Author Bryan McLelland

EP167: Perio and Coronectomy and IV Ibuprofen vs IV Tylenol

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.

Continue Reading

EP165: History of Jaw Surgery


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.

Continue Reading

EP163: Call Google Now, Vaping Hamper Healing? ABOMS Changes Coming, ACS Fellowship


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!

Continue Reading

EP162: 3rd molars Damage 2nd Molars and Lasers Decrease Paresthesia and Surgery First is good for the Brain


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.

Continue Reading

EP161: Misdiagnosis of a Palatal Mass, OSA and Carotid Calcifications, dental implants in erosive lichen planus


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.

Continue Reading

EP160: Larva Infestation in Your Mouth, Preventing Perio Defects after 3rds


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.

Continue Reading

EP159: Botox In Dentistry

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

Continue Reading

EP158: All On 4 Validated!


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.

Continue Reading