Dentist Brain Candy

This week I discussed two interesting articles the first one is a discussion about the use of topical benzocaine and that's 20% benzocaine gel in the maxilla and specific of the anterior maxilla to decrease pain of injection and entry of the needle and deposition of the fluid as well I discuss hereditary angioedema for oral surgery patients which is the spontaneous facial swelling data can occur because of this rare genetic disease.

This week I have some dental news for you including what the US Congress has been up to in regards to dental bills what the projected size of the dental implant Market is by 2028 a little chit chat about an electronic syringe called dental pain as well as a new line of products for dry mouth and xerostomia how to wrap things out 4 little tips on ways of finding hidden costs and stemming the tide increasing your profitability.

In this episode I discussed three interesting articles the first article discusses the quality of life of patients with jaw and facial deformities before and after jaw surgery and the notable unremarkable quality of life improvements from both a psychological and functional component. I also discuss whether antiplatelet drugs need to be stopped and whether the increase the risk of bleeding after dental implant surgery and a very good crossover study supporting the conclusions of this and I talked about spiking your local anesthetic with dexmedetomidone in an attempt to increase the onset of action the total length of duration and improve the properties of lidocaine local anaesthetic

In this episode, I discuss the increasing use of the Intensive Care Unit for a. Digenic infections over the last decade in Australia. I also discuss the conservative treatment of medication-related osteonecrosis of the Jaws and the success rates and spontaneous resolution of this process that you can expect from this modality and this treatment course. I also discussed the use of a C-Arm intraoperatively vs CT scans for complex facial fractures.

In this episode, I start by discussing the periodontal stability on the distal of the mandibular second molar after a coronectomy on mandibular third molars. This is a three-year study and over the last several years the popularity of a coronectomy for high-risk third molar situations with close proximity to the inferior alveolar nerve begs the question as to success and possible risks. This study aims to discuss whether or not there is peridontal pocketing on the distal of the second molar when you leave the roots behind with the extraction of third molars. I also discuss the use of intravenous ibuprofen versus intravenous Tylenol to reduce postoperative pain and narcotic consumption after third molar surgery. You don't want to miss this episode and I think you'll find it very useful and applicable to everyday practice.

This week I discuss navigation vs lab guides vs free hand implant bbn placment accuracy, medications to consider avoiding in those 65 years old or more and whether clone abutments are the same as branded parts in a lab.

This week I go through an article from the Journal of Oral & Maxillofacial Surgery written by Bryan Bell that discusses the history of jaw surgery. Orthognathic surgery has an interesting progression through time that any dentist or surgeon should know about and will find well summarized in this podcast.

In this episode, I discussed an article titled office-based sedation and general anesthesia for COPD patients part 1. This is a good review of COPD it's pathophysiology its epidemiology and issues with IV sedation and general anesthesia with Dental patients.

This week I discuss the need for all of us to call Google at 1-844-491-9665 to get them to add the category of “dental implants” instead of the only option being “dental implants periodontist”.  I also discuss how our National Association will help with an application for the American College of Surgeons fellowship and the requirements for that. I also discuss the changes in the American Board of Oral & Maxillofacial Surgery certification process and for maintenance of that board certification which is profound and significant. I also discuss the significant impact that vaping has on healing and the rationale and study that helps prove that healing from vaping and cigarette smoking are equivalent. This is an action-packed episode full of interesting information that you must check out!

In this episode, I start with a discussion about low-level laser light therapy and helping nerve recovery after a bilateral sagittal split osteotomy. There is a significant risk of permanent numbness after jaw surgery particularly lower jaw surgery and this study looks at a novel therapy of low-level laser light therapy to see if recovery can be optimized for patients I also discuss the fact that the impacted third molars can damage and cause external root resorption of mandibular second molars and what those risk factors are. I also discuss the incidence of this occurring in the study. Finally, in this episode, I discuss the psychological impact of doing surgery first for patients with Orthodontics jaw surgery versus the conventional way.  

In this episode, I discuss the misdiagnosis of a swelling on the roof of the mouth that turned out to be cancer. This was misdiagnosed twice and can have serious implications for patients. In addition, we talked about the incidental radiographic finding with a panorex showing calcifications in the Carotid artery and its association with obstructive sleep apnea heart attacks and strokes. We also discuss using dental implants to help a patient with severe erosive lichen planus. Lichen planus can be a painful mucosal condition making Dentures very difficult or impossible to wear. Dental implants offers the opportunity to elevate the appliance off of the mucosa making impossible to wear Prosthetics without pain.

This week I discuss articles out of the Journal of Oral & Maxillofacial Surgery in December of 2018. We will discuss a pork larvae infestation of the oral mucosa in three separate patients including both the clinical presentation and management of these lesions.  We shall discuss how to prevent periodontal defects distal to mandibular third molars after the extraction of wisdom teeth as well as how to predict the recurrence of regional disease after primary resection of oral squamous cell carcinoma. In addition to this, we shall also discuss the utility of viewing a third molar video particularly a third molar informed consent video and whether this helps to decrease patients anxiety and whether an Emergency Room Physicians are able to accurately diagnose, order CT scans and consult for specialists for head and neck infections and particularly odontogenic infections.

This episode is a must-listen for every dentist and the team. Botox originally was used for noncosmetic purposes for 13 years and then transitioned into cosmetic uses for lines and wrinkles of the face particularly in the glabella frontalis and crow's-feet areas on the face to eliminate wrinkling and specifically Dynamic wrinkles. There are many other uses within dentistry in every dentist should be aware of these uses and ideally Implement an offer these services to your patients. The administration of Botox is well within the scope of practice and I think dentist, in general, are fantastic with giving shots and should consider offering the service with the proper training. In this episode, I will discuss other uses of Botox in dentistry and I think you'll find this fascinating and enlightening

In this episode, I discuss the all on four concepts and exactly what that means and review an article from the International Journal of Oral & Maxillofacial implants 2018 titled the biomechanical comparison of different implant inclinations and cantilever links in All-on-4 treatment concept by three-dimensional finite element analysis.  I don't want you to worry, I do get into this article but I will promise not to bore you to death and make this too heavy but more clinical in nature.

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, I discuss the full-day presentation and the high points from Fred Joyal's book and presentation on becoming remarkable.  He did a fantastic job and there's some great high points and I also go through and just give a breakdown of the different chapters that he has in his book. Everyone that came to the presentation received the free book as well. Our next continuing education event is February 8th 2019 when we will have OSHA HIPAA CPR renewal as well as a one-hour talk on Botox and fillers as well as the opportunity to receive Botox and fillers which will be a blast. We'll see you there!

In this episode, I talk about my Friday that I had today. I think you'll find it interesting and hopefully stimulating. And maybe there are some pearls in there for you and your practice.

There is now an alternative fixed restoration that is not a hybrid restoration. Zest International has developed an abutment and a system called the locator FTX system. In this episode we discuss using four or more implants in either the maxilla or mandible and specifically 13 cases that were studied for 3 years showing that this is a successful and reasonable treatment modality. Anybody treating patients with fixed full Arch Restorations needs to be aware of this treatment concept. Resources Fixed Attachment System Fixed-Hybrid Emergency Seating and Removal Tool Fixed Attachment System Product Catalog

We've all had or soon to have a patient with a fixed restoration on four more implants and one of those key implant fails. In the past the only choice and option available was to toss out the final restoration and place a new implant and make a brand new fixed hybrid restoration.  In this episode, I discussed a novel new treatment approach that is a salvage procedure so that the final restoration does not need to be remade. Resources  Fixed Attachment System Fixed-Hybrid Emergency Seating and Removal Tool Fixed Attachment System Product Catalog

This week I, first of all, discussed survival skills in a jungle environment which is super interesting and fun. And then discuss whether or not we need to be concerned about our cancer patients that have central venous catheters or Central lines and whether or not a dental cleaning can lead to infection of these catheters within go into a discussion on oral mandibular dystonia both the recognition and treatment of that and we discuss a severe complication of prescribing a tetracycline antibiotic to a 14-year-old boy.