Takeaways

Why Liberty Oral Surgery is switching to Nobel Biocare TiUltra implants

The findings of a recent study published in JOMS comparing preformed vs. patient-specific implants for orbital reconstruction

How CAD/CAM technologies are used to make patient-specific implants

Why I use porous polyethylene implants impregnated with titanium for mild to moderately complex reconstruction

My plans to add CAD/CAM tech to my repertoire for more complex fractures

The frequencies, types and hospital admission rates of head and neck injuries in subjects who practice different martial arts fighting styles

How taekwondo was more likely to lead to a head injury while jujitsu and judo were more likely to cause neck injuries

Why judo injuries were more likely to result in hospital admission

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

Liberty Oral Surgery on Eventbrite

Nobel Biocare TiUltra Implants

‘Do Patient-Specific Implants Decrease Complications and Increase Orbital Volume Reconstruction Accuracy in Primary Orbital Fracture Reconstruction?’ in the Journal of Oral and Maxillofacial Surgery

FIsher Exact Test

Peak Dental Technologies

‘A Comparison of 2,845 Head and Neck Injuries in Various Martial Arts’ in the Journal of Oral and Maxillofacial Surgery

National Electronic Injury Surveillance System

Sep 5, 2022

Administering anesthesia prior to a dental procedure is bound to cause patients some pain and anxiety.

But does the delivery system make a difference?

Do patients experience more or less discomfort when the practitioner uses a computer-assisted device as opposed to traditional anesthesia?

On this episode of Dentist Brian Candy, I walk you through a recent study published in the Journal of Oral and Maxillofacial Surgery comparing computerized delivery systems with conventional local anesthesia.

I share the study’s findings that less pain and anxiety is associated with computerized techniques but raise questions about the statistical significance of pain score differences between the two methods.

Listen in to understand how the location and speed of injection impact pain scores and find out why I’m not investing in a computer-assisted anesthetic delivery system anytime soon.

Key Takeaways

How a recent study in JOMS compared computerized delivery systems with traditional local anesthesia

The study’s finding that less pain and anxiety was associated with computerized techniques

Why the authors urge caution in interpreting the results of this study

How the location of a local anesthetic impacts the amount of pain a patient feels

How the speed of injection differs between computer-assisted devices vs. conventional injections (and how that might affect pain scores)

How long I typically take to administer a local anesthetic

The study’s conclusion that conventional anesthesia is widely used, safe and effective

Why the authors of the study do not recommend the purchase of computerized anesthesia devices based on their meta-analysis

Why I question the statistical significance of pain score differences between conventional and computer-assisted anesthesia

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

‘Do Computerized Delivery Systems Promote Less Pain and Anxiety Compared to Traditional Local Anesthetic and Dental Procedures? A Systematic Review of the Literature’ in the Journal of Oral and Maxillofacial Surgery

 

May 30, 2022
In the last couple of weeks, I’ve seen multiple cases of dental implant failure, all of which were entirely preventable.

So, what’s behind these failures?

What can we do to identify and treat implant failures? And prevent similar problems moving forward?

On this episode of Dentist Brian Candy, I share several cases of implant failure that have come through my office recently, explaining how dental labs are compromising the health of patients in the interest of price savings.

I discuss why It's problematic to use non-authentic components in dental implants and challenge restorative dentists to insist that laboratories use authentic parts.

Listen in for insight on identifying open contacts and occlusal overload and learn to address these issues before they lead to catastrophic bone loss and implant failure in the patients you serve.

Key Takeaways

The many cases of implant failure I’m seeing that were entirely preventable

How dental labs are compromising the health of patients in the interest of price savings

Why it’s problematic for dental labs to use non-authentic components in implants

How to identify and address cases where off-market products have been used in dental implants

My challenge to restorative dentists to insist that laboratories use authentic parts

How open contacts lead to bone loss and implant failure

My patient experiencing catastrophic bone loss and implant failure due to occlusal overload (and how it could have been avoided)

What ideal occlusal contact with implant-supported restorations looks like

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

FDA 510(k) Clearances

Atlantis

Cutting Edge Dental Implant Symposium

May 23, 2022

‘There is no such thing as a good memory or a bad memory.

There's only a trained memory and an untrained memory.’

—Jim Kwik

The brain acts like a muscle: If you don’t use it, you lose it. But the rote memorization most of us were taught is not the best way to learn and remember information for the long term.

So, what can we do to unlimit our memories? And how does having a trained memory serve us as dental professionals?

On this episode of Dentist Brian Candy, I discuss chapter 13 of Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life, sharing Jim Kwik’s strategies for making presentations without notes and remembering names.

I also cover an article from the Journal of Oral and Maxillofacial Surgery around online reviews, exploring why Yelp and Healthgrades ratings don’t necessarily correlate with clinical quality and what you can do to earn high online ratings and positive reviews.

Listen in for insight on using visualization, association and emotion to improve your memory and train your brain to retain important information—and make your memory limitless!

Key Takeaways

Why online ratings are not necessarily predictive of clinical quality

The flaws in the JOMS study re: online ratings and reviews

My advice on building systems to earn high online ratings and positive reviews

Why most people have less than ideal memory skills

How there’s no such thing as a ‘bad’ memory, only an untrained one

5 reasons why it’s essential to improve your memory

Jim Kwik’s MOM approach to boosting your memory instantly

How to use visualization, association, emotion and location to improve your memory

Jim Kwik’s strategy for making a presentation without notes

Jim Kwik’s BE SUAVE technique for remembering people’s names

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

Cutting Edge Dental Implant Symposium

‘Do Practice Characteristics Influence Online Ratings of Oral and Maxillofacial Surgeons’ in the Journal of Oral and Maxillofacial Surgery

Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life by Jim Kwik

Jim Kwik’s Memory Training Videos

Yelp

Healthgrades

RateMDs

Vitals

May 2, 2022

On this episode of Dentist Brain Candy, we continue our discussion of the book, Limitless by Jim Kwik. Today I'm discussing Part IV: Limitless Methods. Chapter 11 of the book is devoted to the discussion of focus. We all have so many things competing for our attention; it can cause anxiety and, worse yet, loss of focus, leaving us scattered and in a place where we accomplish less.

I walk you through Dr. Andrew Weil's method for breathing to recenter yourself. Then we'll look at your to-do list, and how you might use some anti-procrastination tools to complete a task you’ve been putting off so you can move into a more productive flow.

We'll also talk about Chapter 12, which is about studying. Jim Kwik teaches that the most successful people are lifelong learners. Listen in as I walk you through seven of Jim's simple habits to unlimit your studies, including how you can use Baroque music for better concentration when memorizing facts or for reading retention.  

I also cover two thought-provoking articles from the October 2021 Journal of Oral and Maxillofacial Surgery. The first one, by Roberto Pippi, MD, DDS, is about Tooth and root extractions as trigger factors for medication-related osteonecrosis of the jaw (MRONJ).

The second article looks at changes in the emergency patient volume and reasons for presentation during the COVID-19 pandemic.

Key Takeaways

How to use breathing exercises to refocus yourself

How doing the thing you've been procrastinating can help you increase your focus on other tasks

How to minimize distractions by building time in your schedule to manage them

Why the cramming method of studying impedes learning due to the sleep deprivation factor it creates

How to use rosemary and peppermint to improve memory and concentration when you study

Why Baroque music helps create the brain state needed for deep concentration

How using the acronym H. E. A. R.— halt, empathy, anticipate, review —can help you listen better

Why taking notes by hand offers the most benefits for processing the material your studying

How to avoid an increased risk of MRONJ without doing primary closure

How the COVID19 shutdown led to fewer visits to hospitals and clinics

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

June 10 Event: Cutting Edge Dental Implant Update

October 21 Event: CPR/OSHA/HIPAA

Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life by Jim Quick

The 4-7-8 (or Relaxing Breath) Exercise by Dr. Weil

What is the Risk of Developing Medication-Related Osteonecrosis in Patients with Extraction Sockets Left to Heal by Secondary Intention? A Retrospective Case Series Study by Roberto Pippi, MD, DDS, et al in the Journal of Oral and Maxillofacial Surgery

Changes in Emergency Patient Presentation to a Maxillofacial Surgery Department During the COVID-19 Pandemic by Roberto Pippi, MD, DDS, et al in the Journal of Oral and Maxillofacial Surgery    

Apr 25, 2022

On this episode of Dentist Brain Candy, I cover two thought-provoking articles from the October 2021 edition of the Journal of Oral and Maxillofacial Surgery. The first one, by Jeffrey C. Posnick, DMD, MD, discusses in depth the milestone contributions of notable surgeons and orthodontist pioneers in orthognathic surgery (OGS).

This article discusses the history of innovative care solutions for treating jaw deformities and how they’ve led to new treatment options, including the impact of technology in dramatically reducing the barriers to treatment.

I also discuss an article by Jordan S. Elmowitz, DMD  et al. that shares the findings from a study of the current pharmacological and non-pharmacological methods of postoperative pain control following oral and maxillofacial surgery. The study included surgery patients undergoing the extraction of third molars and the use and effectiveness of rescue analgesics.

Listen in to learn about my treatment plan to reduce narcotic prescriptions while making my patients more comfortable.

Key Takeaways

How 3 dental surgeons: Hugo Obwegeser, William Bell, and Hans Luhr pioneered orthognathic surgery

How orthodontists Edward Angle, William Proffit, and Lawrence Andrews changed jaw reconstruction

Why only 1 in 20 of the 5% of people with a significant jaw deformity undergo surgical correction

How simulation-based training is creating better jaw surgery outcomes

The role of insurance-based barriers in the correction of dental-facial deformities

How COX-2 inhibitors provide greater analgesic effects when compared to NSAIDs

How I use Bupivacaine to reduce narcotic prescriptions while making my patients more comfortable

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

June 10 Event

Exparel Master Class

Orthognathic Surgery: Past – Present – Future by Jeffrey C. Posnick, DMD, MD. in the Journal of Oral and Maxillofacial Surgery 

Pharmacological and Non-Pharmacological Methods of Postoperative Pain Control Following Oral and Maxillofacial Surgery: A Scoping Review by Jordan S. Elmowitz, DMD and Raymond P. Shupak, DMD, MD, MBE in the Journal of Oral and Maxillofacial Surgery 

Apr 18, 2022

To do our best work as oral surgeons, it's important to keep our brains functioning at an optimal level. But what actionable steps can we take to improve our brain health?

On this episode of Dentist Brian Candy, I discuss chapters 8, 9 and 10 of Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life, sharing Jim Kwik's top ten strategies for energizing your brain.

I explain what superfoods we need for optimal cognitive ability, how exercise enhances brain function and why it's crucial to get quality sleep.

Listen in for insight on the concept of Kaizen (how small steps lead to big change) and learn how to get into a state of flow—the key to peak performance.

Key Takeaways

What superfoods and nutrients we need for optimal cognitive ability

The direct correlation between exercise and brain function

How to eliminate the automatic negative thoughts (ANTs) that limit you

The role a clean environment and positive peer group play in improving the way we think

How continuous learning and stress management impact brain health

Why it's crucial to get quality sleep at the right time

My top strategies for giving your mind a break via meditation and enhanced sleep

The concept of Kaizen and how small, consistent steps lead to big change

What it feels like to be in flow and how to get into a flow state

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life by Jim Kwik

Liberty Oral Surgery on Eventbrite

Jet Virtual Consults

Mahogany Chocolates

Jim Rohn

Life Force: How New Breakthroughs in Precision Medicine Can Transform the Quality of Your Life & Those You Love by Tony Robbins, Peter H. Diamandis and Robert Hariri

NuCalm

ChiliPad

  1. Edwards Deming

Marketing Dentistry Kaizen Style: Small Steps to Big Profits by Dr. Bryan McLelland

Flow: The Psychology of Optimal Experience by Mihaly Csikszentmihalyi

Flow Research Collective

The Rise of Superman: Decoding the Science of Ultimate Human Performance by Steven Kotler

Apr 11, 2022

Since the beginning of the Covid-19 pandemic, we’ve seen society adapt to virtual settings for nearly everything. 

Of course, there will always be a debate on if virtual environments are better or worse for working, socializing, or even grocery shopping, but how does a virtual society interview medical students? Better yet, how can medical students truly vet the programs they’re applying for without seeing them in person?

On this episode of Dentist Brain Candy, I discuss a few more interesting studies from the February 2022 edition of the Journal of Oral and Maxillofacial Surgery. First, a study written by Kai Codner explores the way that Covid-19 has introduced virtual interviews for new surgical residents and the pros and cons of both virtual and in-person interview programs. 

The second article, written by Catherine Haviland, expands on this same topic and finds that virtual externship programs may have more benefits than an in-person internship program. 

Listen in as I continue sharing a few chapters of the book Limitless by Jim Kwik. In these chapters, we uncover helpful tips for goal setting and a list of the ten best foods for your brain. 

Key Takeaways  

The findings of a study on how Covid-19 changed the interview process for new surgical residents by introducing virtual interviews

My thoughts on how to expand the residency interview process so applicants can avoid unnecessary travel, but also get an accurate sense of the program’s culture virtually

Why a recent study found that virtual externship programs may have more benefits than an in-person internship program

Why our purpose for action must be clear in order to generate significant energy

How to set SMART goals: specific, measurable, actionable, realistic, and time-based

How to make your goals fit with your emotions by setting HEART goals: healthy, enduring, alluring, relevant, and truth

How passion differs from purpose and where to find both

Jim Kwik’s list of ten most powerful brain foods

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

June 10 Event

What Are the Lessons Learned From the Virtual Interview Process for Oral and Maxillofacial Surgery Residency Programs Affected by COVID-19 by Kai Codner

Virtual Externship Programs Can Serve as a Viable Alternative to In-Person Externship Experiences in Oral and Maxillofacial Surgery by Catherine Haviland

Start With Why: How Great Leaders Inspire Everyone to Take Action by Simon Sinek

Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life by Jim Quick

Mar 21, 2022

Are you struggling with news overload

Information about topics like COVID, politics, and war flood our feeds and inboxes, but not everything that is being communicated to us is the truth. That is why being able to think for ourselves is such a critical skill. 

So, how can we get better at detecting “BS”?

On this episode of Dentist Brain Candy, I cover two thought-provoking articles from the February 2022 edition of the Journal of Oral and Maxillofacial Surgery. The first one by Jeffrey C. Posnick, DMD, MD looks at what is needed to separate fact from fiction in this age of information overload. I think you will find this article both timely and helpful.

I also discuss an article by Cameron Lee et al. that shares the findings from a study on the relationship between serum albumin and adverse outcomes in patients undergoing operative repair of maxillofacial fractures.   

I also continue our discussion of the book, Limitless by Jim Kwik. Today I’m discussing Chapter 6: “The 7 Lies of Learning.” In this chapter, Kwik talks about what makes up intelligence and how the idea of fixed intelligence is a lie. Listen for more.

Key Takeaways  

How to tell if your “BS” detector is getting rusty

Why being able to think for yourself is crucial in our information-overloaded culture 

How a lack of knowledge can affect a clinician's actions and reactions 

Which patients are most likely to have extended hospital stays after maxillofacial trauma repair
How nutrition optimization can improve maxillofacial trauma repair outcomes
Why a growth mindset is essential for developing intelligence

Why knowledge without application is hollow
The truth behind the myth that genius is born

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

June 10 Event

Liberty Hair Restoration Center

Dr. Bryan McLelland Hair Transplant Results

Journal of Oral and Maxillofacial Surgery Issue 2 February 2022

Is Your “BS” Detector Getting Rusty 

Is Preoperative Serum Albumin Predictive of Adverse Surgical Outcomes in Maxillofacial Fracture Repair?

Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life by Jim Quick

Mar 14, 2022

It’s been proven that both positive and negative thinking have effects on our mental, emotional, and physical health.

It can be hard to be the cheerleaders in our own lives, but it’s true that positive emotions broaden our attention and thinking, seed human flourishing, and trigger upward spirals towards greater well-being.

The book Limitless by Jim Kwik is all about “limiting beliefs” and how they might be holding us back from achieving our biggest dreams. 

On this episode of Dentist Brain Candy, I dive into the Limitless book and discuss the article Robotic Assisted Drilling Systems and Prosthetically-Driven Implant Rehabilitation: The Present and Future? Robotic assisted drilling systems (RADS) are cutting-edge and very interesting. I share my thoughts on how they could create breakthroughs in dental surgery and also cause potential complications. 

I also cover a 2021 study on if platelet-rich fibrin (PRF) prevents hemorrhagic complications after dental extractions on anticoagulated patients.

Listen in to learn more on how PRF and RADS are being studied, as well as why it is so important to minimize our “limiting beliefs” and prioritize positive self-talk.

Key Takeaways  

The details of a study on PRF preventing hemorrhagic complications, as the number of dental extractions and minor surgical procedures has increased significantly in anticoagulated patients.

Why I use extractions and local measure for anticoagulated patients, rather than PRF or Thrombin Topical

How robotic assisted drilling systems (RADS) work and how they may shift oral maxillofacial surgeries in the near future

The background of Jim Kwik’s book, Limitless, and the key to unlearning limiting beliefs and false assumptions

Why negative self-talk is harmful and how both positive and negative thinking have been proven to impact health

Jim Kwik’s four different types of genius and how they show up in our lives

Jim Kwik’s three keys for minimizing limiting beliefs

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

June 10th Event

Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life by Jim Quick

Life Force: How New Breakthroughs in Precision Medicine Can Transform the Quality of Your Life & Those You Love by Tony Robbins

Does Platelet-Rich Fibrin Prevent Hemorrhagic Complications After Dental Extractions in Patients Using Oral Anticoagulant Therapy? in the Journal of Oral and Maxillofacial Surgery

Robotic Assisted Drilling Systems and Prosthetically-Driven Implant Rehabilitation: The Present and Future? in the Journal of Oral and Maxillofacial Surgery

Mar 7, 2022

On this episode of Dentist Brain Candy, I cover two articles from the Journal of Oral and Maxillofacial Surgery on the treatment of osteonecrosis of the jaw (ONJ). The first one delves into a new treatment option for medication-related osteonecrosis of the jaw while the second one explores the risk factors involved in recurrence and treatment outcomes.  Plus, I also share what I’ve found to be helpful for patients who present with dizziness when taking Pentoxifylline.

I also share a useful article from the Journal of Oral and Maxillofacial Surgery about inflammatory complications from the management of mandible fractures and if there is a difference in occurrence based on whether the procedure was performed in an outpatient vs. inpatient setting.

And finally, the last article I discuss delves into the outcome of weekend vs. weekday treatment in odontogenic infection severity.

Listen, as I also continue our discussion of the book, Limitless by Jim Kwik and a closer look at how multitasking stunts growth. 

Key Takeaways  

Postoperative inflammatory complications in inpatient vs. outpatient treatment of mandible fractures

Encouraging results in the treatment of osteonecrosis of the jaw 

Treating osteonecrosis of the jaw in patients who do not tolerate Pentoxifylline 

How a dosing adjustment might lead to Pentoxifylline tolerance

Why the treatment of medication-related osteonecrosis is so challenging for surgeons

The outcome of weekend vs. weekday treatment in odontogenic infection severity

Forgetting what you already know is the key to learning something new
Why using the FAST method will help you learn faster

How tuning out helps you engage in deeper learning

How your negative thoughts affect your ability to learn 

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

Email info@libertysurgerycenter.com 

‘Is Outpatient Management of Mandibular Fractures Associated with Inflammatory Complications?’ in the Journal of Oral and Maxillofacial Surgery

‘Cilostazol and Tocopherol in the Management of Medication-Related Osteonecrosis of the Jaw: New Insights From a Case Report’ in the Journal of Oral and Maxillofacial Surgery 

‘Recurrence-Related Factors of Medication-Related Osteonecrosis of the Jaw: A Five-Year Experience’ in the Journal of Oral and Maxillofacial Surgery 

‘Is Weekend Presentation Associated With Odontogenic Infection Severity?’ in the Journal of Oral and Maxillofacial Surgery 

Feb 28, 2022

I love my work as an oral and maxillofacial surgeon and have no plans to retire anytime soon. 

But there’s something freeing about having the option to go into work on Monday—or not. And that’s why I’m an advocate for building wealth with cashflowing real estate. 

So, what does it look like to invest in a multifamily deal? How do experienced operators like my friend Chris Salazar add value to a property and earn significant returns for investors? 

Chris is Founder and CEO of Archstone Capital Partners, and he’s back on Dentist Brain Candy to break down an investment we did together, a 52-unit multifamily property in Davenport, Iowa.

Chris explains how he found and negotiated the deal on The Row at 35th, describing why the community was a good fit for his value-add program and how renovating the units is attracting his target tenants.

Chris walks us through the projected returns for investors in The Row, discussing how his team will have created $1M in equity in the deal once it’s stabilized.

Listen in to understand the exit strategies Chris has in mind for The Row and learn how YOU can benefit from partnering with a full-time real estate investor like Chris!

Key Takeaways  

How Chris found and negotiated the deal on The Row at 35th

The benefit of partnering with a full-time real estate investor like Chris

Why The Row was a good fit for Chris’ complete value-add program

How renovating the units at The Row is attracting tenants who respect the property and pay on time

The mix of townhomes and apartments at The Row and why there’s less turnover/vacancy at the community

The projected returns for a $100K investment in The Row

How Chris’ team will have created $1M in equity in the deal once it’s stabilized

The potential exit strategies Chris has in mind for The Row 

How a 1031 Exchange allows investors defer taxes on capital gains

How having in-house construction and property management teams benefits Chris’ investors 

Connect with Chris Salazar

Archstone Capital Partners 

Arsenal Capital Partners 

Email csalazar@archstonecp.com 

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

The Row at 35th

Archstone Before Photos

Archstone After Photos

Feb 21, 2022
Maxillomandibular advancement (MMA) surgery is highly effective in curing moderate to severe obstructive sleep apnea (OSA). But how does that surgery impact a patient’s facial profile?

Are we inadvertently beating people with an ugly stick in the name of better breathing?

On this episode of Dentist Brain Candy, I cover two thought-provoking articles from recent editions of the Journal of Oral and Maxillofacial Surgery, sharing the findings from a study on the impact of MMA surgery for OSA on facial profile esthetics.

I also discuss a paper identifying the trends in work relative value units (or RVUs) among oral and maxillofacial surgeons participating in Medicare from 2013 to 2017.

Listen in to understand why I find the RVU system so frustrating and learn why the free market is a far better way of determining reimbursement rates for a given dental procedure.

Key Takeaways

How the physician fee schedule based on relative value units or RVUs came to be

Why I find the RVU system incredibly frustrating and offensive

Why so few maxillofacial surgeons participate in the Medicare system

How a recent study uncovered an increase in productivity of OMSs and a decrease in the number of Medicare patients served by OMSs in the period from 2013 to 2017

Why the free market is a far better way of determining reimbursement rates for a given dental procedure than the RVU system

The high success rate of maxillomandibular advancement (MMA) surgery in curing obstructive sleep apnea (OSA)

How a recent study found that MMA surgery for OSA does not have a negative impact on facial profile esthetics

Why I’m an advocate of building wealth through cashflowing real estate

How I earn cashflow from owning a portion of the building my practice occupies

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy on Facebook

Dentist Brain Candy on YouTube

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Call (509) 922-2273

Resources

Liberty Oral Surgery February Event

Nobel Biocare

‘Trends in Work Relative Value Unit Production in Oral and Maxillofacial Surgery’ in the Journal of Oral and Maxillofacial Surgery

Omnibus Budget Reconciliation Act of 1989

American Medical Association RVS Update Committee

‘Evaluation of Facial Profile Esthetics After Maxillomandibular Advancement Surgery for the Treatment of Obstructive Sleep Apnea’ in the Journal of Oral and Maxillofacial Surgery

Chris Salazar on DBC S2EP3

Arsenal Capital

Feb 14, 2022
As dentists and oral surgeons, we’re dependent on our hands to make money. And if something prevents us from working, we lose that income—and the security that goes with it.

That’s why I’m working with Chris Salazar to invest in real estate and create an additional income stream separate from my oral surgery practice.

Chris is the Founder and CEO of Archstone Capital Partners, a vertically integrated real estate investment firm headquartered in Dallas. Chris and his team focus on value-add multifamily properties in the Midwest and Texas, and Archstone currently operates a portfolio of 500 doors.

On this episode of Dentist Brain Candy, Chris joins me to discuss the advantages of investing in multifamily over single family properties and describe how his value-add deals make a positive impact on the community.

Chris walks us through the tax benefits of investing in multifamily and explains why he likes deals in a tertiary market like the Quad Cities.

Listen in to understand how Chris’ conservative underwriting protects investors and learn how real estate can help dentists and oral surgeons achieve our financial goals!

Key Takeaways

What Chris likes about investing in the Quad Cities market

The advantages of investing in multifamily over single family homes

Chris’ goal to build a 1,000-door portfolio in 2022

How returns differ in primary vs. secondary or tertiary markets

How real estate can help a dentist or oral surgeon achieve their financial goals

The tax benefits of investing in multifamily real estate

How Chris’ value-add deals make a positive impact on the community

What investors should ask about the sponsor, the market and the deal itself

Why Chris’ buy-improve-hold approach generates healthy returns

How Chris’ conservative underwriting protects investors

Connect with Chris Salazar

Archstone Capital Partners

Arsenal Capital Partners

Email: csalazar@arsenalcp.com

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Resources

Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life by Jim Kwik

Liberty Oral Surgery February Event

Archstone Before Photos

Archstone After Photos

Feb 7, 2022
In 2018, Joe DiMeo fell asleep at the wheel. In the resulting accident, he suffered third-degree burns over 80% of his body. He was left without eyelids, ears and fingertips.

But in August of 2021, a team at NYU Langone Health performed a face and double hand transplant on Joe. Was the procedure successful? How has his life changed since the surgery?

On this episode of Dentist Brain Candy, I share two journal articles that piqued my interest this week, beginning with the recent Journal of Oral and Maxillofacial Surgery feature on trigeminal neuralgia that describes the symptoms of this long-term facial pain disorder as well as its treatment options.

I go on to discuss the world’s first successful face and double hand transplant surgery, explaining what’s involved in the patient selection process, why 22-year-old Joe DiMeo was a good candidate for the procedure and how he’s doing now.

Listen in for insight into what was involved in the 23-hour face and hand transplant and learn about Dr. Eduardo Rodriguez, the pioneering oral and maxillofacial surgeon who led the surgical team.

Key Takeaways

The symptoms of long-lasting facial pain disorder trigeminal neuralgia

What causes trigeminal neuralgia and how it’s triggered

The surgical and non-surgical treatment options for trigeminal neuralgia

How Dr. Eduardo Rodriguez led the world’s first successful face and double hand transplant

The team of 140 healthcare professionals who conducted the 23-hour surgery

What made Joe DiMeo a good candidate for the procedure and how he’s doing now

A brief history of human face transplants

The patient selection process for face transplant surgery

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email bryanmclelland@hotmail.com

Resources

Liberty Oral Surgery February Event

Email info@libertysurgerycenter.com 

Nobel Biocare

Ken Parish at Nobel Biocare

Ian McNickle of WEO Media

Jet Virtual Consults

'Trigeminal Neuralgia’ in the Journal of Oral and Maxillofacial Surgery

NYU’s Press Release on the World’s First Successful Face and Double Hand Transplant

Photos of Joe DiMeo

Jan 31, 2022
With oral operations, negative outcomes are bound to arise from time to time.

Though, when we take the time to continue to stay informed of possible hazards and complications, we can better avoid these possible outcomes.

On this episode of Dentist Brain Candy, I share three interesting articles from the the Journal of Oral & Maxillofacial Surgery, including my experience and judgment regarding each topic.

I explain what cognitive and negative bias is and how to avoid it, my experience with frailty and oral surgeries, and my personal insight on penicillin and allergy evaluations.

Listen in for insight on cognitive bias hazards after operative complications, how to minimize frailty preoperatively through prehabilitation and whether or not penicillin allergy is a risk factor for surgical site infection.

Key Takeaways

What cognitive and negative cognitive bias is

Positive responses that a surgeon can take regarding a cognitive bias hazard

Cognitive bias tendencies that can occur

Complications to avoid after a complication or an adverse event

Minimizing frailty preoperatively through prehabilitation and improving surgical outcomes

Dr. Bryan’s oral surgery experience with a frail 90 year old patient

Important things to take into account when dealing with a frail patient

A study on penicillin allergy and if it is a risk factor for surgical site infection after oral and maxillofacial surgery

Dr. Bryan’s insight on penicillin allergy and allergy evaluations

Sneak peek of upcoming episode with Chris Salazar, all about using real estate to create other sources of income outside of dentistry and oral surgery

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

Dr. Bryan McLelland

Dr. Jaw Breaker on Youtube

Email Bryanmclelland@hotmail.com

Resources

Journal of Oral and Maxillofacial Surgery

Cognitive Bias Hazards After an Operative Complication

Minimizing Frailty Preoperatively Through Prehabilitation: Improving Surgical Outcomes

Is Penicillin Allergy a Risk Factor for Surgical Site Infection After Oral and Maxillofacial Surgery?

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